Suicidal Thinking in Community Residents Over Eighty

Rao, Rahul; Dening, Tom; Brayne, Carol; Huppert, Felicia A.

doi:10.1002/(sici)1099-1166(199703)12:3<337::aid-gps498>3.0.co;2-t

Cited by 50 publications

(36 citation statements)

References 27 publications

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“…Independent psychiatric assessment found psychiatric illness in 80 -100% of the suicidal subjects. Seven percent of a sample aged 81 years and over in Great Britain had considered suicide within the last 2 years and 16% endorsed a strong wish to die (Rao et al 1997). There were significant associations of suicidal thinking with depressive symptoms and with dementia and depression diagnoses.…”

Section: Suicidal Ideationsupporting

confidence: 80%

Risk factors for suicide in later life

Conwell

Duberstein

Caine

2002

Biological Psychiatry

620

454

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Section: Suicidal Ideationsupporting

confidence: 80%

Risk factors for suicide in later life

Conwell

Duberstein

Caine

2002

Biological Psychiatry

620

454

View full text Add to dashboard Cite

“…In a community sample of non-demented Swedish persons age 85 years or older, 16% of the sample had either active thoughts of taking their own life or passive suicidal ideation (e.g., wishing for death or feeling like lifewas notworth living) within the previous month (Skoog et al, 1996). Also, in the community-based Great Britain study cited above, 16% of the sample age 81 years and older endorsed a strong wish to die (Rao et al, 1997).…”

Section: Prevalence Of Suicidal Ideation and Behaviors In Older Adultmentioning

confidence: 80%

“…Epidemiologic studies suggest that approximately one out every six young adults (16%) describes having suicide ideation (Gaynes et al, 2004), yet, in a community survey conducted in Florida, less than 6% of persons age 60 years or older endorsed ever having had suicidal thoughts (Schwab, Warheit, & Holzer, 1972). Similar rates were endorsed by a U.S. sample of elderly Veterans Affairs Medical Center patients and a another community-based sample in Great Britain, where 7.3% and 7% of the respective samples acknowledged suicidal ideation within the past two years (Lish et al, 1996;Rao, Dening, Brayne, & Huppert, 1997).…”

Section: Prevalence Of Suicidal Ideation and Behaviors In Older Adultmentioning

confidence: 96%

Suicide in Older Adults: Nursing Assessment of Suicide Risk

Garand

Mitchell

Dietrick

et al. 2006

Issues in Mental Health Nursing

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A fundamental objective of the National Strategy for Suicide Prevention is the prevention of suicide in older adults, especially elderly males, because these individuals are at higher risk for suicide than any other age group. Furthermore, they are the fastest growing segment of the population. The suicide rates for older Caucasian men are particularly high. Because nurses play an important role in the identification of persons at risk for suicide, it is important that they be cognizant of the complex risk factors involved in late life suicide. Toward that end, we review the prevalence of suicidal behaviors in older adults and discuss risk factors that contribute to completed suicide in these individuals. Lastly, we discuss the role of nurses in the identification of older adults at risk for suicidal behavior so that life-saving treatment measures can be implemented.Older American's currently comprise about 13% of the population in the U.S., yet they account for 18% of all suicide deaths (Arias, Anderson, Kung, Murphy, & Kochanek, 2003). Suicide is the thirteenth leading cause of death in persons age 65 years or older (National Institute of Mental Health, 2004) and these individuals are at the highest risk for completed suicide. Furthermore, Caucasian men over the age of 85 have an especially high rate (59 per 100,000 persons) of completed suicide. Recognized as a major public health concern, the Office of the Surgeon General of the U.S. released the National Strategy for Suicide Prevention: Goals and Objectives for Action (Office of the Surgeon General, 1999). A central mandate of that strategy is the prevention of suicide in older adults because these individuals are at higher risk for suicide than any other age group and they are the fastest growing segment of the population (Arias et al., 2003 Older adults, however, present special challenges to suicide prevention efforts. For example, suicide and attempted suicide are often associated with depression, psychosis, and substance abuse among younger individuals, yet among older adults, depression and comorbid medical conditions play important contributory roles. (Alexopoulos, Bruce, Hull, Sirey, & Kakuma, 1999;Caine & Conwell, 2001;Conwell, Duberstein, & Caine, 2002;Miles, 1977;Pearson & Brown, 2000; Tuvey et al., 2002). Because nurses play a vital role in the identification of persons at risk for suicide, and the current "baby boom" cohort have substantially higher suicide rates than preceding generations (McIntosh, 1992), it is important to be cognizant of the complexity of risk factors associated with late life suicide. The purpose of this paper is to focus attention on the prevalence of suicidal behaviors in older adults and lay a foundation for understanding the role of risk factors in the prevention of suicide. We identify risk factors that contribute to completed suicide in these individuals and review the role of nurses in identifying older persons at risk for suicidal behavior so that life-saving treatment measures can be implemented.

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“…2-4,9,12-14,22,25,55 Harwood et al 22 found, in a rather signifi cant sample of elders who committed suicide, that 77% of them suffered from some psychiatric disorder when they committed the act (63% suffered from depression and 44% presented some other problem like rigidity in the way of seeing life and obsession). On the other hand, Rao et al 40 did not fi nd any association between suicide and Alzheimer, severe dementias and other memory-related illnesses.…”

Section: Relationship Between Mental Illness and Suicidementioning

confidence: 99%

Suicídio entre pessoas idosas: revisão da literatura

2010

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A literature review was carried out focusing on the main factors associated with suicidal ideation, attempts and completed suicide in elders. The following databases were searched: MEDLINE, PsychINFO, SciELO and Biblioteca Virtual em Violência e Saúde da BIREME (BIREME's Violence and Health Virtual Library), referring to the period from 1980 to 2008. Fifty-two references were selected and analyzed. They showed a strong relationship among suicide ideation, attempt and completion in elderly individuals, which results from the interaction of complex physical, mental, neurobiological and social factors. Suicide associated with depression in the elderly can be prevented, provided the person is properly treated. In Brazil, it is necessary to invest in research, given the persistent increase in suicide rates among aged people, especially among males.

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Suicidal Thinking in Community Residents Over Eighty

Cited by 50 publications

References 27 publications

Risk factors for suicide in later life

Risk factors for suicide in later life

Suicide in Older Adults: Nursing Assessment of Suicide Risk

Suicídio entre pessoas idosas: revisão da literatura

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