874. Pathways to Late-Life Suicidal Behavior: Cluster Analysis and Predictive Validation

ABSTRACTBackground: The role of anxiety in late-life suicidal behavior has received relatively little attention. The aim was to explore the association between anxiety symptoms and suicidal feelings in a population sample of 70-year-olds without dementia, and to test whether associations would be independent of depression.Methods: Face-to-face interviews (N = 560) were carried out by psychiatric nurses and past month symptoms were rated with the Comprehensive Psychopathological Rating Scale (CPRS). The Brief Scale for Anxiety (BSA) was derived from the CPRS to quantify anxiety symptom burden. Past month suicidal feelings were evaluated with the Paykel questions.Results: Anxiety symptom burden was associated with suicidal feelings and the association remained after adjusting for major depression. One individual BSA item (Inner tension) was independently associated with suicidal feelings in a multivariate regression model. The association did not remain, however, in a final model in which depression symptoms replaced depression diagnosis.Conclusions: Results from this population study suggest an association between anxiety and suicidal feelings in older adults. The role of anxiety and depression symptoms needs further clarification in the study of suicidal behavior in late life.

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Typology and Factorial Conditioning of Suicidal Behavior of Adolescents

Propósitos y Representaciones ◽

10.20511/pyr2021.v9nspe3.1194 ◽

2021 ◽

Vol 9 (SPE3) ◽

Author(s):

Tatyana I. Bonkalo ◽

Svetlana V. Shmeleva ◽

Janetа H. Sabanchieva ◽

Maria N. Tsygankova ◽

Angela V. Romanova ◽

...

Keyword(s):

Cluster Analysis ◽

Suicidal Behavior ◽

Adolescent Suicide ◽

Personality Types ◽

Personality Characteristics ◽

Insufficient Information ◽

Suicidal Attempts ◽

Survey Results ◽

The One ◽

Emotional Value

The problem of suicidal behavior of an individual continues to remain relevant, due to the increase in the number of suicides among people of different ages, on the one hand, and insufficient information about the factors of suicidal behavior of an individual. The purpose of the study is to identify the factors that determine the formation of a certain type of personality who committed suicidal attempts in adolescence. In order to identify the types of adolescent suicides, there was conducted a survey of 20 doctors in psychiatric clinical hospitals in Moscow. The survey results were processed using cluster analysis. To identify the factorial conditioning of suicidal behavior of each personality type, a complex of psychodiagnostic techniques was used, focused on the study of the characteristics of the emotional, value-semantic and behavioral spheres of the personality. The obtained empirical data were processed with the help of factor analysis. Three clusters have been identified that combine similar personality characteristics of suicides. It was specified that among adolescents there are the following personality types: “militant” (22%), “sacrifice” (54%) and “self-deprecating” (24%). Each type of adolescent suicide is due to the characteristics of the emotional, value-semantic and behavioral spheres of their personality. To develop targeted programs for the prevention of suicidal behavior among adolescents, it is necessary to take into account the results of the study, since such programs should be aimed at blocking the factors that form a certain type of suicide.

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Value-Based Choice, Contingency Learning, and Suicidal Behavior in Mid- and Late-Life Depression

Biological Psychiatry ◽

10.1016/j.biopsych.2018.10.006 ◽

2019 ◽

Vol 85 (6) ◽

pp. 506-516 ◽

Cited By ~ 10

Author(s):

Alexandre Y. Dombrovski ◽

Michael N. Hallquist ◽

Vanessa M. Brown ◽

Jonathan Wilson ◽

Katalin Szanto

Keyword(s):

Suicidal Behavior ◽

Late Life ◽

Contingency Learning ◽

Late Life Depression

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A systematic review of association between pain and suicidal behavior in elderly people

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.2070 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S174-S174

Author(s):

J. Santos ◽

S. Martins ◽

L.F. Azevedo ◽

L. Fernandes

Keyword(s):

Systematic Review ◽

Chronic Pain ◽

Risk Factor ◽

Elderly People ◽

Suicidal Behavior ◽

Suicidal Behaviour ◽

Suicide Ideation ◽

Late Life ◽

Psychological Pain ◽

Competing Interest

IntroductionSuicide rates worldwide are highest in elderly people compared to younger ages. The recognition of risk factors for late life suicide may be crucial, since one in four attempts is consummated. In this context, pain has been identified as a major event raising the probability for suicide in elders although very little research has examined this association.ObjectiveTo conduct a systematic review to examine whether pain is a risk factor for suicidal behaviour (suicide ideation/attempt/suicide) in elderly people.MethodsThe Cochrane Collaboration's guidelines and PRISMA statement were used. The electronic databases considered were MEDLINE, ISI Web of Knowledge, Scopus and PsycARTICLES. Search terms were “pain”, “suicide*” and “elderly”. Studies that assessed the relation between pain and suicidal behavior among people aged ≥ 60 years were included.ResultsOf the 2655 references founded, only 41 articles met the inclusion criteria. Most of the quantitative studies concluded that there is a relationship between pain and late life suicidal ideation, in particular severe and chronic pain. Physical or psychological pain was also reported as the cause of attempting suicide in two studies and was considered an important risk factor for committed suicide in eight of them.ConclusionThe results suggest that pain is a risk factor for suicidal behaviour in elderly people, especially suffering from severe and chronic pain, which are in accordance with previous reviews in this field. Future studies are needed to clarify this association and highlight about the importance of pain in suicide prevention initiatives for elders.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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