scholarly journals Suicide in the elderly: an epidemiologic study

Author(s):  
Mariana Cristina Lobato dos Santos ◽  
Barbara Bartuciotti Giusti ◽  
Clarissa Ayri Yamamoto ◽  
Suely Itsuko Ciosak ◽  
Regina Szylit

ABSTRACT Objective: To analyze the incidence and means of elderly suicide in Brazil. Method: Epidemiologic, cross-sectional, quantitative, and retrospective study. The data were obtained in a platform maintained by the Ministry of Health and analyzed. The mortality rate was calculated and means and percentages regarding the employed means of suicide were obtained. Results: In this period, 8,977 suicides took place among the population over 60 years. The highest suicide rates were concentrated in the population over 80, which presented a mean 8.4/100,000 for this period, and between 70 and 79 years, with a mean rate of 8.2/100,000. Considering the total elderly population over 60 years, this value reached 7.8/100,000, whereas in the general population this was 5.3/100,000. The values are always higher among the elderly population: the mean rate in the last five years among the elderly is 47.2% higher than the mean for the general population. The main mean of suicide was hanging (68%), followed by firearm (11%), self-intoxication (9%), falling from a high place (5%), and undefined or undetermined means (6%). Conclusion: Epidemiologic analyses bring visibility to the dyad aging and suicide, corroborating the pertinence of this theme.

1992 ◽  
Vol 160 (4) ◽  
pp. 558-559 ◽  
Author(s):  
Ee Heok Kua ◽  
Soo Meng Ko

In the general population of Singapore the mean annual suicide rate over 1985–88 was highest in the Indians (20.4 per 100 000), followed by Chinese (15.8 per 100 000), and the Malays (2.4 per 100 000). However, in the elderly population (65 years and over) the rate was highest in the Chinese (61.2 per 100 000) with Indians second (30.5 per 100 000), and Malays still the lowest (3.2 per 100 000). Among elderly Chinese, women had a higher suicide rate than men.British Journal of Psychiatry (1992), 160, 558–559


2015 ◽  
Vol 8 (7) ◽  
pp. 68 ◽  
Author(s):  
Fereshteh Farzianpour ◽  
Mohammad Arab ◽  
Abbas Rahimi Foroushani ◽  
Esmaeil Morad Zali Mehran

<p><strong>BACKGROUND &amp; OBJECTIVES:</strong> The objective of this study was to evaluate the elderly quality of life of people covered by the healthcare centers in Tehran and its influencing demographic and background factors.</p><p><strong>METHOD:</strong> This is a cross-sectional study of quality of life of the elderly population covered by healthcare centers and bases in Tehran, as well as the influential background and demographic factors. Sampling was performed using simple random stratified sampling proportionate to the size of strata. Data were collected using the Iranian version of the standard questionnaire Short Form Health Survey (SF-36).</p><p><strong>RESULTS:</strong> According to the findings, 240 (60%) of the cases were men and 160 (40%) were women. Regarding age distribution, 76.3% fell in the 60-69 age range and 87.2% were illiterate. 18% of the elderly stated that they have financial problems and 19.5% did not express any financial problems. While studying the relationship between financial status and health status with the mean scores of quality of life, statistically significant differences were observed in all domains (p=0.032&lt;0.001). The mean quality of life was lower in women compared to men.<strong> </strong></p><p><strong>CONCLUSIONS:</strong> The findings of the present study indicate that the health-related quality of life in the elderly population is influenced by their health status and demographic and background variables.</p>


2013 ◽  
Vol 35 (1) ◽  
pp. E8 ◽  
Author(s):  
Nader S. Dahdaleh ◽  
Albert P. Wong ◽  
Zachary A. Smith ◽  
Ricky H. Wong ◽  
Sandi K. Lam ◽  
...  

