Suicidality in older African Americans - Findings from the EPOCH study
Suicidality in older African Americans - Findings from the EPOCH study
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DOI：
10.1176/appi.ajgp.10.4.437
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发表时间：
2002-07-01
影响因子：
7.2
通讯作者：
Rabins, PV
中科院分区：
文献类型：
--
作者：
Cook, JM;Pearson, JL;Rabins, PV
作者调查了6个城市公共住房开发项目中835名非裔美国老年居民的当前自杀频率和相关特征，这些居民同意参加一项流动外联干预试验。主动和主动自杀意念的发生率分别为2.5%和1.4%，主动自杀和被动自杀的特征包括焦虑升高、社交功能障碍、躯体症状、低社会支持、缺乏知己和低宗教信仰。那些有被动但非主动构思的人的特征还包括年龄较大、教育水平较低、抑郁症状加重、认知功能较差，以及最近与医疗保健提供者讨论过情感问题。报告积极但非被动构思的人的特征包括有精神健康治疗史，并报告没有工具支持。多因素分析表明，抑郁和宗教信仰与消极自杀意念有唯一关联，生活满意度和宗教信仰与积极自杀意念有唯一关联。作者讨论了这些发现的含义，并为研究和临床实践提供了建议。
The authors examined the current frequency of suicidality and associated characteristics in a sample of 835 African-American older adult residents of six urban public housing developments who consented to participate in an intervention trial of mobile outreach. The frequency of passive and active suicidal ideation was 2.5% and 1.4%, respectively Characteristics of individuals with both active and passive suicidality included elevated anxiety, social dysfunction, somatic symptoms, low social support, lack of a confidant, and low religiosity. Characteristics those with passive, but not active, ideation also included older age, lower levels of education, elevated depressive symptoms, poorer cognitive functioning, and having recently discussed emotional problems with a healthcare provider The characteristics of those reporting active, but not passive, ideation included having a history of mental health treatment and reporting no instrumental support. Multivariate analyses indicated that depression and religiosity were uniquely associated with passive suicidal ideation, and life satisfaction and religiosity were uniquely associated with active suicidal ideation. The authors discuss implications of these findings and offer suggestions for research and clinical practice.