Suicidal Behavior Among Elderly Inpatients: its Relation to Functional Disability and Pain

Wahab, Suzaily; Chua, Tien Yong; Razali, Rosdinom; Saher, Zanariah Mat; Zamzam, Iman Hakimi; Bujang, Mohamad Adam

doi:10.2147/prbm.s341768

Cited by 4 publications

(2 citation statements)

References 53 publications

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“…Moreover, an increase in age was associated with higher odds of hospitalization due to self-harm. Previous studies have shown similar results, where the prevalence of suicidal ideation was notably higher among elderly inpatients than among other age groups [53]. The positive association between poverty and hospitalization for self-harm is consistent with previous studies [21,54].…”

Section: Discussionsupporting

confidence: 91%

The Association of Physical and Mental Illness and Self-Harm Resulting in Hospitalization: A Population-Based Study of Older Adults in South Korea

Kim

Jeon

Park

2022

IJERPH

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Self-harm injury among older adults is a pressing problem that demands social attention in South Korea. This study sought to identify the association between physical and mental illness and hospitalization following self-harm injuries, compared to non-self-harm injuries, among older adults living in Korea. We analyzed individuals aged 65 and older who were admitted to hospitals either for self-harm or non-self-harm from a population-based survey of the Korea National Hospital Discharge In-depth Injury Survey (KNHDIS). A logistic regression analysis was performed. Compared with non-self-harm-related hospitalization, self-harm hospitalization was associated with higher odds of depression, other disorders of the nervous system, malignancies, alcohol misuse and dependence, and drug-related dependence. Dementia, anxiety disorder, diabetes, arthritis, cerebral palsy, and other paralytic syndromes had a lower likelihood of leading to self-harm than non-self-harm hospitalization. The findings of this study can inform medical professionals to identify older adults with a heightened risk of self-harming behavior leading to hospitalization.

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Section: Discussionsupporting

confidence: 91%

The Association of Physical and Mental Illness and Self-Harm Resulting in Hospitalization: A Population-Based Study of Older Adults in South Korea

Kim

Jeon

Park

2022

IJERPH

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“…However, the perception of being a burden and concerns about hospitalization costs often lead elderly individuals to consider ending their lives in order to alleviate the responsibilities and difficulties faced by their family members. [41] The interpersonal theory of suicide posits that perceived burden is a precursor to suicidal ideation. [42] Wang et al suggested that depression, hopelessness, and perceived burden interact and exacerbate each other, increasing the likelihood of suicide.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with a high level of suicide risk among patients with late-life depression: a cross-sectional study from a tertiary psychiatric hospital in Guangzhou China

Liu,

Ye,

Wei

et al. 2024

Preprint

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Background As global aging accelerates, depression in the elderly becomes more common. Research had revealed that patients with late-life depression face an increased risk of suicide compared to those in other age groups with similar disorders, with the pathway to suicide being multifaceted. Thus, investigating the various factors linked to the elevated risk of suicide in elderly individuals with depression is critical. Objective To investigate the factors associated with a high level of suicide risk among patients with late-life depression (LLD). Methods A total of 108 patients with LLD were recruited for this study. From October 2022 to November 2023, a cross-sectional study was conducted on patients with LLD from the Affiliated Brain Hospital of Guangzhou Medical University. Suicide risk was evaluated using the Chinese version of the Nurses' Global Assessment of Suicide Risk Scale (NGASR). Potential influencing factors were included and analyzed through multivariate linear regression to identify the factors associated with high level of suicide risk among patients with LLD. Results The average score of NGASR in patients with LLD was 7.30±4.34 (range: 0~19). Multiple linear regression analyses revealed that depression-anxiety of BPRS (β=0.31, 95%CI=0.13, 0.45, P＜0.001), activation of BPRS (β=-0.29, 95%CI=-1.22, -0.35, P＜0.001), normal cognitive function of MMSE (β=0.21, 95%CI=0.50, 3.48, P＜0.05), involuntary admission (β=0.20, 95%CI=0.44, 3.43, P＜0.05), and objective support of SSRS (β=0.21, 95%CI=0.08, 0.66, P＜0.05) were statistically associated with the a high level of suicide risk in patients with LLD (P<0.05). Conclusion This study found that LLD patients with severe depression-anxiety, low activation, normal cognitive function, involuntary admission, and strong objective support exhibited a high level of suicide risk. These patients should receive intensified monitoring and comprehensive measures should be implemented to prevent the occurrence of suicidal behaviors during hospitalization.

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Neuroanatomical substrates of depression in dementia with Lewy bodies and Alzheimer’s disease

Querry,

Botzung,

Cretin

et al. 2024

GeroScience

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Suicidal Behavior Among Elderly Inpatients: its Relation to Functional Disability and Pain

Cited by 4 publications

References 53 publications

The Association of Physical and Mental Illness and Self-Harm Resulting in Hospitalization: A Population-Based Study of Older Adults in South Korea

The Association of Physical and Mental Illness and Self-Harm Resulting in Hospitalization: A Population-Based Study of Older Adults in South Korea

Factors associated with a high level of suicide risk among patients with late-life depression: a cross-sectional study from a tertiary psychiatric hospital in Guangzhou China

Neuroanatomical substrates of depression in dementia with Lewy bodies and Alzheimer’s disease

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