Object Cervical spondylotic myelopathy (CSM) is a common cervical degenerative disease that affects the elderly population. Spinal cord decompression is achieved through various anterior and posterior approaches including anterior cervical decompression and fusion, laminectomy, laminoplasty, and combined approaches. The authors describe another option, minimally invasive endoscopically assisted decompression of stenosis (MEDS), which obviates the need for muscle dissection and disruption of the posterior tension band, a cause of postlaminectomy kyphosis. Methods The authors conducted a retrospective study of 10 patients with CSM who underwent MEDS from January 2002 through July 2012. Data were collected on demographics, preoperative and postoperative Nurick scores, postoperative Odom scores, and preoperative and postoperative Cobb angles. Results The mean patient age (± SD) was 67 ± 7.7 years; 8 patients were male. The average number of disc levels operated on was 2.2 (range 1–4). The mean Nurick score was 1.6 ± 0.7 preoperatively and improved to 0.3 ± 0.7 postoperatively (p < 0.0005). The postoperative Odom scores indicated excellent outcomes for 4 patients, good for 3, fair for 2, and poor for 1. The average preoperative focal Cobb angle at the disc levels operated on was −0.43º ± 1.9º. The average Cobb angle at the last follow-up visit was 0.25° ± 1.6° (p = 0.6). The average follow-up time was 18.9 ± 32.1 months. There were no intraoperative or postoperative complications. Conclusions For selected patients with CSM, whose pathologic changes are primarily posterior and who have acceptable preoperative lordosis, MEDS is an alternative to open laminectomy and laminoplasty.


1995 ◽  
Vol 7 (2) ◽  
pp. 309-317 ◽  
Author(s):  
Soo Meng Ko ◽  
Ee Heok Kua

In the cosmopolitan city of Singapore the annual suicide rates in the general population from 1985 to 1991 remained fairly constant, with a mean of 15.3 per 100,000. It was highest among Indians (19.5 per 100,000), followed by Chinese (16.2 per 100,000) and Malays (2.3 per 100,000). The suicide rates were higher in elderly people (aged 65 years and over) than in younger age groups (10 to 64 years) and in males than in females. For the elderly, the mean annual suicide rate for this period was 52.0 per 100,000. However, it was highest among Chinese, with 59.3 per 100,000, followed by Indians at 33.9 per 100,000, and, again, lowest among Malays, with 3.0 per 100,000. Possible sociocultural factors are proposed to account for differences in suicide rates among these ethnic groups.


2021 ◽  
Vol 12 (1) ◽  
pp. 27-32
Author(s):  
MN Fahmida Asma ◽  
Fouzia Yesmin ◽  
Musarrat Haque

Background: Ageing is an inevitable process with some specific and distinctive health problems. With increase in life expectancy the elderly population is increasing day by day, so is the concern for the different aspects of their health problems. Objectives: The present study was conducted to find out the proportion of morbidity and morbidity pattern among the elderly population (60 years and above) of a selected rural area of Bangladesh. Methodology: This was a cross-sectional type of descriptive study was conducted from January, 2019 to April, 2019. Two hundred and twenty one elderly people from Kaliakoir Upazilla under the district of Gazipur were interviewed. Data were collected by face to face interview through an interviewer administered semi-structured questionnaire. The study place was selected conveniently and the sampling technique was purposive type of non-probability sampling. Results: Out of 221 respondents 91% (201) had morbidity of any kind related to their health. Common forms of morbidities were musculoskeletal problems (50.3%), hypertension (43.8%), PUD and hyperacidity (27.4%), diabetes mellitus (21.4%) and respiratory problems (19.4%). The mean age of the respondents in this study was 64.97 (± 6.120) years. Maximum proportion (55.2%) belonged to the age group of 60 to 64 years. Among the total 221 respondents 55.7% were female and 44.3% were male. Morbidity among the males was 88.8% and among the females was 92.7%.Most (86.4%) of the respondents were Muslims. Majority (81%) of the respondents was married and only 19% were widow/ers. Fifty five percent of the respondents were literate having different levels of education. The most common occupation among the males was farmer (40%) and among the females was housewife (51.1%).The mean monthly family income was Tk.18,800(±Tk.19210.336) and majority (53.8%) belonged to middle income group (Tk.10001 to Tk.30000). Most (53.8%) of the respondents lived in joint family. Fifty two percent lived in semi pucca house, 78.7% used tube wells as their source of drinking water but unexpectedly 18.6% still used non-sanitary latrines. Out of 201 morbid respondents majority (60.2%) were diagnosed by MBBS doctors and 60.7% were diagnosed in government hospitals. Most (86.6%) of the respondents took some sort of treatment and 10% did not take any treatment. Remaining 3.5% took partial treatment. Most common form of treatment taken by the respondents was medicine (87.4%). Majority (60%) of 20 respondents who did not take any kind of treatment was due to poverty and rest 40% was due to negligence. Conclusion: To build up awareness and to explore the situation in detail, in-depth community based epidemiological study may be carried out. J Shaheed Suhrawardy Med Coll, December 2020, Vol.12(1); 27-32


