Health Conditions and Passive Suicidal Ideation in the Survey of Health, Ageing, and Retirement in Europe

Lutz, Julie; Morton, Kimberly; Turiano, Nicholas A.; Fiske, Amy

doi:10.1093/geronb/gbw019

Cited by 31 publications

(44 citation statements)

References 25 publications

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“…Suicide is a major problem across the lifespan; yet, internationally, rates are consistently highest among middleaged and older adults (see Fiske & O'Riley, 2016;Lutz, Morton, Turiano, & Fiske, 2016;Stanley, Hom, Rogers, Hagan, & Joiner, 2016; World Health Organization (WHO), 2014), which is a trend that remains relatively stable across differing sociological settings (see Stanley et al, 2016; see also Nock et al, 2008; World Health Organization (WHO), 2014). Indeed, in the United States, older prisoners exhibit the highest rates of suicide in correctional systems (Barry, Wakefield, Trestman, & Conwell, 2017;Carson & Cowhig, 2020;Noonan, Rohloff, & Ginder, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Indeed, in the United States, older prisoners exhibit the highest rates of suicide in correctional systems (Barry, Wakefield, Trestman, & Conwell, 2017;Carson & Cowhig, 2020;Noonan, Rohloff, & Ginder, 2015). Despite that suicide in later life has become a major public health issue, there has been limited scholarly and public attention devoted to suicidality among older adults (Lutz et al, 2016;Van Orden & Deming, 2018). Much less is known about the nature of suicidal thoughts and attempts among older prisoners (see Barry et al, 2017), especially with respect to how older prisoners compare to younger counterparts.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…It has been suggested that late-life suicidal ideation and behavior differs in important ways from suicidal ideation and behavior earlier in the lifespan (Fiske & O'Riley, 2016;O'Riley, Van Orden, & Conwell, 2014; see also Lutz et al, 2016;Stanley et al, 2016;Van Orden & Conwell, 2016;Van Orden & Deming, 2018), which necessitates the consideration of age-focused analyses on suicide. With the global trend towards an aging population, it is expected that numbers of suicide will increase (Lutz et al, 2016) and suicide in later life will be an increasing problem (Van Orden & Deming, 2018). In the same way, population aging is taking place within prison systems in high-income countries (see Barry et al, 2017;Blowers & Blevins, 2015;Kakoullis, Le Mesurier, & Kingston, 2010;Opitz-Welke et al, 2019;Stoliker & Galli, 2019) and, therefore, it is expected that these facilities will face increasing challenges surrounding suicidal thoughts and behavior among the older inmate population (Barry et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

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The relationship between age and suicidal thoughts and attempted suicide among prisoners

2020

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Background: Suicide is a major problem across the lifespan, yet rates are highest among middle-aged and older adults; a trend which remains relatively stable across varying sociological settings, including prisons. Despite this understanding, there is limited knowledge on the nature of suicidal thoughts and attempts among older prisoners, especially with respect to how they compare to younger counterparts. The present study aimed to increase insight into the relationship between age and suicidal thoughts and attempted suicide among prisoners, with particular focus on factors that may explain age-based variability. Results: Cross-sectional data were drawn from a nationally representative sample of 18,185 prisoners housed within 326 prisons across the United States. In general, analyses revealed that: (a) attempted suicide was more commonly reported among younger prisoners, while suicidal ideation was more commonly reported among older prisoners; (b) the relationship between age and probability of reporting suicidal thoughts and behavior is curvilinear; (c) younger and older prisoners exhibit somewhat differing predictive patterns of suicidal thoughts and behavior (e.g., physical illness is directly associated with suicidal history for younger prisoners, whereas the effect of physical illness on suicidal history for older prisoners is mediated by depression). Conclusions: There is evidence to suggest that suicidal thoughts and behavior may manifest differently for younger and older prisoners, with differing patterns of risk. More research is needed on age-based variability in suicidal thoughts and attempted suicide among prisoners, as well as those factors that might explain this variability. Importantly, future research must continue to investigate the nature of suicidal thoughts and behavior among older prisoners.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The relationship between age and suicidal thoughts and attempted suicide among prisoners

2020

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“…First, a portion of the literature provides evidence to support an association between diabetes and suicide ideation in young, middle-age, and older adult populations (Goldston, Kovacs, Ho, Parrone, & Stiffler, 1994;Goldston et al, 1997;Lutz, Morton, Turiano, &Fiske, 2016;Pompili et al, 2009). Moreover, the literature also indicates specific factors that are strongly associated with diabetes and suicide ideation such as type of diabetes, treatment of disease, and duration of disease.…”

