Determinants of Suicide-related Ideation in Late Life Depression: Associations with Perceived Stress
Determinants of Suicide-related Ideation in Late Life Depression: Associations with Perceived Stress
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DOI：
10.1080/07317115.2019.1666442
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发表时间：
2019-09-15
影响因子：
2.8
通讯作者：
Mackin, Robert Scott
中科院分区：
文献类型：
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作者：
Bickford, David;Morin, Ruth T.;Mackin, Robert Scott
目的：感知压力正在成为老年人自杀相关意念的一个潜在影响因素。我们假设较高水平的感知压力与独立于抑郁症状严重程度的自我报告的自杀意念增加有关。方法：本研究使用的数据来自年龄≥ 65岁的社区老年人，目前诊断为重度抑郁症。符合条件的参与者完成抑郁症状严重程度（汉密尔顿抑郁评定量表-17项），当前自杀意念（老年自杀意念量表）和感知压力（感知压力量表）的测量。结果：参与者为225名老年人，平均年龄为71.4岁（SD = 5.6）。65%的样本是女性。自杀意念的15%的变异是由较低的教育（p = .03），男性（p = .03）和较高的当前感知压力（p < .001）解释的。具体来说，压力占方差的12%。结论：感知压力是一个重要的途径，以增加识别的个人与自杀相关的想法在老年人与当前诊断的严重抑郁症的风险较高。
Objectives: Perceived stress is emerging as a potential contributing factor in suicide-related ideation in older adults. We hypothesized higher levels of perceived stress would be associated with increased self-reported suicidal ideation independent of depressive symptom severity. Methods: This study used data from community-dwelling older adults aged >= 65 with a current diagnosis of major depression. Eligible participants completed measures of depression symptom severity (Hamilton Depression Rating Scale-17 item), current suicidal ideation (Geriatric Suicide Ideation Scale), and perceived stress (Perceived Stress Scale). Results: Participants were 225 older adults with a mean age of 71.4 (SD = 5.6). Sixty-five percent of the sample was female. Fifteen percent of the variance in suicidal ideation was accounted for by lower education (p = .03), male sex (p = .03) and higher current perceived stress (p < .001). Specifically, stress accounted for 12% of the variance. Conclusions: Perceived stress is an important avenue to increase identification of individuals with a higher risk of suicide-related ideation among older adults with a current diagnosis of major depression.