Suicidal ideation in elderly Korean population: a two-year longitudinal study
Suicidal ideation in elderly Korean population: a two-year longitudinal study
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DOI：
10.1017/s1041610213001634
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发表时间：
2014-01-01
影响因子：
7
通讯作者：
Yoon, Jin-Sang
中科院分区：
文献类型：
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作者：
Kang, Hee-Ju;Stewart, Robert;Yoon, Jin-Sang
背景：本研究旨在评估自杀意念（SI）的患病率，发病率和持久性，并调查与这些相关的社会心理因素。 ，两年后，有909（75％）受到关注。使用基线和后续访谈中的老年心理状态（GMS）诊断时间表（GMS）诊断时间表（GMS B3）中的社区版本中识别出SI的存在。基线措施包括人口统计状况，教育年份，农村/城市住宅，住宿，过去和当前职业，每月收入，婚姻状况，压力性生活事件，社会支持缺陷，身体疾病的数量，疼痛的严重程度，身体活动，残疾，残疾，残疾，抑郁症状，焦虑，失眠，认知功能，饮酒和吸烟。分析：基线SI患病率，随访发生率（随访时的SI速率为805在基线时没有SI的老年受试者）和持久性（在基线时有104名具有SI的老年受试者的SI率分别为11.5％，9.6％和36.5％。基线SI与当前的就业，较低的每月收入，压力性生活事件，更严重的疼痛，残疾，抑郁症状和吸烟无关。事件SI由基线未婚状况，社会支持缺陷，严重疼痛，抑郁症状和吸烟独立预测。持续的SI由基线压力的生活事件和抑郁症状独立预测。结论：抑郁症状与流行，入射和持续性SI独立相关，但其他预测因素根据发病率和持久性结果而变化。
Background:This study aimed to assess the prevalence, incidence, and persistence of suicidal ideation (SI), and to investigate the psychosocial factors associated with these.Methods:A total of 1,204 community dwelling elderly adults aged 65 years or older were evaluated at baseline, 909 (75%) of whom were followed two years later. The presence of SI was identified using the questions from the community version of the Geriatric Mental State (GMS) diagnostic schedule (GMS B3) at both baseline and follow-up interviews. Baseline measures included demographic status, years of education, rural/urban residence, accommodation, past and current occupation, monthly income, marital status, stressful life events, social support deficits, number of physical illnesses, severity of pain, physical activity, disability, depressive symptoms, anxiety, insomnia, cognitive function, alcohol consumption, and smoking.Results:Baseline SI prevalence, follow-up incidence (SI rate at follow-up of 805 elderly subjects who did not have SI at baseline), and persistence (SI rate at follow-up of 104 elderly subjects who had SI at baseline) were 11.5%, 9.6%, and 36.5%, respectively. Baseline SI was independently associated with no current employment, lower monthly income, stressful life events, more severe pain, presence of disability, depressive symptoms, and smoking. Incident SI was independently predicted by baseline unmarried status, social support deficit, severe pain, presence of depressive symptoms, and smoking. Persistent SI was independently predicted by baseline stressful life events and depressive symptoms.Conclusions:Depressive symptoms were independently associated with prevalent, incident, and persistent SI, but other predictors varied according to incidence and persistence outcomes.