Section: Diabetes and Suicidementioning

confidence: 99%

Examining Diabetes, Depression and Suicide in Middle-Aged and Older Adults

Morton¹

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Rates of suicide in the United States are highest in middle-aged and older adults compared to younger age groups. These rates are alarming and point to the need for suicide prevention research in middle-aged and older adult populations. Depression is the most well-established independent risk factor for death by suicide. Some health conditions are also associated with risk of suicide above and beyond depression. Diabetes is often co-morbid with depression (clinical and subclinical depression). However, research examining diabetes and risk of suicide is less clear. In the current study, the first aim was to examine diabetes, vision impairment and depressive symptoms. Controlling for age, gender, marital status, weight and education, diabetes predicted depressive symptoms in a multiple linear regression. Impaired vision partially explained the association between diabetes and depressive symptoms. Additionally, marital status and gender both had an interaction effect in the relation between diabetes and depressive symptoms. The second aim examined diabetes and risk of suicide; however, due to low power, the findings could not be interpreted. Future studies should examine diabetes and risk of suicide with a larger U.S. sample of middle-aged and older adults. The diabetes-depressive symptoms findings are important when considering practice and policy related to mental health in middleaged and older adult populations who are diagnosed with diabetes. Examining Diabetes, Depression and Suicide in Middle-Aged and Older Adults Centers for Disease Control and Prevention (CDC) data indicate that there is a spike in rate of suicide during middle-age as well as in the oldest old, i.e., individuals > age 85; therefore, research in this area is imperative to continue to identify risk factors that contribute to suicide in middle-age and older adult populations. The rate of suicide is 12.7 per 100,000 people in the United States; however, the rate for individuals 65 and older is 15.3 per 100,000 people in the U.S., and, for individuals age 85+, the rate increases to 16.9 per 100,000 in the U.S. (Health Status and Determinants, 2013). Sweden's rate of suicide in middle-aged and older adults per 100,000 people is similar to rates in the U.S.: 45-54 years, 19.0; 55-64 years, 17.9; 65-74 years, 16.7; and 75+, 16.9. In 2013, after examining suicide rates for 1999-2010 in the U.S., the CDC reported that rate of suicide among middle-aged adults (i.e., 35 to 64) increased by 28%. Moreover, because non-violent suicide deaths in older adults can mistakenly be classified as accidental overdoses of prescription drugs or attributed to medical conditions, reported statistics may actually be underestimating death by suicide in the older adult population (Batty, Kivimaki, Park, & Jee, 2012). These statistics are alarming and point to the need for suicide prevention research in middle-aged and older adult populations. This paper focused on two possible risk factors: diabetes and depression. Throughout this paper, the terms depression, major depres...

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‘Wish to die’ is independently associated with cardiovascular mortality in later life. Data from TILDA

Ragab

Ward

Moloney

et al. 2021

Int J Geriat Psychiatry

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Background There is an established bidirectional relationship between mental and heart health in later life but the link between wish to die (WTD) and cardiovascular mortality is less well‐defined. Methods This is a longitudinal study examining the association between WTD and mortality over 9‐year follow‐up in a large population‐representative sample of older adults. Individual‐level survey data was linked to official death registration data, divided into cardiovascular and noncardiovascular causes. WTD was defined as answering affirmatively when asked ‘In the last month, have you felt that you would rather be dead?’ Regression models were used to obtain hazard ratios for the association between WTD at Wave 1 and mortality. Kaplan–Meier plots were used to compare survival across groups. Results Just over 3% (275/8124) of participants reported WTD. Mortality data was available for 9% of participants (755/8124). WTD was significantly associated with all‐cause mortality, with a hazard ratio of 1.41 (95% confidence interval [CI]: 1.00–1.99). Findings were attenuated and no longer significant after excluding participants with heart disease or depression/anxiety/other psychiatric illness. WTD was significantly associated with cardiovascular mortality (hazard ratio: 2.14 [95% CI: 1.21–3.78]), even after excluding participants with depression/anxiety/other illnesses but not heart disease. WTD was not associated with an increased risk of death due to non‐cardiovascular causes. Conclusions Older people who report a wish to die have double the risk of death from cardiovascular disease in the following 9 years, even when those with depression, anxiety or other mental health problems are excluded.

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Health Conditions and Passive Suicidal Ideation in the Survey of Health, Ageing, and Retirement in Europe

Cited by 31 publications

References 25 publications

The relationship between age and suicidal thoughts and attempted suicide among prisoners

The relationship between age and suicidal thoughts and attempted suicide among prisoners

Examining Diabetes, Depression and Suicide in Middle-Aged and Older Adults

‘Wish to die’ is independently associated with cardiovascular mortality in later life. Data from TILDA

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