Factors associated with suicidal ideation in an elderly urban Japanese population: A community-based, cross-sectional study
Factors associated with suicidal ideation in an elderly urban Japanese population: A community-based, cross-sectional study
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DOI：
10.1111/j.1440-1819.2005.01378.x
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发表时间：
2005-06-01
影响因子：
11.9
通讯作者：
Tsuji, I
中科院分区：
文献类型：
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作者：
Awata, S;Seki, T;Tsuji, I
本研究的目的是评估日本城市老年人群的自杀意念与潜在相关因素之间的关联。这是一项基于社区的横断面研究。就自杀意念以及社会人口统计和健康相关变量对 70 岁或以上的城市社区居民进行了访谈。精神科医生使用《精神疾病诊断和统计手册》第四版的标准对患有抑郁症状的受试者进行进一步评估。使用单变量和多变量逻辑回归分析评估关联性。在 1145 名符合资格的参与者中，52 名（4.5%）报告有自杀念头。在 143 名有抑郁症状的受试者中（老年抑郁量表，14+），22 名 (15.4%) 报告在两周内有自杀意念。在控制抑郁症状后，缺乏社会支持和日常生活工具性活动受损与自杀想法显着相关。在控制单变量分析中检测到的潜在相关因素后，抑郁症状与自杀想法密切相关。在有抑郁症状的老年人中，精神障碍，包括抑郁症和酒精相关障碍，在两周内与自杀意念显着相关。在城市社区环境中，筛查缺乏社会支持、日常生活工具性活动受损和抑郁症状，然后对精神障碍，特别是抑郁综合征和酒精相关疾病进行诊断评估，可能为识别自杀高风险老年人提供实用且有效的方法。
The objective of the present study was to evaluate the association between suicidal ideation and potentially related factors in an elderly urban Japanese population. This was a community-based, cross-sectional study. Urban community residents aged 70 years or more were interviewed regarding suicidal ideation and sociodemographic and health-related variables. Subjects with depressive symptoms underwent further evaluation by psychiatrists using criteria of the Diagnostic and Statistical Manual of Mental Disorders, 4th edition. Associations were evaluated using univariate and multivariate logistic regression analyses. Of the 1145 eligible participants, 52 (4.5%) reported thoughts of suicide. Of 143 subjects with depressive symptoms (Geriatric Depression Scale, 14+), 22 (15.4%) reported suicidal ideation over a 2-week period. After controlling for depressive symptoms, lack of social support and impaired instrumental activities of daily living were significantly associated with thoughts of suicide. After controlling for the potentially associated factors detected in the univariate analysis, depressive symptoms were strongly associated with thoughts of suicide. In the elderly with depressive symptoms, mental disorders, including depressive and alcohol-related disorders, were significantly associated with suicidal ideation over a 2-week period. In the urban community setting, screening for lack of social support, impaired instrumental activities of daily living, and depressive symptoms, followed by diagnostic evaluation for mental disorders, particularly for depressive syndromes and alcohol-related disorders, may provide a practical and effective means of identifying elders at high risk of suicide.