Prevalence and risk factors for attempted suicide in the elderly: a cross-sectional study in Shanghai, China

Zhang, Weigang; Ding, Haiyang; Su, Peng; Xu, Qin; Du, Le; Xie, Chunyan; Chen, Rong; Yu, Yan; Jin, Chunlin; Duan, Guangfeng; Li, Yang; Gong, Lingling; Tian, Weidong

doi:10.1017/s1041610216002283

Cited by 15 publications

(27 citation statements)

References 27 publications

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“…Country of origin of the included studies were mainly Englishspeaking countries (n = 21). However, 17 studies [40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56] were from non-English-speaking countries, with 16 different countries being represented. Two were multi-site studies across Europe, including both English-and non-English-speaking countries.…”

Section: Study Settingmentioning

confidence: 99%

“…general hospitals, general practice, private clinics) (n = 2), 57,58 community mental health services (n = 2), 32,50 a national surveillance system which includes presentations from hospitals and primary care 47 and a national household survey. 56 Study length varied from 8 months to 26 years. Follow-up was reported in all 14 cohort studies and varied from 1 to 23 years.…”

Section: Study Settingmentioning

confidence: 99%

“…Age of participants ranged from 60 to 112 years. Nine studies 22,28,29,31,32,40,47,[53][54][55][56] classified participants according to ethnicity (n = 6573), with the majority of participants being White (68.1%, n = 4479) and 13.3% (n = 875) were of other ethnicities (Black, Asian, Hispanic or Maori). The ethnicity of the remaining 18.6% (n = 1219) of participants was unknown.…”

Section: Sociodemographic Characteristicsmentioning

confidence: 99%

“…A total of 27 studies [20][21][22]24,25,27,28,[31][32][33]35,37,40,[42][43][44][45][46][48][49][50][51][53][54][55]57,58 reported the marital status of their participants (n = 4161): approximately half were not married (51%, n = 2121), 38% (n = 1582) were married and the marital status of the remaining 11% (n = 461) was unknown. Over half of the studies 19,20,[23][24][25][26][27][28]31,35,41,[44][45][46]48,50,51,53,[55][56][57][58] (n = 3103) reported participants' living situation: 53.5% (n = 1658) were either living with family or in care, followed by 40% (n = 12...…”

Section: Sociodemographic Characteristicsmentioning

confidence: 99%

“…A total of 30 studies [19][20][21][22][23][24][25][26][27][28][29]31,32,35,37,[39][40][41][42][43][44][45][46]48,51,[54][55][56][57][58] reported participants' previous psychiatric history (n = 10 976), including alcohol and substance misuse, schizophrenia and personality disorder, with 30% of participants having previous psychiatric history (n = 3279). Depression was the most commonly reported psychiatric diagnosis (n = 7893) across the 29 studies reporting depression.…”

Section: Previous Psychiatric Historymentioning

confidence: 99%

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Self-harm in older adults: systematic review

et al. 2019

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BackgroundSelf-harm is a major public health concern. Increasing ageing populations and high risk of suicide in later life highlight the importance of identification of the particular characteristics of self-harm in older adults.AimTo systematically review characteristics of self-harm in older adults.MethodsA comprehensive search for primary studies on self-harm in older adults was conducted in e-databases (AgeLine, CINAHL, PsycINFO, MEDLINE, Web of Science) from their inception to February 2018. Using predefined criteria, articles were independently screened and assessed for methodological quality. Data were synthesised following a narrative approach. A patient advisory group advised on the design, conduct and interpretation of findings.ResultsA total of 40 articles (n = 62 755 older adults) were included. Yearly self-harm rates were 19 to 65 per 100 000 people. Self-poisoning was the most commonly reported method. Comorbid physical problems were common. Increased risk repetition was reported among older adults with self-harm history and previous and current psychiatric treatment. Loss of control, increased loneliness and perceived burdensome ageing were reported self-harm motivations.ConclusionsSelf-harm in older adults has distinct characteristics that should be explored to improve management and care. Although risk of further self-harm and suicide is high in all age cohorts, risk of suicide is higher in older adults. Given the frequent contact with health services, an opportunity exists for detection and prevention of self-harm and suicide in this population. These results are limited to research in hospital-based settings and community-based studies are needed to fully understand self-harm among older adults.Declaration of interestNone.

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Section: Study Settingmentioning

confidence: 99%

Section: Study Settingmentioning

confidence: 99%

Section: Sociodemographic Characteristicsmentioning

confidence: 99%

Section: Sociodemographic Characteristicsmentioning

confidence: 99%

Section: Previous Psychiatric Historymentioning

confidence: 99%

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Self-harm in older adults: systematic review

et al. 2019

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Association of anger attacks with suicidal ideation in adults with major depressive disorder: Findings from the EMBARC study

Jha

Fava

Minhajuddin

et al. 2020

Depression and Anxiety

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Background: This report evaluates whether anger attacks (sudden uncharacteristic bouts of anger that are associated with autonomic arousal and/or aggression) in patients with major depressive disorder (MDD) are associated with elevated suicidal ideation (SI; active suicidal thoughts and plans). Methods: Participants of Establishing Moderators and Biosignatures of Antidepressant Response in Clinical Care (EMBARC) study who completed Massachusetts General Hospital Anger Attack Questionnaire (AAQ) at baseline were included (n = 293). Levels of SI (suicidal thoughts factor of Concise Health Risk Tracking) were compared at baseline with generalized linear models, and during Stage 1 (baseline-to-week-8) and Stage 2 (week-8-to-week-16) with repeated-measures mixed model analyses. Covariates included age, sex, race, ethnicity, site, and treatment arm. Results: At baseline, participants with (n = 109) versus without anger attacks (n = 184) had higher levels of SI (Cohen's d effect size [d] = 1.20). Those with ≥9 anger attacks in the past month had significantly higher SI than those with 1-2 (d = 1.21), 3-4 (d = 1.48), and 5-8 (d = 0.94) anger attacks in the past month. Furthermore, participants with anger attacks at baseline reported higher SI at each post-baseline visit (both Stages 1 and 2) of EMBARC study (d = 0.39-0.77; all p < .05). Associations between anger attacks and SI were significant even after controlling for irritability, hostility, anxious arousal, depression, suicide propensity, and self-reported pain at baseline and lifetime suicidal tendencies. Similar results were found in participants with aggressive behaviors. Conclusion: Anger attacks in outpatients with MDD may be associated with chronically elevated SI.

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