scholarly journals Are sedatives and hypnotics associated with increased suicide risk of suicide in the elderly?

2009 ◽  
Vol 9 (1) ◽  
Author(s):  
Anders Carlsten ◽  
Margda Waern
Keyword(s):  
Suicide Risk ◽  
The Elderly

Introduction

2016 ◽  
Author(s):  
Phillip Kleespies
Keyword(s):  
At Risk ◽  
Children And Adolescents ◽  
Crisis Intervention ◽  
Suicide Risk ◽  
The Elderly ◽  
Integrative Approach ◽  
Emergency Intervention ◽  
Interpersonal Victimization ◽  
Behavioral Emergencies ◽  
Psychological Risks

This book is about behavioral emergencies and the association between interpersonal victimization and subsequent suicidality and/or risk for violence toward others. Section I focuses on the differences between behavioral crises and behavioral emergencies and presents an integrative approach to crisis intervention and emergency intervention. Section II discusses the evaluation of suicide risk, risk of violence, and risk of interpersonal victimization in children and adolescents. Sections III and IV explore behavioral emergencies with adults and the elderly, while Section V deals with certain conditions or behaviors that may either need to be differentiated from a behavioral emergency, or understood as relevant to possibly heightening risk. Section VI describes treatments for patients with recurrent or ongoing risks, and Section VII is devoted to legal, ethical, and psychological risks faced by clinicians who work with patients who might be at risk to themselves or others.

Sociodemographic and clinical profile in elderly suicide victims: 34 autopsy case studies

2017 ◽  
Vol 41 (S1) ◽  
pp. s887-s887
Author(s):  
S. Ellouze ◽  
I. Baati ◽  
W. Ben Amar ◽  
D. Trigui ◽  
W. Abbes ◽  
...  
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Suicide Risk ◽  
Public Health Problem ◽  
The Elderly ◽  
University Hospital ◽  
Major Public Health Problem ◽  
Treatment Of Depression ◽  
Competing Interest ◽  
Elderly Suicide

IntroductionThe elderly suicide is a major public health problem that is gaining more and more ground, given the aging population problem. This has rarely been the subject of forensic studies in Tunisia.ObjectivesTo identify the sociodemographic and clinical characteristics of elderly suicide victims over 60 years and to determine what factors might increase suicide risk in this population.MethodsWe conducted a retrospective study on suicide victims aged 60 and over, autopsied in forensic medicine department of the Habib Bourguiba university hospital in Sfax (Tunisia), on a 10-year period (January 2006–December 2015).ResultsWe identified 34 cases with an average age of 66 years. The sex ratio was 2.77. Suicide victims were alone in 38.2% of cases. They were inactive professionally in 32.4% of cases. Almost half of them (44.1%) had a psychiatric history, 40% of depressed pace, 26.7% of bipolar disorder and 13.3% of schizophrenia.Three main factors were identified as precipitating the passage to suicidal act: family conflicts (26.5%), financial difficulties (11.8%) and loss of autonomy (5.9%).Suicide methods were hanging (50%), immolation and drug intoxication (11.8%), hit by train and poisoning (8.8%), jumping from height (5.9%) and drowning (2.9%). In 55.8% of cases, suicide took place at home.ConclusionElderly suicide seems to be a huge but largely preventable public health problem. Its prevention is essentially based on the identification of risk situations and the detection and treatment of depression: major suicide risk factor in this population.Disclosure of interestThe authors have not supplied their declaration of competing interest.

FC13-04 - Suicide risk in relation to age and psychiatric hospitalization

2011 ◽  
Vol 26 (S2) ◽  
pp. 1885-1885
Author(s):  
J. Reutfors ◽  
L. Brandt ◽  
K. Sparring Björkstén ◽  
A. Ekbom ◽  
U. Ösby
Keyword(s):  
Suicide Risk ◽  
Psychiatric Hospitalization ◽  
Conditional Logistic Regression ◽  
Age Groups ◽  
The Elderly ◽  
Population Based ◽  
Age Group ◽  
Post Discharge ◽  
History Of ◽  
Control Study

