Alcohol Use Disorder in Elderly Suicide Attempters: A Comparison Study
| Autor: | Stefan Wiktorsson, Pernille J. Olesen, Thomas Marlow, Ingmar Skoog, Johanna Morin, Margda Waern |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Population Poison control Suicide Attempted Alcohol use disorder Neuropsychological Tests Suicide prevention Risk Factors mental disorders Odds Ratio Prevalence medicine Humans Psychiatry education Depression (differential diagnoses) Aged Aged 80 and over Psychiatric Status Rating Scales Sweden education.field_of_study Suicide attempt Depression business.industry Odds ratio medicine.disease Confidence interval Psychiatry and Mental health Logistic Models Case-Control Studies Female Geriatrics and Gerontology business Alcohol-Related Disorders |
| Zdroj: | The American Journal of Geriatric Psychiatry. 21:196-203 |
| ISSN: | 1064-7481 |
| DOI: | 10.1016/j.jagp.2012.10.020 |
| Popis: | Objectives To compare lifetime prevalence of alcohol use disorder (AUD) in older adults who were hospitalized in connection with a suicide attempt and in a population comparison group, as well as to compare previous suicidal behavior in attempters with and without AUD. Design Case-comparison. Setting Five hospitals in Western Sweden. Participants Persons 70 years or older, who were treated in a hospital because of a suicide attempt during 2003–2006 were recruited. Of 133 eligible participants, 103 participants were enrolled (47 men, 56 women, mean age 80 years, response rate 77%). Four comparison subjects per case were randomly selected among participants in our late-life population studies. Measurements Lifetime history of AUD in accordance with Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, was discerned on the basis of interview data, case record review, and the hospital discharge register. Depression symptoms were rated using the Montgomery-Asberg Rating Scale. Results AUD was observed in 26% of the cases and in 4% of the comparison group (odds ratio [OR]: 10.5; 95% confidence interval [CI]: 4.9–22.5). Associations were noted in men (OR: 9.5; 95% CI: 4.0–22.8) and women (OR: 12.0; 95% CI: 2.4–59.5). More than half of the cases with AUD and a third of those without AUD had made at least one prior suicide attempt. In these, AUD was associated with a longer interval between the first attempt and the index attempt. Conclusions A strong association between AUD and hospital-treated suicide attempts was noted in both sexes in this northern European setting. Given the high rates of suicide worldwide in this fast-growing and vulnerable group, comparison studies in other settings are needed. |
| Databáze: | OpenAIRE |
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