Suicidal behaviour in old age - results from the Ibadan study of ageing

Ojagbemi, Akin; Oladeji, Bibilola D.; Abiona, Taiwo; Gureje, Oye

doi:10.1186/1471-244x-13-80

Cited by 35 publications

(33 citation statements)

References 29 publications

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“…Data on participant age, sex, education, living arrangements, marital status, geographical residence, nancial situation (two items), country of birth, self-reported depression (one item), social support (three items), and religious beliefs were obtained through single-item self-administrated questionnaires (see Table 1). Note: Chi-squared test was performed for nominal data (1) , the Mann-Whitney U-test for ordinal data (2) , and Student's t-test (3) for interval data. SD = standard deviation, EUR = Euros.…”

Section: Data Collectionmentioning

confidence: 99%

Life weariness, suicidal thoughts and mortality: A seventeen-year longitudinal study among men and women older than 60 years

Tuvesson

Fagerström

Welmer

et al. 2020

Preprint

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Background Suicide in old age is a significant contributor to premature mortality. However, the extent to which life weariness and suicidal thoughts impact on mortality in a long-term perspective is still unknown. The aim of this study was to investigate the effect of life weariness and suicidal thoughts on long-term survival (17 years) in an older Swedish population (60 + years), controlling for demographic and social network factors and depression. A further aim was to investigate differences in sex and age interactions in relation to mortality among individuals with and without life weariness and suicidal thoughts. Methods A longitudinal cohort study on a national, representative sample of people 60 + years was conducted through the Swedish National Study of Aging and Care study and included n = 7,213 individuals, who provided information about life weariness and suicidal thoughts, through an item derived from the Montgomery-Åsberg Depression Rating Scale. Data were analysed with multivariate Cox proportional hazards models, adjusted for potential confounders. Results At baseline, 12.5% of the participants (14.6% of females and 9.5% of males) reported life weariness and suicidal thoughts. During the 17-year follow-up, survival time was 11.5 years, SD 5.6, and 3,804 individuals died (59.5% females and 40.5% males). Individuals with life weariness and suicidal thoughts had half the survival rate compared with those without such thoughts (24.5% vs. 50.6%), with a survival time of 8.4 years (Standard deviation, SD, 5.7) versus 12.0 years (SD 5.4). The multi-adjusted hazard ratio of mortality for reporting life weariness and suicidal thoughts was 1.44 (95% confidence interval, 1.30–1.59), the population attributable risk was 11.1%. In the models, being male or female 80 + years (ref. female 60–69 years) showed the highest multi-adjusted hazard ratio of long-term mortality. Conclusions Findings suggest that life weariness and suicidal thoughts are risk factors for long-term mortality, when controlling for sex and age interactions that were found to strongly predict long-term mortality. The findings have practical implications in prevention of premature mortality, emphasising preventive actions of screening, identifying, and intercepting older men and women with signs of life weariness and suicidal thoughts.

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Section: Data Collectionmentioning

confidence: 99%

Life weariness, suicidal thoughts and mortality: A seventeen-year longitudinal study among men and women older than 60 years

Tuvesson

Fagerström

Welmer

et al. 2020

Preprint

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“…Aus anderen Untersuchungen sind weitere Risikofaktoren wie Leben in einer ländlichen Gegend, Verlust des Partners, Behinderung, mangelnde soziale Unterstützung und das Fehlen einer Pharmakotherapie bei Vorliegen einer Depression bekannt [8,10,13]. Zudem korreliert eine geringere Unterstüt-zung durch Familienmitglieder mit einem höheren Auftreten von suizidalen Absichten [11].…”

Section: Risikofaktorenunclassified

“…Bei äl-teren Menschen sind demnach suizidale Handlungen meist tödlich; nichttödli-che Selbstmordhandlungen sind im Alter eher selten [4]. Bekannt ist zudem, dass Ältere weniger häufig ihre suizidalen Absichten kommunizieren als andere Altersgruppen [10]. Außerdem wurde beobachtet: Je älter eine Person ist, desto weniger sind deren suizidale Gedanken und Intentionen für andere spürbar [9].…”

