The Role of Perceived and Objective Social Connectedness on Risk for Suicidal Thoughts and Behavior in Late-Life and Their Moderating Effect on Cognitive Deficits.
The Role of Perceived and Objective Social Connectedness on Risk for Suicidal Thoughts and Behavior in Late-Life and Their Moderating Effect on Cognitive Deficits.
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DOI：
10.1016/j.jagp.2021.08.014
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发表时间：
2022-04
期刊：
影响因子：
--
通讯作者：
Szanto K
中科院分区：
文献类型：
--
作者：
Cui R;Gujral S;Galfalvy H;Szanto K
认知能力受损会增加自杀风险，而社会联系可以防止晚年的自杀风险。我们研究了社会联系和认知对晚年自杀风险的独立和互动影响。参与者包括570名50岁以上的人，他们来自一项晚年自杀研究。采用人际支持评价表和社会网络指数分别评估感知和客观社会联系，采用马蒂斯痴呆评定量表和高管访谈评估认知。与没有自杀倾向的抑郁者和健康对照者相比，自杀未遂者和有自杀想法者的感知社会连通性较低，执行功能较差，而只有自杀未遂者的客观社会连通性较差。执行功能障碍与企图者的低客观社会连通性有关，而与健康比较者的高客观社会连通性有关。针对自杀风险的干预措施可以考虑加强社会联系，特别是那些认知健康状况较差的人。我们研究了570名50岁以上的老年自杀研究中认知、感知和客观社会联系对自杀风险的独立和可能的协同作用。与没有自杀倾向的抑郁和健康参与者相比，自杀意念者和企图者的感知连接和执行功能障碍更差。与其他群体相比，尝试者的社交网络也受到限制。较严重的执行功能障碍与企图者中较低的客观社会连通性和健康比较者中较好的连通性有关。
Impaired cognition increases suicide risk while social connectedness protects against suicide risk in late life. We examined the independent and interactive effects of social connectedness and cognition on suicide risk in late life. Participants included 570 individuals aged 50+ from a late-life suicide study. The Interpersonal Support Evaluation List and Social Network Index were used to assess perceived and objective social connectedness, respectively, while the Mattis Dementia Rating Scale and Executive Interview were used to assess cognition. Suicide attempters and ideators reported lower perceived social connectedness and exhibited worse executive function than non-suicidal depressed and healthy comparison participants, while only attempters had worse objective social connectedness relative to the other groups. Executive dysfunction was linked to low objective social connectedness in attempters but higher objective social connectedness in healthy comparisons. Interventions targeting suicide risk may consider bolstering social connectedness, particularly in those with low cognitive health. We examined the independent and possible synergistic effects of cognition and perceived and objective social connectedness on suicide risk in 570 adults aged 50+ from a late-life suicide study. Suicide ideators and attempters had worse perceived connectedness and executive dysfunction than nonsuicidal depressed and healthy comparison participants. Attempters also had restricted social networks relative to the other groups. Worse executive dysfunction was associated with low objective social connectedness among attempters and better connectedness among healthy comparisons.
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作者：
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DOI：
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