Predictors of suicide in the old elderly
Predictors of suicide in the old elderly
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DOI：
10.1159/000071715
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发表时间：
2003-09-01
期刊：
影响因子：
3.5
通讯作者：
Wilhelmson, K
中科院分区：
文献类型：
--
作者：
Waern, M;Rubenowitz, E;Wilhelmson, K
背景资料。在大多数工业化国家，75岁及以上的老年人自杀率是所有年龄段中最高的。然而，关于老年人自杀危险因素的研究却很少。目的：探讨老年人(75岁以上)自杀的预测因素。文中显示了有关青年老年人(6574岁)的数据，以供比较。方法：随机抽取瑞典西部连续发生的85例自杀病例和153例与自杀病例性别、出生年份、邮政编码相同的对照组。老年组38例，对照组71例，青年老年组47例，对照组82例。有关自杀案例的数据是通过与关系密切的线人的采访收集的；对照人员是亲自采访的。采访包括关于过去一年的生活事件以及心理和身体健康的问题。对病例和对照的医疗记录进行了审查。采用老年累积疾病评定量表对疾病负担进行评分。结果：在75岁以上的人群中，家庭冲突、严重的身体疾病、孤独感以及严重和轻微的抑郁都与自杀有关。经济问题预示着年轻人会自杀，但年长的老年人不会。患有抑郁症(严重或轻微)的老年自杀受害者比年轻的自杀受害者接受抑郁症治疗的可能性较小。结论：加强对重度和轻度抑郁症的认识和治疗，应成为预防老年人自杀的重要目标。大量高级参与者参与的干预研究是迫切需要的。
Background. Seniors aged 75 and above have the highest suicide rates of all age groups in most industrialized countries. However, research concerning risk factors for suicide in the old elderly is sparse. Objective: The purpose was to determine predictors for suicide among the old elderly (75+). Data concerning the young elderly (6574 years) are shown for comparison. Methods: 85 consecutive cases of suicide that occurred in western Sweden and 153 control persons with the same sex, birth year, and zip code as the suicide cases were randomly selected from the tax register. The old elderly group included 38 cases and 71 controls; the young elderly group included 47 cases and 82 controls. Data concerning the suicide cases were collected through interviews with close informants; controls were interviewed in person. The interview included questions on past-year life events and mental and physical health. Medical records were reviewed for cases and controls. The Cumulative Illness Rating Scale - Geriatrics was used to rate illness burden. Results: Family conflict, serious physical illness, loneliness, and both major and minor depressions were associated with suicide in the 75+ group. Economic problems predicted suicide in the younger but not in the older elderly. Old elderly suicide victims with depression (major or minor) were less likely to have received depression treatment than their younger counterparts. Conclusions: Better recognition and treatment of both major and minor depression should constitute an important target for the prevention of suicide in the old elderly. Intervention studies with large numbers of senior participants are sorely needed.