Elderly Suicide Research Articles

Thalami shape differences in elderly depressed suicide attempters

Thalami shape differences in elderly depressed suicide attempters

Elderly suicide in India

PurposeThe elderly are facing many problems in the phase of life in the contemporary times. The problem of suicide among the elderly is one of them. The purpose of this paper is to focus on the cause of death due to suicide among the elderly in later life. There are two objectives of the present study. The first objective examines the nature and problem of elderly suicide in Indian society. The second objective explores the factors affecting suicidal tendency among the elderly.Design/methodology/approachThe data have been collected through two newspapers from January 2013 to April 2013. The content of news items has been analysed through content analysis.FindingsThe study finds out that the factors such as family problems, chronic diseases, poverty, lack of social status and bankruptcy give rise to feeling of committing suicide among the elderly.Originality/valueThis is an original paper.

Smartphone Applications for Mindfulness Interventions with Suicidality in Asian Older Adults: A Literature Review.

Elderly suicide is a rising concern. Despite the advent of mobile technology, there remained a gap in the evidence base as to whether smartphone applications could be used for mindfulness intervention for suicidality in Asian older adults. This paper aimed to review recent research relevant to smartphone applications that could be used in providing mindfulness interventions for suicidality to Asian older adults. The inclusion criteria for this review were papers published in peer-reviewed journals from 2008 to 2018 with the usage of specific search terms, namely, ‘smartphone application’, ‘mobile application’, and ‘mindfulness’, assessed against the inclusion criteria and screened by an experienced Asian clinician to be of clinical utility for mindfulness intervention for suicidality with Asian older adults. Initial search on databases yielded 236 results. A total of 35 full text papers that fit the inclusion criteria were assessed for eligibility and 10 papers were included in the current review. This review highlighted the paucity of rigorous empirically validated research into effective smartphone applications that can be used for mindfulness interventions for suicidality with Asian older adults.

Prévention du suicide des personnes âgées en France. Vers une stratégie multimodale de lutte contre la dépression et l’isolement : CQFDi

IssueSuicide is a major problem of public health around the world, and if suicidal mortality rates have declined in recent years, the elderly remain a category of the world's population at major risk of suicide. Seventeen percent of deaths by suicide across the world are individuals over the age of 65. The existence of suicidal ideas for an individual in this age group increases the risk of suicide attempt in the year by 34. In France, about a little less than a quarter of suicides belong to persons over 60-years-old. More risk factors found in the international literature are in the foreground of mental disorders and in particular the major depression episode, then secondarily addictions, neuro-degenerative disorders as well as pain and other diseases. Depression is found in 60% to 90% of suicides. We notice also that older people privileged the general practitioner as interlocutor to discuss their problems and worries much more than psychiatrists or psychologists. In fact, two-thirds of the elderly who committed suicide had consulted their general practioner in the month prior to suicide and half in the 10 last days. That raises the question of the identification of depression and the evaluation of suicidal risk. On the other side, there is an abundant literature about psychosocial risk factors especially on the influence of isolation and lack of social support as well as on conflicts and family losses. In France, more than 4 million of the elderly live alone. So, while the world population is increasing and life expectancy lengthens, it is important to already act for elderly suicide prevention. PerspectivesSuicide prevention actions whose efficacity have been demonstrated around the world are designed as part of multimodal strategies combining several levers of action. The consensual recommendations for prevention of elderly suicide recommend the association of actions on the reduction of depression and combating social isolation in connection with the training of front-line actors such as general practitioners. As a result of these experiments and recommendations, the first francophone multimodal strategy was developed to act both on depression and social isolation: the Coopération Québec France sur la dépression et l’isolement (CQFDi) program which will be implemented in France and Quebec in 2019. ConclusionIt has been proven that multimodal suicide prevention strategies allow a reduction in the number of suicides. The CQFDi program focuses on at risk of suicide population and aims to reduce the suicide rate of elderly people in France.

