Determinants of thoughts of death or suicide in depressed older persons
| Autor: | Marjolein Boshuisen, Ista C. H. M. Bogers, Richard C. Oude Voshaar, Hannie C. Comijs, Marij Zuidersma |
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| Přispěvatelé: | Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE), Psychiatry, EMGO - Mental health |
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty DISORDERS ANXIOUS DEPRESSION Poison control INVENTORY ALCOHOL Suicide prevention Mental health [NCEBP 9] Suicidal Ideation Life Change Events Thinking Injury prevention Interview Psychological medicine Humans risk factors ANXIETY Prospective Studies Psychiatry IDEATION Suicidal ideation ELDERLY-PATIENTS Depression (differential diagnoses) suicide Aged GENERAL-POPULATION psychogeriatrics Loneliness ADULTS Late life depression Middle Aged Death Psychiatry and Mental health Clinical Psychology PSYCHOMETRIC PROPERTIES depression Anxiety Female Geriatrics and Gerontology medicine.symptom Psychology Gerontology Clinical psychology |
| Zdroj: | International Psychogeriatrics, 25(11), 1775-1782. Cambridge University Press Bogers, I C H M, Zuidersma, M, Boshuisen, M L, Comijs, H C & Oude Voshaar, R C 2013, ' Determinants of thoughts of death or suicide in depressed older persons ', International Psychogeriatrics, vol. 25, no. 11, pp. 1775-1782 . https://doi.org/10.1017/S1041610213001166 International Psychogeriatrics, 25, 1775-82 International Psychogeriatrics, 25, 11, pp. 1775-82 |
| ISSN: | 1041-6102 |
| DOI: | 10.1017/S1041610213001166 |
| Popis: | Background:In depressed persons, thoughts of death and suicide are assumed to represent different degrees of a construct: suicidality. However, this can be questioned in older persons facing physical and social losses. Thoughts of death in depressed older persons are hardly examined in the absence of suicidal ideation. Furthermore, most depression instruments do not discriminate suicidal ideation from thoughts of death only. We examined whether determinants of thoughts of death differ from determinants of suicidal ideation in late life depression.Methods:Past month's thoughts of death and suicidal ideation were assessed with the Composite International Diagnostic Interview in 378 depressed older persons (>60 years of age). Multinomial logistic regression analyses adjusted for age and depression severity were used to identify socio-demographic, lifestyle, clinical and somatic determinants of past month's thoughts of death, and suicidal ideation.Results:Compared with patients without thoughts of death or suicide (n = 267), patients reporting thoughts of death but no suicidal ideation (n = 74) were older (OR (95% confidence interval) = 1.04 (1.00–1.08)) and more severely depressed (OR = 1.06 (1.04–1.08)), whereas patients with suicidal ideation (n = 37) were also more severely depressed (OR = 1.09 (1.06–1.13)), but not older. This latter group was further characterized by more psychiatric comorbidity (dysthymia OR = 2.28 (1.08–4.85)), panic disorder (OR = 2.27 (1.00–518)), at-risk alcohol use (OR = 4.10 (1.42–11.90)), lifetime suicide attempts (OR = 3.37 (1.46–7.75)), loneliness (OR = 1.24 (1.07–1.43)), and recent life events (OR = 3.14 (1.48–6.67)).Conclusions:In depressed older persons thoughts of death and suicide differ in relevant demographic, social, and clinical characteristics, suggesting that the risks and consequences of the two conditions differ. |
| Databáze: | OpenAIRE |
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