Older women who died by suicide: suicide means, sociodemographic and psychiatric risk factors, and other precipitating circumstances

Choi, Namkee G.; DiNitto, Diana M.; Sagna, Atami; Marti, C. Nathan

doi:10.1017/s1041610218000212

Cited by 11 publications

(20 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Unlike in populations from North America [54] or Australia [35], firearms were infrequently used to attempt or die by suicide in our population, which may be related to differences in national firearm regulations [55]. The main suicide method for the males in our study was hanging, as observed in other European [39,56] and Spanish [19,37] regions, and drug poisoning was the main method for the females, similar to findings in the USA and different European populations [39,52,57].…”

Section: Discussionsupporting

confidence: 81%

Factors Associated with Suicide Attempts and Suicides in the General Population of Andalusia (Spain)

Mejías-Martín

Castillo

Rodríguez-Mejías

et al. 2019

IJERPH

View full text Add to dashboard Cite

Discrepant results have been published by studies comparing deaths by suicide with attempted suicides. This study aimed to determine factors associated with suicides and attempted suicides in Andalusia (Spain) between 2007 and 2013, comparing sex, age, year, and suicide method between these populations. A retrospective study was conducted of data on deaths by suicide and attempted suicides over a seven-year period, calculating the sex and age rates for each behavior. Adjusted Poisson regression was used to analyze the association with study variables, and incidence rate ratios were estimated. During the seven-year study period, 20,254 attempted suicides and 5202 deaths by suicide were recorded. The prevalence of attempted suicide did not differ between the sexes, whereas the prevalence of deaths by suicide was three-fold higher among males than among females and increased with higher age. The most frequently used method was the same in males and females for suicide attempts, but differed between the sexes for suicides. The combined influence of sex and age was greater in the model for death by suicide than in the model for attempted suicide. The key differentiating factor was the method used, while the finding of greatest concern was the suicide behavior among the elderly. Preventive strategies should take these differences into account.

show abstract

Section: Discussionsupporting

confidence: 81%

Factors Associated with Suicide Attempts and Suicides in the General Population of Andalusia (Spain)

Mejías-Martín

Castillo

Rodríguez-Mejías

et al. 2019

IJERPH

View full text Add to dashboard Cite

show abstract

“…Due to the study design, it is not possible to determine whether suicides in patients with BZDs were activated by an increase in aggression and impairment of behavioral inhibition, or as a result of withdrawal from BZDs, resulting in rebound of symptoms of anxiety or insomnia, as suggested by Dodds et al [32]. However, we can conclude that, despite the suggestion of previous investigators [31, 33, 45–47], suicide as a result of BZD overdose was uncommon in our sample, with only two cases recorded.…”

Section: Discussionmentioning

confidence: 68%

Association between benzodiazepines and suicide risk: a matched case-control study

et al. 2019

View full text Add to dashboard Cite

BackgroundIt is unclear whether benzodiazepines increase the risk of suicide. The aim of this study was to test the hypothesis that benzodiazepines are associated with an increased risk of suicide, by comparing psychopharmacological interventions between psychiatric patients who committed suicide and a group of matched controls.MethodsThe case group comprised 154 psychiatric patients (101 men, 53 women; age range: 13–96 years) who had committed suicide in Örebro County, Sweden. Control psychiatric patients matched by age, sex, and main psychiatric diagnosis were selected for each case. Binary logistic regression was used to calculate odds ratios in unadjusted and adjusted models.ResultsBenzodiazepine prescriptions were more common among cases than controls (65/154 [42.2%] versus 43/154 [27.9%], p = 0.009, odds ratio: 1.89 [95% CI: 1.17–3.03]). This association remained significant in a model adjusted for previous suicide attempts and somatic hospitalizations (odds ratio: 1.83 [95% CI: 1.06–3.14]). No statistically significant differences were seen between the groups in the use of any other subtype of psychopharmaceutical agent.ConclusionsThese data indicate that benzodiazepine use may increase the risk of suicide. However, this study is limited by the potential for indication bias.

show abstract

“…Suicide risk and rates vary by gender. Males commit suicide at higher ratios than females nationally (Mayer-Lochtefeld, 2019); however, a recent cross-sectional, correlational study has reported that suicide mortality rates have significantly increased among females (N ¼ 12,401), ages 45 to 64 years, from 1999 to 2015 (Choi et al, 2018). Although Hispanic American females have historically reported higher suicide attempt rates than Hispanic American males and other ethnic groups, these rates have decreased among this group in the last decade (Rogers et al, 2018;Romero et al, 2018).…”

Section: Hispanics and The Interpersonal-psychological Theory Of Suicidementioning

confidence: 99%

“…Positive correlations between suicide risk and perceived burdensomeness have been reported among Hispanic American females with family and related stressors (Garza & Pettit, 2010). Other factors such as marital issues negatively affect the mental health of Hispanic females and place them at higher risk for psychiatric disorders, compared with Hispanic males, with mental illness being a risk factor for acquired capability for suicide (Choi et al, 2018;Joiner, 2005). However, Hispanic females are more expressive than their male counterparts and promote social connections within families and communities, which decrease the odds of thwarted belongingness and serve as protective factors against suicide (Joiner, 2005;Kene et al, 2016).…”

Section: Hispanics and The Interpersonal-psychological Theory Of Suicidementioning

confidence: 99%

See 1 more Smart Citation

Hispanics, Mental Health, and the Interpersonal-Psychological Theory of Suicide: Brief Report

Brenes

2020

Hisp Health Care Int

View full text Add to dashboard Cite

Suicide is a public health concern in the United States, particularly among Hispanics. Research indicates a number of social factors negatively contribute to the problem, including stigma of psychiatric illness in the Hispanic culture. A paucity of research in this area exists, and if not addressed, then suicide rates could continue to increase among Hispanics. The interpersonal-psychological theory of suicide could be used by clinicians and researchers to explore the phenomenon of suicide among Hispanics. Such research could potentially meet national suicide prevention goals and guide clinicians in creating culturally sensitive suicide outreach programs for at-risk Hispanics. Multicultural strategies aimed to serve minority, underserved, and vulnerable populations could also reduce mental health disparities. Recommendations for clinical practice, research, and health care policy are included in this report.

show abstract

Older women who died by suicide: suicide means, sociodemographic and psychiatric risk factors, and other precipitating circumstances

Abstract: Suicide prevention should include limiting access to large quantities of prescription medications and firearms for those at risk of suicide. More effective mental health/substance abuse treatment and chronic illness management support are also needed.

Cited by 11 publications

References 19 publications

Factors Associated with Suicide Attempts and Suicides in the General Population of Andalusia (Spain)

Factors Associated with Suicide Attempts and Suicides in the General Population of Andalusia (Spain)

Association between benzodiazepines and suicide risk: a matched case-control study

Hispanics, Mental Health, and the Interpersonal-Psychological Theory of Suicide: Brief Report

Contact Info

Product

Resources

About