Why suicide? Elderly people who committed suicide and their experience of life in the period before their death

Kjølseth, Ildri; Ekeberg, Øivind; Steihaug, Sissel

doi:10.1017/s1041610209990949

Cited by 89 publications

(95 citation statements)

References 16 publications

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“…Anxiety is also mentioned on a disorder level in several of the studies [10, 12, 13], but anxiety symptoms in depressed patients have not been studied in relation to suicide among older patients. In contrast, there are several studies that report no association between suicidal ideation or suicides committed and psychiatric disorders in older adults [10, 14, 15]. Altogether, whether anxiety symptoms in depressed patients could be associated with suicidality among older adults or vice versa remains unknown.…”

Section: Introductionmentioning

confidence: 99%

Anxiety Symptoms in Older Adults with Depression Are Associated with Suicidality

Bendixen

Engedal

Selbæk

et al. 2018

Dement Geriatr Cogn Disord

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Objective: Anxiety symptoms are common in older adults with depression, but whether severe anxiety is associated with poorer outcomes of depression is unknown. The objective of the present study was to examine the association between severity of anxiety and severity of depression and physical illness, suicidality, and physical and cognitive functioning in older adults with depression. Methods: We included 218 older adults with diagnoses of a depressive disorder according to the ICD-10 criteria; their mean age (SD) was 75.6 (7.2), and 67.0% were women. The Geriatric Anxiety Inventory (GAI) was used to measure the severity of anxiety symptoms. The Montgomery-Aasberg Depression Rating Scale (MADRS) was used to assess the severity of depression. We obtained information on the level of functioning with the Physical Self-Maintenance Scale (PSMS) by Lawton and Brody and on cognition with the Mini-Mental State Examination (MMSE) and the Clock-Drawing Test (CDT). Physical health was determined based on information regarding falls and weight loss and an assessment of each patient’s general medical condition. The treating physician evaluated current suicidality in a comprehensive and standardized way. Results: Higher GAI scores were significantly associated with scores on the MADRS (β = 0.233, p = 0.002) and suicidality (β = 0.206, p = 0.006). Levels of physical or cognitive functioning were not associated with the GAI score. Conclusion: The severity of anxiety symptoms was associated with the severity of depression and suicidality in older adults with depressive disorders. The results could indicate a need to focus greater attention on the treatment of anxiety and suicidality in older patients with depression.

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Section: Introductionmentioning

confidence: 99%

Anxiety Symptoms in Older Adults with Depression Are Associated with Suicidality

Bendixen

Engedal

Selbæk

et al. 2018

Dement Geriatr Cogn Disord

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“…Få informanter hadde sett tegn på alvorlig psykisk lidelse (11), og mange uttrykte eksplisitt at avdøde ikke hadde vaert deprimert (11,13). Dette står i sterk kontrast til det som er konklusjonen i de fleste kvantitative PA-studier, nemlig at nesten alle som har tatt sitt liv, ble funnet å ha én eller flere psykiske lidelser (3), med tilhørende kausale implikasjoner.…”

Section: Som Man Spør Får Man Svar?unclassified

Selvmord og psykiske lidelser

Hjelmeland¹,

Dieserud²,

Dyregrov³

et al. 2014

Tidsskriftet

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“…Previous research in the Norwegian context demonstrated that elderly individuals who attempted suicide perceived that everything that had given value to their lives had been lost, life was increasingly experienced as a burden, and their perception of themselves was "losing oneself" [40]. Holm and Severinsson [14] revealed one main theme: "a struggle to perceive meaning in the meaningless".…”

Section: Discussionmentioning

confidence: 99%

Implementation Strategies for Improving the Care of Depressed Elderly Persons—Summary of an International Workshop

Severinsson¹,

Holm²

2014

OJN

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The aim of the study was to identify the most important research priorities as well as future strategies for promoting and implementing evidence-based care of depressed elderly persons. An interdisciplinary workshop was organized using a focus group format and the transcript of the discussion was interpreted by means of the qualitative content analysis. The most important research priorities for improving the care of depressed elderly persons, implementation levels, theoretical approaches as well as possible outcomes were analysed on individual consumer, healthcare system, and policy level. A wide range of theories and methods are necessary to identify and explain implementation processes and results. Qualitative and quantitative methodologies in combination with knowledge synthesis were discussed. In addition, the need to summarize the literature in terms of specific issues was emphasized. In conclusion, the implementation strategies for improving the care of depressed elderly persons should be addressed on three levels: individual consumer, healthcare system and policy. Although some aspects of the implementation model may need to be enhanced, the fact that it includes conditions on individual level, i.e. self-management support, is of importance. The expansion and maintenance of evidence-based care generate potential for change in mental healthcare, thus improving outcomes for individual elderly patients. Areas that require further research are organization, cost and leadership. The use of mixed methods could strengthen future studies. Implementation researchers need a broad repertoire in order to plan and perform evidence-based research. To improve practice, implementation strategies should be developed in clinical and community guidelines.

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Why suicide? Elderly people who committed suicide and their experience of life in the period before their death

Cited by 89 publications

References 16 publications

Anxiety Symptoms in Older Adults with Depression Are Associated with Suicidality

Anxiety Symptoms in Older Adults with Depression Are Associated with Suicidality

Selvmord og psykiske lidelser

Implementation Strategies for Improving the Care of Depressed Elderly Persons—Summary of an International Workshop

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