Evaluation of attempted older adults suicides admitted to a University Hospital Emergency Department: Izmir study.

Autor: Keskin Gokcelli D; Ege University Hospital, Department of Psychiatry, Izmir, Turkey., Tosun Tasar P; Ege University Hospital, Department of Internal Medicine, Division of Geriatrics, Izmir, Turkey; Erzurum Regional Training and Research Hospital, Division of Geriatrics, Erzurum, Turkey. Electronic address: pinar.tosun@gmail.com., Akcam NO; Ege University Hospital, Department of Psychiatry, Izmir, Turkey., Sahin S; Ege University Hospital, Department of Internal Medicine, Division of Geriatrics, Izmir, Turkey., Akarca FK; Ege University Hospital, Department of Emergency Medicine, Izmir, Turkey., Aktas EO; Ege University Hospital, Department of Forensic Medicine, Izmir, Turkey., Duman S; Ege University Hospital, Department of Internal Medicine, Izmir, Turkey., Akcicek F; Ege University Hospital, Department of Internal Medicine, Division of Geriatrics, Izmir, Turkey., Noyan A; Ege University Hospital, Department of Psychiatry, Izmir, Turkey.
Jazyk: angličtina
Zdroj: Asian journal of psychiatry [Asian J Psychiatr] 2017 Dec; Vol. 30, pp. 196-199. Date of Electronic Publication: 2017 Oct 16.
DOI: 10.1016/j.ajp.2017.10.002
Abstrakt: Introduction: Advanced age is one of the risk factors for attempting suicide. Suicide attempts are one of the reasons for elderly patients to admit emergency services. The aim of this study was to investigate the relationship between suicidal behavior and sociodemographic factors and concurrent somatic diseases.
Methods: The medical records of patients aged 60 years and over who presented to the emergency department of our university hospital for attempted suicide between the dates of January 1, 2007 and December 31, 2015 were screened retrospectively. Individuals recorded as cases of suicide on the forensic case report form were identified, the data recorded at our hospital were obtained, and telephone interviews were conducted to acquire any missing data.
Results: A total of 63 patients with a mean age of 65.88 years were included in the study. A large proportion of the suicide attempts occurred in the years 2014 and 2015. Overall, 23.8% of the patients had a previous history of suicide attempt. Overdose was the method in 74.6% of the suicide attempts, and 70.2% were impulsive; 63.5% of the patients had a history of psychiatric disease. The most common psychopathology was major depressive disorder.
Conclusion: We found that suicide attempts were more common among older adults with a history of depression, that approximately one in four had previously attempted suicide, and that the majority of individuals attempting suicide chose to use their own medication.
(Copyright © 2017 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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