Understanding Vulnerability to Late-Life Suicide.
Understanding Vulnerability to Late-Life Suicide.
复制标题
了解晚年自杀的脆弱性。
DOI：
10.1007/s11920-021-01268-2
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发表时间：
2021-07-17
影响因子：
6.7
通讯作者：
Kennedy GJ
中科院分区：
文献类型：
--
作者：
Ding OJ;Kennedy GJ
We review recent evidence on suicide among older adults, examine risk factors contributing to vulnerability to late-life suicide, and summarize possible interventions. We found a steadily increasing rate of late-life suicide in the USA in the past decade. Evidence supporting the integration of depression care managers into primary care for risk reduction is among the strongest to date. Pharmacologic and neuromodulation studies should be considered in geriatric depression complicated by suicidality. Broad societal campaigns about suicide education, as well as active outreach to psychiatric patients after discharge or a suicidal crisis, prevent suicidal behavior. Growing research supports an integrative multidisciplinary approach. Suicide is a complex and multifaceted behavior with numerous casual points for intervention. Access to deadly means, presence of depression, disease, disability, and social disconnection are factors that increase vulnerability. Quality geriatric care, regular screening in primary and emergency care settings, and a multidisciplinary approach are necessary to mitigate risk factors. The COVID-19 pandemic amplifies need for a more aggressive approach.
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