노인의 여가몰입이 자살생각에 미치는 영향: 사회적 지지의 매개효과를 중심으로

노인의 여가몰입이 자살생각에 미치는 영향: 사회적 지지의 매개효과를 중심으로

Landscape of Elderly Suicide in South Korea: Its Trend According to Age, Gender, and Educational Attainment.

South Korea has one of the highest suicide rates in the world, and the most alarming suicide rate is among its elders. This study aims to understand the social, historical, and cultural context of the Korean older adults and examine suicide trends based on that understanding. The results show that the suicide risk increases with age, the male suicide rate outweighs that of females, and the suicide rate decreases with educational attainment. In addition, several suggestions for reducing elderly suicide rate are addressed, including differentiating the existing social services for elders by age and expanding suicide prevention programs beyond schools to communities so that all people in need can access them.

Psychometric Characteristics of Duke Social Support Index Among Elderly Suicide in Rural China.

We recruited 242 elderly suicides and 242 controls above 60 years to conduct face-to-face interviews by psychological autopsy to examine the psychometric characteristics of the Duke Social Support Index (DSSI) in rural China. DSSI had high internal consistency, with Cronbach's αs of .89 and .90 in suicides and controls, respectively. DSSI was significantly and negatively correlated to loneliness in both samples. Confirmatory factor analysis basically supported the original structure of DSSI, but Item 4 had low factor loading in controls. In conclusion, DSSI has satisfactory reliability and acceptable validity in evaluating social support in the elderly suicide study in China.

Suicide in the elderly: an underappreciated and understudied issue

Suicide in the elderly: an underappreciated and understudied issue

Characteristics of Elderly Suicides in Ghana.

A major gap in the extant research literature on suicide in Ghana is lack of a systematic study of patterns and trends in elderly suicides. To address the lack of scholarship on the topic, this exploratory, descriptive study presents the results of an epidemiological analysis of 40 media-reported suicides involving persons aged 60 years and older during the 2005-2016 period. Key findings are that the vast bulk of elderly persons who died by suicide were male, aged 60 to 65 years old, and of low income. The most common suicide methods were hanging and shooting with a firearm. Reasons for dying by suicide included lack of financial wherewithal, indebtedness, cuckoldry, sexual dysfunction, grief after the death of a spouse, and marital breakdown. A secondary aim of the research was to sensitize the Ghanaian public, medical services, and government about the extent, nature, and patterns of suicidal behavior in the elderly population. At present, many people in Ghana are not aware of elderly suicides as a social problem. For stakeholders, the findings of this study can assist in the design and implementation of policies and programs to alleviate the problem.

Personality and Suicidal Behavior in Old Age: A Systematic Literature Review.

Suicide rates generally peak in the second half of life and are particularly high in older men; however, little is known about the contribution of dispositional factors to late-life suicide. Maladaptive personality traits have been strongly implicated in suicide among younger adults, but the extent to which they continue to play a role in late-life suicidal behavior is unclear. We also do not know whether specific personality profiles interact with the stressors of aging to cause suicidal behavior. We sought to synthesize the data on personality pathology in late-life suicidal ideation and behavior via a systematic review using the PubMed, Google Scholar, PsycInfo, Scopus, Ovid, Web of Science, Embase, and Cochrane search engines. The included key words related to three descriptors: "personality," "suicide," and "elderly." Included articles evaluated personality based on the Five-Factor Model (FFM) or ICD/DSM diagnostic criteria in older samples with minimum age cutoffs of 50 years or older. Our original search identified 1,183 articles, of which 31 were retained. Included studies were heterogeneous in their design and personality measurements. Studies of categorical personality disorders were particularly scarce and suggested a stronger association with late-life suicidal ideation than with death by suicide. Only obsessive-compulsive and avoidant personality traits were associated with death by suicide in old age, but only in studies that did not control for depression. All personality constructs were positively linked to suicidal ideation, except for histrionic personality, which emerged as a negative predictor. Studies employing the FFM also indicated that older adults who died by suicide were less likely to display a maladaptive personality profile than elderly suicide attempters and younger suicide victims, having both lower levels of neuroticism and higher levels of conscientiousness than these comparison groups. Nevertheless, older suicide victims displayed lower levels of openness to experience than younger victims in two samples. Maladaptive personality manifests in milder, subthreshold, and more heterogeneous forms in late-life vs. early-life suicide. An inability to adapt to the changes occurring in late life may help explain the association between suicide in old age and higher conscientiousness as well as obsessive-compulsive and avoidant personality disorders.

