Suicidal ideation in elderly Korean population: a two-year longitudinal study

Kang, Hee‐Ju; Stewart, Robert; Jeong, Bo-Ok; Kim, Seon‐Young; Bae, Kyung‐Yeol; Kim, Sung‐Wan; Kim, Jae-Min; Shin, Il‐Seon; Yoon, Jin‐Sang

doi:10.1017/s1041610213001634

Cited by 38 publications

(36 citation statements)

References 28 publications

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“…Interestingly, that study also showed that mental illness such as depressive disorder could only mediate the onset of ideation rather than attempts, which was consistent with our results. In another longitudinal study in elderly Koreans (Kang et al, 2014), incident suicidal ideation was related to marriage status, social support, severe pain and depression, whereas persistent suicidal ideation was related to baseline stressful life event and depression. Therefore, incident suicidality, recurrent/persistent suicidality and incident suicide attempts, although can be described as an umbrella term 'suicidal behavior', may have different etiologies or risk factors.…”

Section: Discussionmentioning

confidence: 92%

“…First, methodological differences might have contributed to the discrepancy. For example, in the study conducted by Kang et al that had reported one-month prevalence rate of suicidal ideation to be 11.5% in elderly aged 65 years or older, the researchers did not include suicide plans, attempts, and the lifetime history of suicide attempt in their assessments of suicidality (Kang et al, 2014). In our population, the prevalence of lifetime history of suicidal attempt without current suicidality was 6.4% (95% CI ¼4.5-8.3).…”

Section: Discussionmentioning

confidence: 99%

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Suicidality-based prediction of suicide attempts in a community-dwelling elderly population: Results from the Osan Mental Health Survey

Park

et al. 2015

Journal of Affective Disorders

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Suicidality-based prediction of suicide attempts in a community-dwelling elderly population: Results from the Osan Mental Health Survey

Park

et al. 2015

Journal of Affective Disorders

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“…The course of suicidal ideation in late-life depression is predicted by depression severity [20, 23], a previous attempt, and seriousness of suicidal intent [20]. Finally, persistent suicidal ideation is independently predicted by depressive symptoms and life stressors [24]. …”

Section: Recent Findings On Major Depression Schizophrenia and Suicmentioning

confidence: 99%

Suicide in Older Adults: The Role of Emotions and Cognition

Kiosses

Szántó

Alexopoulos

2014

Curr Psychiatry Rep

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Suicide in older adults is a significant clinical concern. In this review of recent findings, we concentrate on the role of emotions and cognition in suicide risk and behavior in older adults. We discuss the epidemiology of suicide in older adults, integrate recent findings on non-psychotic major depression, schizophrenia and suicidal ideation, explore the relationship of emotion regulation with suicide, present recent advances on suicide in demented patients, and describe the latest developments on cognition and decision processes in suicide.

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“…Research has identified many factors associated with older adult suicidal ideation and behavior. One of the most salient is psychopathology, particularly major depression . Research in the United States, South Korean, Brazilian, and Australian older adults suggests that psychological distress generally and major depression specifically account for the most variance in models examining suicidal ideation.…”

Section: Introductionmentioning

confidence: 99%

Prescription opioid and benzodiazepine misuse is associated with suicidal ideation in older adults

Schepis

Simoni

McCabe

2018

Int J Geriat Psychiatry

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Objectives: Suicide in older adults is a major public health issue. Past research across the US adult population has linked prescription medication misuse with suicidal ideation. No work has evaluated associations between prescription opioid or benzodiazepine misuse and suicidal ideation in older adults, and this work aimed to address that gap. Methods/Design: Data were from adults 50 years and older participating in the 2015-16 National Survey on Drug Use and Health (n = 17,608). Design-based logistic regression evaluated links between any past-year prescription opioid or benzodiazepine use without misuse or prescription misuse and past-year suicidal ideation, after controlling for sociodemographic, physical health, mental health and substance use correlates associated with suicidal ideation. Results: After controlling for all correlates, past-year use without misuse of prescription opioids or benzodiazepines were not associated with past-year suicidal ideation in older adults. In contrast, past-year opioid misuse (AOR = 1.84, 95% CI = 1.07-3.19) and benzodiazepine misuse (AOR = 2.00, 95% CI = 1.01-3.94) were significantly associated with past-year suicidal ideation, even after controlling for all covariates. While 2.2% of US older adults not engaged in either opioid or benzodiazepine misuse reported past-year suicidal ideation, 25.4% of those who misused both medication classes endorsed such suicidality (AOR = 4.73, 95% CI = 2.07-10.79). Conclusions: Both past-year prescription opioid and benzodiazepine misuse are associated with past-year suicidal ideation in US older adults. Clinicians encountering older adult patients at-risk for or engaged in prescription medication misuse also should screen for suicidality.

show abstract

Suicidal ideation in elderly Korean population: a two-year longitudinal study

Abstract: Depressive symptoms were independently associated with prevalent, incident, and persistent SI, but other predictors varied according to incidence and persistence outcomes.

Cited by 38 publications

References 28 publications

Suicidality-based prediction of suicide attempts in a community-dwelling elderly population: Results from the Osan Mental Health Survey

Suicidality-based prediction of suicide attempts in a community-dwelling elderly population: Results from the Osan Mental Health Survey

Suicide in Older Adults: The Role of Emotions and Cognition

Prescription opioid and benzodiazepine misuse is associated with suicidal ideation in older adults

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