Wishes to Die in Older People A Quantitative Study of Prevalence and Associated Factors
Wishes to Die in Older People A Quantitative Study of Prevalence and Associated Factors
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DOI：
10.1027/0227-5910/a000079
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发表时间：
2011-01-01
影响因子：
3
通讯作者：
Onwuteaka-Philipsen, B. D.
中科院分区：
文献类型：
--
作者：
Rurup, M. L.;Deeg, D. J. H.;Onwuteaka-Philipsen, B. D.
背景：死亡的想法和愿望在老年人中经常发生。在不同的欧洲国家，估计有10%-20%的人已经发现。目的：确定在荷兰的老年人死亡的想法和愿望的患病率和相关因素。方法：在荷兰1794人（58-98岁）在2005/2006年（纵向老化研究阿姆斯特丹）进行了采访。结果如下：81.3%的人报告说从未有过死亡的想法/愿望; 15.3%的人报告说有过这种想法/愿望; 3.4%的人报告说目前有死亡的愿望和/或继续生活的愿望减弱。在目前有死亡愿望的人中，67%有抑郁症状（有死亡想法/愿望的人为32%，从未有过死亡想法/愿望的人为9%），20%患有抑郁症（有死亡想法/愿望的人为5%;从未有过死亡想法/愿望的人为0.3%）。在多变量分析中，当前的死亡愿望与抑郁症状，抑郁症，较低的感知掌握，财务问题，孤独，小网络，非自愿尿量，离婚和语言障碍有关。结论：对卫生保健专业人员的实际影响是，他们应该意识到，在某些情况下，老年人更有可能产生死亡的愿望，而死亡的愿望并不一定意味着某人患有抑郁症。尽管如此，它应该作为一个触发器来调查和治疗抑郁症，如果存在的话。
Background: Death thoughts and wishes occur frequently among older people. In different European countries estimates of 10%-20% have been found. Aims: To determine the prevalence and associated factors of death thoughts and wishes among older people in The Netherlands. Methods: In The Netherlands 1794 people (58-98 years) were interviewed in 2005/2006 (Longitudinal Aging Study Amsterdam). Results: 81.3% reported never having death thoughts/wishes; 15.3% reported having had such thoughts/wishes; 3.4% reported currently having a wish to die and/or a weakened wish to continue living. Of those with a current wish to die, 67% had depressive symptoms (vs. 32% of people with death thoughts/wishes ever and 9% of people who never had had death thoughts/wishes), and 20% suffered from a depressive disorder (vs. 5% if death thoughts/wishes ever; 0.3% if never death thoughts/wishes). In a multivariate analysis, a current wish to die was associated with having depressive symptoms, a depressive disorder, lower perceived mastery, financial problems, loneliness, small network, involuntary urine loss, being divorced, and having a speech impediment. Conclusions: Practical implications for health-care professionals are that they should be aware that in certain situations older people are more likely to develop a wish to die, and that a wish to die does not necessarily mean that someone has a depressive disorder. Nevertheless, it should serve as a trigger to investigate and to treat depression if present.