Chinese demented inpatients admitted following a suicide attempt: a case series

Tsai, Chang‐Youh; Tsai, Shih-Jen; Yang, Cheng-Hung; Hwang, Jen‐Ping

doi:10.1002/gps.1795

Cited by 19 publications

(29 citation statements)

References 20 publications

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“…In addition, personality changes based on declining cognitive capacity and the neurochemical imbalances described in late‐life depression and in dementia might predispose patients to aggressive or impulsive acts, such as suicide attempts. Barak and Aizenberg found that suicide attempts occurred in 4.7% of all dementia cases; the rate of suicide attempts found in another case series was 11.7% of all dementia cases . Lim et al .…”

Section: Resultsmentioning

confidence: 93%

“…Tsai et al . propose delusions as a suicide risk factors in dementia: in their study seven demented patients attempted suicide . All their seven cases had delusions (e.g.…”

Section: Resultsmentioning

confidence: 98%

“…78 Tsai et al propose delusions as a suicide risk factors in dementia: in their study seven demented patients attempted suicide. 76 All their seven cases had delusions (e.g. jealous delusions, delusions of theft, persecutory delusions) as their primary cause of suicide.…”

Section: Homicide Suicide and Homicide-suicidementioning

confidence: 99%

“…Barak and Aizenberg found that suicide attempts occurred in 4.7% of all dementia cases; 75 the rate of suicide attempts found in another case series was 11.7% of all dementia cases. 76 | high-risk phenotype predisposing to suicidal risk: male gender, highly educated professional, preserved insight, dysthymic symptoms that did not meet criteria for major depression and post-dated the onset of cognitive decline, and suicidal ideation. 77 According to Purandare et al the most common method of suicide in patients with dementia is self-poisoning, followed by drowning and hanging, the latter being less frequent than in controls.…”

Section: Homicide Suicide and Homicide-suicidementioning

confidence: 99%

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Violent and criminal manifestations in dementia patients

Cipriani

Lucetti

Danti

et al. 2015

Geriatrics Gerontology Int

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Although the older adults have been studied as victims of violence, geriatric patients can display violent behavior. The purpose of the present review was to explore the phenomenon of criminal violations and violent acts in people with dementia. The authors used PubMed to search the MEDLINE database and other sources for original research and review articles on criminal and violent manifestation in demented patients combining the terms "criminal manifestation," "violence, aggressive behavior," "homicide," "suicide" and "homicide-suicide" together with "dementia". Possible biomarkers of violence are considered. The present review highlights the risk factors for violence in patients suffering from dementia, and reviews the literature about criminal violations and homicidal/suicidal behavior in this patient group. Geriatr Gerontol Int 2016; 16: 541-549.

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Section: Resultsmentioning

confidence: 93%

“…Tsai et al . propose delusions as a suicide risk factors in dementia: in their study seven demented patients attempted suicide . All their seven cases had delusions (e.g.…”

Section: Resultsmentioning

confidence: 98%

Section: Homicide Suicide and Homicide-suicidementioning

confidence: 99%

Section: Homicide Suicide and Homicide-suicidementioning

confidence: 99%

See 2 more Smart Citations

Violent and criminal manifestations in dementia patients

Cipriani

Lucetti

Danti

et al. 2015

Geriatrics Gerontology Int

View full text Add to dashboard Cite

show abstract

“…8,[11][12][13][14] Although attempted suicides are reported to be rare among inpatients with dementia, 15,16 a recent Chinese study found that more than 10% of demented inpatients had been admitted after a suicide attempt. 17 The prevalence rate of suicidal ideation is estimated to range between 0.9% and 42%. 12,18 Specific types of dementia, such as Huntington and Alzheimer diseases, are mentioned by case reports as potential predictors for suicidal behavior.…”

mentioning

confidence: 99%

Hospital-Diagnosed Dementia and Suicide: A Longitudinal Study Using Prospective, Nationwide Register Data

Erlangsen

Zarit

Conwell

2008

The American Journal of Geriatric Psychiatry

145

138

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Objective-The current study aims to examine the risk of suicide in persons diagnosed with dementia during a hospitalization and its relationship to mood disorders.Design-Event-history analysis using time-varying covariates. Setting-Population-based record linkage.Participants-All individuals aged 50+ living in Denmark (N = 2,474,767) during January 1, 1990 through December 31, 2000. Measurements-Outcome of interest is suicide. Relative risks are calculated based on persondays spent in each stratum.Results-A total of 18,648,875 person-years were observed during the 11-year study period. During this period, 136 persons who previously had been diagnosed with dementia died by suicide. Men and women aged 50-69 years with hospital presentations of dementia have a relative suicide risk of 8.5 (95% confidence interval: 6.3-11.3) and 10.8 (95% confidence interval: 7.4-15.7), respectively. Those who are aged 70 or older with dementia have a threefold higher risk than persons with no dementia. The time shortly after diagnosis is associated with an elevated suicide risk. The risk among persons with dementia remains significant when controlling for mood disorders. As many as 26% of the men and 14% of the women who died by suicide died within the first 3 months after being diagnosed whereas 38% of the men and 41% of the women died more than 3 years after initial dementia diagnosis.Conclusions-Dementia, determined during hospitalization, was associated with an elevated risk of suicide for older adults. Preventive measures should focus on suicidal ideation after initial diagnosis but also acknowledge that suicides can occur well after a dementia diagnosis has been established. KeywordsSuicide; dementia; Alzheimer disease; old age; elderly persons; Denmark Dementia is related to a substantial health care burden. 1 Worldwide, the prevalence rate of dementia is estimated to be 0.6%-1.9% among persons aged 65-69 years and 10%-33% Older adults also have high suicide frequencies and in many countries the highest suicide rates are found among the oldest old. 5 Thus far, the relationship between dementia and suicide has been assessed through case reports and clinical studies. Although case reports suggest that dementia might be associated with an increased risk of suicide, 6-10 clinical studies document lower risks among patients with dementia than other inpatients. 8,[11][12][13][14] Although attempted suicides are reported to be rare among inpatients with dementia, 15,16 a recent Chinese study found that more than 10% of demented inpatients had been admitted after a suicide attempt. 17 The prevalence rate of suicidal ideation is estimated to range between 0.9% and 42%. 12,18 Specific types of dementia, such as Huntington and Alzheimer diseases, are mentioned by case reports as potential predictors for suicidal behavior. 7,9,[18][19][20] Furthermore, early stages of dementia, 6,10,20 intact awareness of disease and its course, 6,[8][9][10]21 and accessibility to means 6,8 might increase the risk of suicide.Comorbid mental diso...

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Current awareness in geriatric psychiatry

2008

Int J Geriat Psychiatry

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In order to keep subscribers up‐to‐date with the latest developments in their field, John Wiley & Sons are providing a current awareness service in each issue of the journal. The bibliography contains newly published material in the field of geriatric psychiatry. Each bibliography is divided into 9 sections: 1 Reviews; 2 General; 3 Assessment; 4 Epidemiology; 5 Therapy; 6 Care; 7 Dementia; 8 Depression; 9 Psychology. Within each section, articles are listed in alphabetical order with respect to author. If, in the preceding period, no publications are located relevant to any one of these headings, that section will be omitted

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Chinese demented inpatients admitted following a suicide attempt: a case series

Cited by 19 publications

References 20 publications

Violent and criminal manifestations in dementia patients

Violent and criminal manifestations in dementia patients

Hospital-Diagnosed Dementia and Suicide: A Longitudinal Study Using Prospective, Nationwide Register Data

Current awareness in geriatric psychiatry

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