Being left-behind, mental disorder, and elderly suicide in rural China: a case-control psychological autopsy study.

Suicide rate among rural elderly is the highest among all age groups in China, yet little is known about the suicide risks in this rapidly growing vulnerable population. This matched case-control psychological autopsy study was conducted during June 2014 to September 2015. Consecutive samples of suicides aged 60 or above were identified in three provinces (Shandong, Hunan, and Guangxi) in China. Living comparisons were 1:1 matched with the suicides in age (±3 years old), gender, and living location. Risk factors included demographic characteristics, being left-behind, mental disorder, depressive symptoms, stressful life events, and social support. A total of 242 suicides and 242 comparisons were enrolled: 135 (55.8%) were male, mean (s.d.) age was 74 (8) years. The most frequently used suicide means were pesticides (125, 51.7%) and hanging (95, 39.3%). Independent risks of suicide included unstable marital status [odds ratio (OR) 4.19, 95% confidence interval (CI) 1.61-10.92], unemployed (compared with employed, OR 4.43, 95% CI 1.09-17.95), depressive symptoms (OR 1.34, 95% CI 1.21-1.48), and mental disorder (OR 6.28, 95% CI 1.75-22.54). Structural equation model indicated that the association between being left-behind and suicide was mediated by mental disorder, depressive symptoms, stressful life events, and social support. Unstable marital status, unemployed, depressive symptoms, and mental disorder are independent risk factors for suicide in rural elderly. Being left-behind can elevate the suicide risk through increasing life stresses, depressive symptoms, mental disorder, and decreasing social support. Elderly suicide may be prevented by restricting pesticides, training rural physicians, treating mental disorders, mitigating life stress, and enhancing social connection.

Exploring the use of telephone helpline pertaining to older adult suicide prevention: A Hong Kong experience

BackgroundOlder adults usually have a higher suicide rate than the general population. There are helpline services provided to older adults but limited studies have examined the suicidal risks among the users, and how those services could be used as a platform to engage older adults in suicide prevention. MethodsIn regard to elderly suicide prevention, this study explored the potential usefulness and relevance of a telephone helpline service in Hong Kong, which had 106,583 users during 2012–2015. An estimation on the suicide rates of the users was made and compared with the general older adult population in Hong Kong. The users’ suicide risks and their associated factors were assessed by survival analyses and an estimation system on the users’ suicide mortality likelihood was also tested. ResultsThe suicide rates of both male and female users were more than two times higher than the general older adult population in Hong Kong. The users’ risks of suicides were greater at the early period of using the service; men, living alone, and having a history of mental illnesses were also associated with increased risks. Based on the identified factors, an estimation system was developed with a sensitivity of 0.73 and specificity of 0.54. LimitationsA secondary data analysis. ConclusionsBy identifying a suicide risk profile and distinct telephone calling pattern among the users, early detection and a warning system should be implemented to allow timely intervention to reduce the number of older adult suicides in the community.

