Physical multimorbidity and lifetime suicidal ideation and plans among rural older adults: the mediating role of psychological distress
| Autor: | Yi Wang, Wenting Hao, Jie Li, Caiting Yu, Pei Pei Fu, Dan Zhao, Yemin Yuan, Chengchao Zhou, Zhengyue Jing |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Rural Population
Mediation (statistics) Chronic condition China lcsh:RC435-571 Poison control Psychological distress Suicide prevention Suicidal ideation and plans Suicidal Ideation 03 medical and health sciences 0302 clinical medicine Risk Factors lcsh:Psychiatry Injury prevention medicine Prevalence Humans 030212 general & internal medicine Rural area Suicidal ideation Aged 030214 geriatrics business.industry Multimorbidity Middle Aged Mental health Psychiatry and Mental health Physical multimorbidity Cross-Sectional Studies Older adults medicine.symptom business Clinical psychology Research Article |
| Zdroj: | BMC Psychiatry BMC Psychiatry, Vol 21, Iss 1, Pp 1-10 (2021) |
| ISSN: | 1471-244X |
| Popis: | Background Previous studies have revealed that single physical chronic condition was associated with suicidal ideation/plans, but few studies have examined the relationship between multimorbidity and suicidal ideation/plans, and no studies have explored the underlying potential mechanism on this relationship in China. This study aimed to explore association between physical multimorbidity and suicidal ideation as well as plans, and further examine the mediating role of psychological distress (PD) on this relationship. Methods This study was based on the data from a survey about the health service of rural elderly household in Shandong, China. A total of 3242 adults aged 60 years and older were included in this study. PD was measured by Kessler Psychological Distress Scale (K10). Ordinal and binary logistic regression analyses were employed to explore the association between physical multimorbidity, PD and suicide ideation/plans. Bootstrapping analysis was further used to examine the mediation effect of PD on the association of multimorbidity and suicidal ideations/plans. Results The prevalence of multimorbidity, lifetime suicidal ideation, and suicidal plan in rural older adults was 35.2, 10.6 and 2.2%, respectively. Older adults living in rural areas with two or more chronic physical conditions experienced significantly higher risk of suicidal ideation and suicidal plans. The association between multimorbidity and suicidal ideations/plans was partially mediated by PD, of which, the mediating effect of PD accounted for 31.7 and 25.5% of the total effect, respectively. Conclusion This study demonstrated the associations between physical multimorbidity and suicidal ideation/plans, and the mediating role of PD on this relationship among Chinese rural elderly. Healthcare providers in rural community should provide regular surveillance for the mental health status among the rural elderly with multimorbidity, and carry out various effective intervention measures to improve the mental health status, so as to reduce the risk of suicide. |
| Databáze: | OpenAIRE |
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