Suicidal and death ideation in older primary care patients with depression, anxiety, and at-risk alcohol use.
Suicidal and death ideation in older primary care patients with depression, anxiety, and at-risk alcohol use.
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患有抑郁、焦虑和饮酒风险的老年初级保健患者的自杀和死亡意念。
DOI：
10.1097/00019442-200207000-00008
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发表时间：
2002
期刊：
影响因子：
--
通讯作者：
Herman Sanchez
中科院分区：
文献类型：
--
作者：
S. Bartels;E. Coakley;T. Oxman;Giuseppe Constantino;D. Oslin;Hongtu Chen;Cynthia D. Zubritsky;Karen Cheal;U. N. Durai;J. Gallo;M. Llorente;Herman Sanchez
作者确定了抑郁、焦虑和高危酒精使用的老年初级保健患者的主动自杀意念和被动死亡意念的相关性。参与者包括2240名老年初级保健患者（65岁以上），他们根据对Paykel自杀问题的回答被分为三个相互排斥的组：无意念、死亡意念和自杀意念。采用卡方、方差分析和多元逻辑回归分析来确定与自杀意念相关的特征。自杀意念的最高比例与同时发生的严重抑郁和焦虑障碍相关（18%），最低比例发生在高危酒精使用中（3%）。亚洲人有自杀或死亡念头的比例最高（57%），非裔美国人最低（27%）。更少的社会支持和更严重的症状与更大的整体观念相关。死亡意念与最大的医疗合并症和最高的服务利用率相关。与以前的报告相反，作者没有发现主动自杀意念与与医疗保健提供者接触增加有关。因此，应强调对合并抑郁和焦虑、社会孤立、年龄较小、亚洲或高加索人种的老年门诊患者进行有针对性的评估和预防服务。
The authors identified correlates of active suicidal ideation and passive death ideation in older primary care patients with depression, anxiety, and at-risk alcohol use. Participants included 2,240 older primary care patients (age 65+), who were identified in three mutually exclusive groups on the basis of responses to the Paykel suicide questions: No Ideation, Death Ideation, and Suicidal Ideation. Chi-square, ANOVA, and polytomous logistic regression analyses were used to identify characteristics associated with suicidal ideation. The highest amount of suicidal ideation was associated with co-occurring major depression and anxiety disorder (18%), and the lowest proportion occurred in at-risk alcohol use (3%). Asians have the highest (57%) and African Americans have the lowest (27%) proportion of suicidal or death ideation. Fewer social supports and more severe symptoms were associated with greater overall ideation. Death ideation was associated with the greatest medical comorbidity and highest service utilization. Contrary to previous reports, authors failed to find that active suicidal ideation was associated with increased contacts with healthcare providers. Accordingly, targeted assessment and preventive services should be emphasized for geriatric outpatients with co-occurring depression and anxiety, social isolation, younger age, and Asian or Caucasian race.
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影响因子：
17.7
作者：
Oquendo, MA;Ellis, SP;Mann, JJ
通讯作者：
Mann, JJ
影响因子：
5.9
作者：
BECK, AT;BROWN, G;STEER, RA
通讯作者：
STEER, RA
影响因子：
--
作者：
Alexopoulos, GS;Bruce, ML;Kakuma, T
通讯作者：
Kakuma, T
失去亲人的老年人的自杀意念：复杂悲伤的作用。
DOI：
--
发表时间：
1997
期刊：
Suicide & life-threatening behavior.
影响因子：
--
作者：
Szanto,K;Prigerson,H;Houck,P;Ehrenpreis,L;Reynolds3rd,CF
通讯作者：
Reynolds3rd,CF
影响因子：
17.7
作者：
Lenze, EJ;Mulsant, BH;Reynolds, CF
通讯作者：
Reynolds, CF