SUICIDE OVER 60 - THE SAN-DIEGO STUDY
SUICIDE OVER 60 - THE SAN-DIEGO STUDY
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DOI：
10.1111/j.1532-5415.1994.tb04948.x
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发表时间：
1994-02-01
影响因子：
6.3
通讯作者：
FOWLER, RC
中科院分区：
文献类型：
--
作者：
CARNEY, SS;RICH, CL;FOWLER, RC
目的：了解特定的临床因素对60岁以上的自杀者的特征是否与年轻的自杀者不同，并确定这些因素是否对60岁以上的女性和男性自杀者有不同的特征。设计：60-88岁连续自杀组与31-59岁和16-30岁连续自杀组进行比较。60-88岁的女性自杀者也与该年龄段的男性自杀者进行了比较。数据是通过结构化访谈的形式从不同的线人那里收集的。地点：样本于1981年11月至1982年9月在加利福尼亚州圣地亚哥县采集。对象：样本包括204名连续自杀的人。其中年龄60-88岁49例，31-59岁94例，16-30岁61例。老年组由20名女性和29名男性组成。测量：在人口统计学、诊断和其他临床特征方面进行比较。结果：60岁以上的男性和女性自杀者在所检查的任何变量上都没有显著差异。在被诊断为精神障碍的模式上，这些组之间只发现了微小的差异。与两个较年轻的群体中的任何一个相比，年龄较大的自杀者结婚的可能性要大得多，如果没有结婚，也更有可能丧偶。他们也明显更有可能因疾病而感到压力。作为压力源，他们出现经济问题的可能性明显降低。与两个更年轻的群体中的任何一个相比，他们谈论过自杀或之前有过自杀企图的可能性明显较小。结论：自杀的某些特征的模式与年龄非常相似。然而，在评估自杀风险时，需要考虑特定的年龄相关差异。对于临床医生来说，年龄较大的自杀事件可能更难预测，因此也更难预防。
Objectives: To see if selected clinical factors characterize suicides over the age of 60 differently from younger suicides and to ascertain if those factors characterize female and male suicides over the age of 60 differently. Design: A group of consecutive suicides aged 60-88 was compared with groups of consecutive suicides aged 31-59 and 16-30. The female suicides aged 60-88 were also compared with the male suicides in that age group. Data were gathered from a variety of informants using a structured interview format. Setting: The sample was gathered in San Diego County, California, between November, 1981 and September 1982. Participants: The sample consisted of 204 consecutive suicides. These included 49 cases aged 60-88, 94 cases aged 31-59, and 61 cases aged 16-30. The older group consisted of 20 females and 29 males. Measurements: Comparisons were made in demographic, diagnostic, and other clinical characteristics. Results: There were no significant differences between female and male suicides over age 60 on any of the variables examined. Only minor differences were found among the groups in patterns of mental disorders diagnosed. Older suicides were significantly more likely to be married or, if not married, widowed than either of the two younger groups. They were also significantly more likely to be stressed by medical illness. They were significantly less likely to have financial problems as stressors. They were significantly less likely to have talked about suicide or made prior suicide attempts than either of the two younger groups. Conclusions: Patterns of certain characteristics of suicides are very similar regardless of age. However, specific age-related differences occur that need to be considered when assessing suicide risk. Older suicides may be harder for clinicians to predict and, therefore, prevent.