Correlates of suicide in the older adult population in Quebec.
ABSTRACT This study was undertaken to describe the characteristics of adults aged 60 years and over who committed suicide in Quebec in 1998-1999. In this study, 42.6% of the suicide cases presented mental disorders at the time of their death, mainly depression. Sixty-five (65.3%) percent of the suicide cases would have been considered as having a mental health disorder if sub-threshold depression cases were included. Only 27.7% of the cases did not express any idea of death during the 6-month period preceding their suicide. One interesting finding was that 53.5% of the suicide cases consulted a general practitioner or specialist during the 2-week period preceding their death. Our results showed that only 8.1% had a severe level of functional limitations at the time of their death. This result leads us to interpret with caution the conclusion of some studies suggesting that physical frailty is a major causal factor associated with suicide among the elderly.
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ABSTRACT: Objective: To determine the influence of individual and neighborhood characteristics associated with suicide in older adults. Method This study used two complementary data sources. The first used administrative data from the Quebec coroner’s office and included information on suicide deaths in older adults aged 65 years and over who died by suicide between 2000 and 2005 (n = 903 persons). The second data source, which was used to identify the control group, came from a longitudinal study on seniors’ health that was conducted in Quebec between 2004 and 2005 (n = 2 493 persons). Logistic regression analyses were used to test for associations between suicide and individual and neighborhood level characteristics. Results Suicide was associated with male gender, age, the presence of a physical and mental disorder and the use of health services. At the neighborhood level, suicide was associated with a higher population density, concentration of men, lower rates of education and higher rate of unemployment. Gender specific analyses also showed different patterns of associations on suicide risk. Conclusions Suicide in older adults is associated with neighborhood and individual characteristics. This suggests that policies targeting only one level of risk factors are less likely to significantly influence suicide among this population.Preventive Medicine 03/2015; 75. DOI:10.1016/j.ypmed.2015.03.015 · 2.93 Impact Factor
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ABSTRACT: This paper summarizes emergent perspective on depression among men.
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ABSTRACT: SUMMARY Among geriatric syndromes, chronic and recurrent depression is salient due to its ravaging effects. Depression is a predisposing factor for chronic diseases and decreases functional status. In the United States, depression alone represents a forty three billion dollar annual expense. Although the prevalence of depression may vary depending on the population studied and the methodology applied, its range is between 10 to 27%. Fatigue, insomnia, and anorexia, in a cyclical fashion, are the milestone symptoms of depression among the elderly. Nevertheless, these symptoms have poor diagnostic specificity, mainly because they may be observed among healthy elders; thus the importance of using reliable screening tools that allow early detection. In order to shed light on this disease, the present article reviews its clinical course and consequences, and describes the use of the geriatric depression scale as the most popular screening instrument for this patient population.