Effects of exposure estimation errors on estimated exposure-response relations for PM2.5

Associations between fine particulate matter (PM2.5) exposure concentrations and a wide variety of undesirable outcomes, from autism and auto theft to elderly mortality, suicide, and violent crime, have been widely reported. Influential articles have argued that reducing National Ambient Air Quality Standards for PM2.5 is desirable to reduce these outcomes. Yet, other studies have found that reducing black smoke and other particulate matter by as much as 70% and dozens of micrograms per cubic meter has not detectably affected all-cause mortality rates even after decades, despite strong, statistically significant positive exposure concentration-response (C-R) associations between them. This paper examines whether this disconnect between association and causation might be explained in part by ignored estimation errors in estimated exposure concentrations. We use EPA air quality monitor data from the Los Angeles area of California to examine the shapes of estimated C-R functions for PM2.5 when the true C-R functions are assumed to be step functions with well-defined response thresholds. The estimated C-R functions mistakenly show risk as smoothly increasing with concentrations even well below the response thresholds, thus incorrectly predicting substantial risk reductions from reductions in concentrations that do not affect health risks. We conclude that ignored estimation errors obscure the shapes of true C-R functions, including possible thresholds, possibly leading to unrealistic predictions of the changes in risk caused by changing exposures. Instead of estimating improvements in public health per unit reduction (e.g., per 10 µg/m3 decrease) in average PM2.5 concentrations, it may be essential to consider how interventions change the distributions of exposure concentrations.

Poster Number: NR 5 - Age and Sex-Related Differences in Risk Factors for Elderly Suicide: Differentiating between Suicide Ideation and Attempts

Poster Number: NR 5 - Age and Sex-Related Differences in Risk Factors for Elderly Suicide: Differentiating between Suicide Ideation and Attempts

Brazilian elderly affective disorders and suicide: trends on morbi-mortality and health service costs

Brazilian elderly affective disorders and suicide: trends on morbi-mortality and health service costs

Assessment of Intention and Risk Factors for Suicide in Elderly: An Autopsy Study

Assessment of Intention and Risk Factors for Suicide in Elderly: An Autopsy Study

Elderly's suicide attempt

Suicide attempts among the elderly (more than 65 years old) is a topic that is scarcely studied despite its prevalence. In recent years, researchers from all over the world started to study and publishing about this phenomenon. Several research studies tried to single out elderly people's suicide risk factors, focusing particularly on neurobiological alterations linked to the aging process. Some prevention techniques have already been developed and produced convincing results. Through this literature review, we set out to give both a general and summarized view on suicide and suicide attempts among the elderly.

A study on predictive factors of Elderly Suicidal Ideation

A study on predictive factors of Elderly Suicidal Ideation

Predictive Value of Psychological Scales for Hospitalization of Elderly Suicide Attempters

Predictive Value of Psychological Scales for Hospitalization of Elderly Suicide Attempters

An interesting phenomenon in immigrant spouses and elderly suicides in Taiwan

BackgroundImmigration is a global issue. Taiwan has a high proportion of immigrant spouses who take care of the aging parents-in-law at home mainly based on filial piety. Difficulties in communication in many aspects of daily life occur between the elderly and immigrant spouses, and result in the elderly becoming vulnerable and thus, influencing their psychological well-being. Although past studies demonstrated that due to cultural differences, employed foreign care providers negatively influenced elder care quality (e.g., care receipts’ health or mortality rates), no studies have explored whether immigrant spouses, as family caregivers, have any influence on elderly suicides due to cross cultural communication differences. ObjectiveTo address the above gap, this study was to examine the static relationship between immigrant spouses and elderly suicides. MethodNational-level authority data, comprising a 10-year longitudinal nationwide sample, were used. The number of immigrant spouses was treated as a proxy of cultural differences. Twelve models of outcomes with and without city- and time-fixed effects were conducted using panel data analysis. ResultsDescriptive statistics of the study variables are provided. The results revealed that overall the number of immigrant spouses had a positive correlation with suicides in older adults. Further, the gender of immigrant spouses had different impacts on elderly suicides. ConclusionsThis is the first study to examine relation between immigrant spouses and the elderly suicides. The study results provide another viewpoint of understanding of the role of immigrant spouses in elder care, while promoting elder-caregiver interactions for optimal elder health outcomes.