IntroductionSuicide risk is increased in patients with a history of psychiatric hospitalization.AimTo explore how suicide risk varies by age during psychiatric hospitalization and in the year post-discharge.MethodsThis is a population-based case-control study of all suicides (n = 20,675; 70% male) in Sweden aged ≥18 years during 1991–2003. Each suicide was individually matched to 10 population controls by age, sex, and county of residence. Discharge diagnoses of a mental disorder (except dementia and other organic disorders) in the year prior to suicide were identified by register linkage. Odds ratios (OR) were calculated by conditional logistic regression to estimate the relative risk of suicide in those with psychiatric diagnoses compared to the general population. ORs were estimated by age group (18–34 years, 35–49 years, 50–64 years, and ≥ 65 years) and timing of the suicide in relation to discharge.ResultsDuring hospitalization, the youngest age group had the greatest suicide risk elevation [OR 64 (95% CI 44-92)]. In the first month post-discharge, the oldest age group had the highest suicide risk elevation [OR 162 (95% 66–399) in the first week and OR 127 (95% 67–242) in the second to fourth weeks]. In the remaining eleven months, suicide risk elevation was lower and relatively similar in different age groups.ConclusionsDuring the year following psychiatric hospitalization, an especially high attention should be paid to the suicide risk of the elderly patients in the first month post-discharge.

Gender and age group differences in suicide risk associated with co-morbid physical and psychiatric disorders in older adults

2016 ◽  
Vol 29 (2) ◽  
pp. 249-257 ◽  
Author(s):  
Helen-Maria Vasiliadis ◽  
Catherine Lamoureux-Lamarche ◽  
Samantha Gontijo Guerra
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Service ◽  
Suicide Risk ◽  
Service Use ◽  
The Elderly ◽  
Health Service Use ◽  
Age Group ◽  
Co Morbidity ◽  
Gender And Age

ABSTRACTBackground:It is unclear whether health service use influences the association between psychiatric and physical co-morbidity and suicide risk in older adults.Methods:Controls were older adults (n = 2,494) participating in a longitudinal study on the health of the elderly carried out between 2004 and 2007, in Quebec. The cases were all suicide decedents (n = 493) between 2004 and 2007, confirmed by the Quebec Coroner's office. Multivariate analyses were carried out to test the association between suicide and the presence of psychiatric and physical illnesses controlling for health service use and socio-demographic factors by gender and age group. Interaction terms were also tested between suicide and co-morbidity on outpatient service use.Results:The presence of physical illnesses only, was associated with a reduced risk of suicide across all sex and age groups. The presence of a mental disorder only was associated with an increased risk of suicide overall and specifically in females and those aged 70 to 84 years of age. Suicide risk was lower in those with a psychiatric and physical co-morbidity and consulting mental health services.Conclusions:Increased mental health follow-up in older adults with psychiatric illnesses is needed for the detection of suicidal behavior and reducing suicide risk in males. Further research should focus on the mitigating effect of the presence of physical illnesses on stigma and health service use and the presence of social support in the elderly.

Suicide and Aging II: The Psychobiological Interface

1995 ◽  
Vol 7 (2) ◽  
pp. 165-181 ◽  
Author(s):  
Yeates Conwell ◽  
Wilfrid N. Raby ◽  
Eric D. Caine
Keyword(s):  
Suicidal Behavior ◽  
Suicide Risk ◽  
The Elderly ◽  
Biological Aging ◽  
Future Research ◽  
Functional Integrity ◽  
Suicide Rates ◽  
Serotonin System ◽  
Neuroendocrine Systems

There is an accumulating body of research suggesting that suicidal behavior may be associated with abnormalities of the central serotonin system. Other monoaminergic, peptidergic, and neuroendocrine systems have been implicated as well. A review of studies that examine neurobiological variables in postmortem tissue of suicide victims and controls reveals that investigators in most instances have viewed age as a confound to be controlled rather than considering it as a variable of interest. However, the close associations between aging and increased suicide rates, and the knowledge that the functional integrity of many of these same systems changes with normal and abnormal aging processes, raise the possibility that biological aging contributes to suicide risk, and that the underlying neurobiology of suicide in the elderly differs from that of younger people. The few available studies that did examine the association of age with neurobiological measures indicate directions for future research into the role that aging may play in determining the biological bases of suicide risk.

