Zolpidem as a high risk factor for elderly suicide in South Korea

Kim, Eun; Lee, Jae Hee; Lee, Dong Hoon

doi:10.1080/13811118.2020.1838369

Cited by 8 publications

(5 citation statements)

References 32 publications

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“…The rapidly ageing population in South Korea and the fact that the suicide rate among older adults is three times the national average may have prompted professionals in this field to intensify efforts to understand and prevent suicide. 34 These publications aim to explain suicides among elderly adults through factors such as poverty, psychosocial risk factors, depression, social support, and living alone. [35][36][37] We observe that four out of the top five most cited articles were published in The Lancet journal within close years of each other.…”

Section: Discussionmentioning

confidence: 99%

“…In recent years, an increase in publications focused on elderly suicides has been observed in South Korea. The rapidly ageing population in South Korea and the fact that the suicide rate among older adults is three times the national average may have prompted professionals in this field to intensify efforts to understand and prevent suicide 34 . These publications aim to explain suicides among elderly adults through factors such as poverty, psychosocial risk factors, depression, social support, and living alone 35–37 …”

Section: Discussionmentioning

confidence: 99%

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A scientometric analysis and visualisation of elderly suicide research from 1951 to 2022

Palanbek Yavaş,

Baysan

2024

Psychogeriatrics

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BackgroundThere are still many gaps in both national and international literature on elderly suicide. This study aimed to identify the most influential journals in elderly suicide, the countries and authors that contribute the most to the field, and the trends in the field.Material and MethodsStudies published on elderly suicide between 1951 and 2022 were retrieved utilising the Web of Science Core Collection. Co‐authorship analysis of countries and authors, as well as co‐occurrence analysis of keywords, were conducted using VOSviewer 1.6.18.ResultsThere were 2864 articles retrieved, including 95 countries, 889 academic journals, 9162 authors and 4160 keywords. The number of publications in this field has significantly increased after the 2000s, and the United States is the most productive country (996). The most prolific author is Yeates Conwell, while the journal with the highest number of publications in this field is the International Journal of Geriatric Psychiatry. Other than ‘suicide’ and ‘elderly’, the most trending keywords are ‘depression’, ‘primary care’, ‘treatment’, ‘antidepressant’, ‘loneliness’, ‘quality of life’ and ‘COVID‐19’.ConclusionThere has been an increase in both the thematic diversity and quantity of studies on elderly suicide over time. However, these publications predominantly originate from socioeconomically affluent countries with relatively low suicide rates. While the increasing numbers of publications from developing countries in recent years are promising, there is a greater need for publications from countries with lower socioeconomic status for the prevention or intervention of elderly suicides.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A scientometric analysis and visualisation of elderly suicide research from 1951 to 2022

Palanbek Yavaş,

Baysan

2024

Psychogeriatrics

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“…[ 37 , 38 ] Recent studies have also reported that zolpidem consumption is a risk factor for suicide attempts in older Korean adults. [ 39 ] Therefore, close attention should be paid to the management of these drugs in older patients, regardless of sex, as alprazolam (ranked 6th) and zolpidem (ranked 7th) were also prescribed to male Korean patients throughout the study period.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the prescription trends of potentially inappropriate medications in Korean older outpatients by sex: A retrospective study using data from the health insurance review and assessment service

Dong,

Ju,

Yang

2023

Medicine

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This study aimed to determine the policy implications for drug management by identifying the prescription trends of potentially inappropriate medications (PIMs) in older outpatients. Considering the Drug Utilization Review and Korean version of the standards for PIMs based on the Beers Criteria, 141 ingredients were selected that spanned over 7 years of health insurance claims data analysis. During the study period, the number of patients and claims related to PIMs increased. Although the number of health insurance claims decreased in 2020 owing to coronavirus disease (COVID-19), it increased again in 2021. Tamsulosin was the most frequently prescribed drug for male patients, followed by alprazolam and zolpidem. For female patients, eperisone was the most frequently prescribed drug, followed by alprazolam, zolpidem, and etizolam. In Korea, health insurance claims for PIMs decreased in 2020 owing to the COVID-19 pandemic. However, an overall increasing trend was observed from 2015 to 2021. Moreover, during this period, the prescription trend of benzodiazepine-type drugs and zolpidem increased in both male and female patients. Therefore, management policies regarding PIMs and drug ingredients, such as benzodiazepines and zolpidem, are required.

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“…Stroke is prevalent in the elderly, with stroke incidence doubling in people aged over 80 [2]. Elderly patients are vulnerable to higher risk of fractures, falls, dementia (at highest doses), pneumonia (in patients with Alzheimer disease), and suicidal tendencies associated with benzodiazepine or Z-drugs [70][71][72][73]. Thus, benzodiazepines and Z-drugs should be prescribed for the elderly with extreme care.…”

Section: Discussionmentioning

confidence: 99%

Traditional East Asian Herbal Medicine for Post-Stroke Insomnia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Kim

Lim

2022

IJERPH

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Post-stroke insomnia (PSI) is a highly prevalent complication after stroke. Current evidence of psychotropic drug use for PSI management is scarce and indicates harmful adverse events (AEs). Traditional East Asian herbal medicine is a widely used traditional remedy for insomnia. However, so far, no study has systematically reviewed the efficacy and safety of traditional east asian herbal medicine (HM) for PSI. Therefore, we perform meta-analysis to evaluate the effectiveness and safety of HM for PSI. After a comprehensive electronic search of 15 databases, we review the randomized controlled trials (RCTs) of HM use as monotherapy for PSI. Our outcomes were the Pittsburgh sleep quality index and total effective rate. In total, 24 RCTs were conducted with 1942 participants. HM showed statistically significant benefits in sleep quality. It also appeared to be safer than psychotropic drugs in terms of AEs, except when the treatment period was two weeks. The methods used for RCTs were poor, and the quality of evidence assessed was graded “low” or “moderate.” The findings of this review indicate that the use of HM as a monotherapy may have potential benefits in PSI treatment when administered as an alternative to conventional medications. However, considering the methodological quality of the included RCTs, we were uncertain of the clinical evidence. Further, well-designed RCTs are required to confirm these findings.

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Zolpidem as a high risk factor for elderly suicide in South Korea

Cited by 8 publications

References 32 publications

A scientometric analysis and visualisation of elderly suicide research from 1951 to 2022

A scientometric analysis and visualisation of elderly suicide research from 1951 to 2022

Analysis of the prescription trends of potentially inappropriate medications in Korean older outpatients by sex: A retrospective study using data from the health insurance review and assessment service

Traditional East Asian Herbal Medicine for Post-Stroke Insomnia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

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