Section: Risikofaktorenunclassified

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Suizid im hohen Lebensalter

Löbig

Müller

et al. 2015

Rechtsmedizin

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In den letzten 20 Jahren war das Suizidrisiko in Deutschland zwar insgesamt rückläufig, jedoch stieg es mit dem Lebensalter der Suizidenten an. Der Suizid im späteren Lebensalter ist ein globales Problem; über 65-Jähri-ge haben die höchsten Selbstmordraten in der Europäischen Union, Kanada, USA und verschiedenen asiatischen Ländern. Dennoch wird diesem Phänomen bislang nicht die notwendige Aufmerksamkeit geschenkt. HintergrundGemäß Todesursachenstatistik von 2013 waren 1,1 % der Todesfälle in Deutschland auf einen Suizid zurückzuführen [15]. Das statistische Durchschnittsalter der Suizidenten betrug 2013 knapp 57,4 Jahre und ist seit 1994 um mehr als4 Jahre gestiegen; die Tendenz ist weiter zunehmend. Fast jede zweite Frau (49%), die Suizid begangen hatte, war 2013 älter als 60 Jahre. Somit ist der Suizid in Deutschland ein Phä-nomen des höheren Lebensalters [5,15]. Für die vorliegende Arbeit wurden die Todesfälle durch Suizid in der Stadt Zwickau, Westsachsen, in einem Zwanzigjahreszeitraum ausgewertet.

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“…Social and health system support was found lacking for the disabled elderly in sub-Saharan Africa.Mental and neurological disordersDewhurst et al 2013 reported on high prevalence rates of neurological illnesses in the elderly inTanzania (48). The most common of these were tremor, headache, neuropathies, stroke and Parkinsonism.Studies in Nigeria(49,50,(53)(54)(55)57), South Africa(44,52,56), Ghana(51) and Tanzania(48) investigated the incidence, prevalence, risk and associated factors for depression in the elderly.Depression was common among elderly population. In Nigeria, the incidence of late life depression was reported to be 104 per 1000 risk years.…”

mentioning

confidence: 99%

A scoping review of age-related health conditions among geriatric populations in sub-Saharan Africa

Naidoo¹,

Wyk

2020

Preprint

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Background Globally people are living longer, resulting in an increased demand for primary care services to be responsive to geriatric health needs. There is however, little data on the nature and prevalence of age-related health conditions among people aged 60 years and older in the sub-Saharan African (SSA) region. This scoping review was undertaken to synthesise evidence on the scope and nature of age-related health needs among people aged 60 years and older in SSA, in order to inform reforms in health systems and health professions education. Methods We systematically searched five electronic databases for studies published prior to 30 June 2019. Using the keywords “Africa”, “older adult” or “geriatric”, and “health”, two independent reviewers used a set of eligibility criteria to extract and screen the abstracts and full-text publications. Particular focus was given to age-dependent disorders in people over 60 years such as dementia, disability and falls. Results Sixty-four studies met the inclusion criteria. The review revealed a noticeable absence of studies from the majority of Sub-Saharan African countries. Publications included for review represent twelve countries from this region. The morbidities reported on included dementia, functional impairment, mental health, falls, sarcopenia and nutritional disorders, sensory impairment, frailty and musculoskeletal disorders. Many of these conditions co-existed among older adults, resulting in impaired quality of life and disability. Modifiable factors for geriatric morbidity such as hypertension, depression, cognitive and sensory impairments were under-diagnosed and often untreated. Conclusions The body of empiric research and evidence on age-related health conditions in geriatric people in SSA remains small. The prevalence of reported age-related health conditions was comparable to that in high-income countries. However, chronic conditions in the elderly were underdiagnosed and undertreated, often resulting in disability. An urgent review of current health systems and health professions training is required, taking into consideration the findings of this study. Ethics and dissemination : This study did not include human participants. Data was sourced from published literature. Keywords: older adult - geriatric - aged - health - Africa

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Suicidal behaviour in old age - results from the Ibadan study of ageing

Cited by 35 publications

References 29 publications

Life weariness, suicidal thoughts and mortality: A seventeen-year longitudinal study among men and women older than 60 years

Life weariness, suicidal thoughts and mortality: A seventeen-year longitudinal study among men and women older than 60 years

Suizid im hohen Lebensalter

A scoping review of age-related health conditions among geriatric populations in sub-Saharan Africa

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