Low testosterone levels in aging men may mediate the observed increase in suicide in this age group

2017 ◽  
Vol 16 (1) ◽  
pp. 123-123 ◽  
Author(s):  
Timothy R. Rice ◽  
Leo Sher
Keyword(s):  
Suicide Risk ◽  
The Elderly ◽  
Older Men ◽  
Protective Effects ◽  
Aging Men ◽  
Low Testosterone ◽  
Reward Pathways ◽  
Elderly Suicide ◽  
Mixed Age

Abstract This short communication suggests that there may be biological in addition to psychosocial reasons underlying the rise in suicide among older men. Testosterone, the major male sex hormone, has attracted interest as a putative biological mediator of suicide risk, but observational data have been mixed. Age stratification may reveal that high levels of testosterone in adolescents and young adults but low levels in the elderly may mediate suicide risk. A putative age-testosterone-suicide differential may be mediated by divergent central nervous system architecture between adolescents and the elderly. Whereas the prefrontal and prefontal-limbic connectivity underdevelopment observed in adolescents may render vulnerability to testosterone-mediated increases in impulsivity as a risk factor for suicide, declining function of dopaminergic striato-thalamic reward pathways in the aging cohort may render older men vulnerable to the loss of testosterone’s protective effects against anhedonia, thereby increasing suicide risk through a different biological pathway. Further research is needed regarding the role of hypotestosteronemia in elderly suicide.

FAKTOR DETERMINAN TENTAMEN SUICIDUM PADA PASIEN GANGGUAN JIWA

2019 ◽  
Vol 9 (2) ◽  
pp. 113-118
Author(s):  
Kandar Kandar ◽  
Khusnul Aini
Keyword(s):  
Support System ◽  
Suicide Risk ◽  
The Elderly ◽  
Family Problems ◽  
Mental Patients ◽  
Economic Problems ◽  
Determinant Factors ◽  
The Family ◽  
Good Support ◽  
High Range

Kejadian bunuh diri mengalami peningkatan secara signifikan, dan 90% kejadian adalah orang dengan masalah gangguan jiwa baik dengan diagnose depresi (60%), skizofrenia (23%), dan 17% diantaranya dengan bipolar dan epilepsi. Tujuan penelitian ini adalah untuk mengetahui faktor determinan tentamen suicidum pada pasien gangguan jiwa yang di rawat di RSJD Dr. Amino Gondohutomo Semarang. Di tahun 2018 ditemukan 48 pasien yang di rawat dengan tentamen suicidum, 30 pasien perempuan dan 18 laki-laki. 81% diantaranya adalah usia dewasa dan sisanya remaja dan lansia. Dari status pekerjaan 71% pengangguran dan sisanya swasta dan petani. Stressor yang menjadi penyabab pasien berisko bunuh diri sebagian besar karena masalah keluarga, penyakit dan masalah sosial ekonomi. Tingkat risiko bunuh diri dalam rentang sedang-tinggi, yaitu 38 pasien (79%) risiko sedang dan 10 paien (21%) risiko tinggi bunuh diri. Simpulan dari penelitian ini adalah kejadian tentamen suicidum banyak terjadi pada usia produktif dengan faktor risiko utama masalah keluarga, karena penyakit dan masalah sosial ekonomi. Keluarga hendaknya menjadi support system yang baik bagi pasien.   Kata kunci : Faktor determinan, tentamen suicidum, gangguan jiwa   THE DETERMINANT FACTORS OF TENTAMEN SUICIDUM IN TREATED MENTAL PATIENTS   ABSTRACT Suicide events have increased significantly, and 90% of the cases were people with mental disorders  with depression (60%), schizophrenia (23%), and 17% of them with bipolar and epilepsy. The purpose of this study was to determine the determinant factors of tentamen suicidum in treated mental patients in Dr. Amino Gondohutomo psychiatric hospital. In 2018 there were 48 patients treated with tentamen suicidum, 30 female patients and 18 men. 81% of them are adults and others are teenagers and the elderly. From the employment status of 71% unemployed and other private and farm employees. Stressors that cause patients to suicide risk are mostly due to family problems, diseases and socio-economic problems. The rate of suicide risk is in the medium-high range, 38 patients (79%) have moderate risk and 10 patients (21%) have a high risk of suicide. The conclusion of this study is that the incidence of tentamen suicidum occurs mostly in productive age with the main risk factors for family problems, due to diseases and socio-economic problems. The family should be a good support system for patients.  Keywords: Determinant factors, tentamen suicidum, mental health disorders

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