2020 ◽  
Vol 20 (1) ◽  
pp. e00471-e00471
Author(s):  
Dinaz Razai ◽  
Mohammad Reza Ghadirzadeh ◽  
Seyed Amirhosein Mahdavi ◽  
Jalil Hasani ◽  
Seyed Saeed Hashemi Nazari

Background: We aimed to investigate the suicide rate led to death in the elderly population of Iran between 2008 and 2014. Study design: A cross-sectional study. Methods: The present study was conducted on all suicide-related deaths in elderly people (≥65 yr) during the years 2008 to 2014 reported to the Iranian Legal Medicine Organization. For data collection, legal medicine standard form was used and the cases were classified by age, gender, suicide way and time (year). The incidence of death from suicide was calculated by age and sex. Statistical soft-ware stata12 was used to analyze data. The significance level has been considered to be 0.05. Results: Overall, 1,601 suicide-related deaths were investigated throughout the country. The mean age was 70.36 ± 0.17 years. The incidence trend (per 100,000 people) of the elderly suicides in Iran indicates that successful suicides have been on the rise, rising from 3.7 in 2008 to 4.37 per 100,000 people in 2014. Conclusions: It is necessary to identify and treat suicidal important predisposing factors of suicide such as psycho-social illnesses including depression and also implement prevention programs and policies for this fast-rising population age-group.


2015 ◽  
Vol 18 (15) ◽  
pp. 2874-2880 ◽  
Author(s):  
Kumari M Rathnayake ◽  
MPPM Wimalathunga ◽  
Michelle Weech ◽  
Kim G Jackson ◽  
Julie A Lovegrove

AbstractObjectiveThe present study aimed to assess nutritional status, dietary diversity and lifestyle risk factors associated with undernutrition in an institutionalised Sri Lankan elderly population.DesignThe study was of cross-sectional design followed by a stratified sampling method.SettingTwelve homes for the elderly recruited from six provinces in Sri Lanka.SubjectsA total of 311 institutionalised elderly aged ≥60 years.ResultsThe mean age of the study population was 75 (sd 8) years. Prevalence of undernutrition was 30 %. Mean food variety score, dietary diversity score and dietary serving score of the study population were 8·7 (sd 1·5), 7·3 (sd 1·2) and 10·9 (sd 2·0), respectively. Mean daily intakes of fruit, vegetables, meat, fish, eggs and pulses and dairy portions were below the national recommendations, whereas the mean consumption of sugar exceeded the national recommendation. Only the mean intake of starch was within the recommendation. Food allergies (OR=8·0; 95 % CI 3·9, 16·2), skipping meals (OR=3·8; 95 % CI 2·0, 7·5) and lack of leisure activities (OR=3·1; 95 % CI 1·5, 6·7) significantly increased the risk of undernutrition, whereas the use of dentures decreased the risk (OR=0·20; 95 % CI 0·06, 0·69).ConclusionsHigh prevalence of undernutrition and low dietary diversity were observed in an institutionalised elderly Sri Lankan population. Therefore, there is an urgent need to implement nutrition interventions as part of geriatric care to reduce undernutrition and improve the diets of the institutionalised elderly population in Sri Lanka.


BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e041755
Author(s):  
Srinivas Marmamula ◽  
Satya Brahmanandam Modepalli ◽  
Thirupathi Reddy Kumbham ◽  
Rajesh Challa ◽  
Jill E Keeffe

ObjectivesTo assess the prevalence of disabilities (vision, hearing, mobility, cognitive, self-care and communication) and non-communicable diseases (NCDs) among the elderly population in two districts in Telangana, India.DesignPopulation-based cross-sectional study using a cluster random sampling method to select the study clusters.SettingElderly population in Khammam and Warangal districts were recruited. Detailed interviews were conducted by trained community health workers. Personal and demographic information such as age, gender, level of education and a self-report of NCDs was collected. The Washington Disability Questionnaire was administered to assess the presence of disabilities.Participants1821 participants aged ≥60 years, 54.5% were women, and 73.3% had no education.Primary outcome measurePrevalence of disabilities and NCDs.ResultsOverall, the prevalence of at least disability was 20.3% (95% CI 16.3 to 24.9). The prevalence of self- reported disabilities were: seeing (5.9%; 95% CI 4.4 to 7.8), mobility (12.8%; 95% CI 9.7 to 16.8), hearing (3.6%; 95% CI 2.7 to 4.8), cognition (4.8%; 95% CI 3.5 to 6.7), self-care (3.3%; 95% CI 2.3 to 4.7) and communication (1.8%; 95% CI 1.2 to 2.6). Overall, the prevalence of at least one NCD was 34.2% (95% CI 30.9 to 37.7). Hypertension was the most common systemic condition (25.4%; 95% CI 22.4 to 28.7), followed by diabetes (9.0%; 95% CI 7.3 to 11.0), and body pains (muscle-skeletal) (9.9%; 95% CI 8.1 to 12.2).ConclusionEvery fifth elderly person in the districts of Khammam and Warangal in Telangana had at least one self-reported disability. Besides, a third of the elderly had at least one NCD. There is a definite need to develop comprehensive public health strategies to address disabilities and NCDs in Telangana.


2020 ◽  
Vol 27 (1) ◽  
Author(s):  
Mahmoud Abdel Hameed Shahin ◽  
Rasha Mohammed Hussien

Abstract Background People’s perceptions of pandemic-associated risk are key factors contributing to increased public participation in disease preventive measures. The aim of the study was to investigate risk perceptions regarding the coronavirus disease 2019 (COVID-19) outbreak, among the general population. A descriptive, cross-sectional design was used with a convenience sample of 723 participants, recruited from the general population of Saudi Arabia, Egypt, and Jordan. Data collection was performed using a standardized risk perception assessment questionnaire, in April 2020. Results The mean score for the perception of COVID-19 seriousness was significantly higher and the mean scores for the perception of disease susceptibility and extent of anxiety were also higher among Saudi Arabian participants than participants from Egypt and Jordan. Participants from Egypt had significantly lower mean scores for the perception of efficacy and self-efficacy to cope with COVID-19, and significantly lower intention to comply with COVID-19 precautionary measures than the other populations. A significant positive correlation was detected between the perception of COVID-19 seriousness and self-efficacy to handle COVID-19, for the entire sample. The primary reasons reported by participants driving their willingness to perform certain preventive measures against COVID-19 was a feeling of responsibility toward their own health, followed by preventing transmission to other people and the feeling that COVID-19 can be serious. Most of the study sample reported a desire to receive information about COVID-19 treatment, ways to prevent disease contraction, and the incubation period for the novel coronavirus. Also, most of the study sample reported that they prefer receiving COVID-19 updates from national authorities. Conclusions During the COVID-19 pandemic, communications designed to promote the adoption of preventive behaviors should focus on increasing the perception of seriousness, the risk perception, self-efficacy to cope with the COVID-19 pandemic, and the effectiveness of the adopted behavioral measures for reducing risk. Health education programs that are tailored to various sociodemographic categories, to improve public awareness, perceptions, and attitudes, are vital for increasing the adoption of outbreak preventive measures.


Author(s):  
M.K. Sreelakshmi ◽  
Suneesh Kuruvilla ◽  
Ramanarayanan Subramaniam ◽  
Pooja Latti ◽  
Ramanarayanan Venkitachalam

Abstract Background: Chengannur, a town in the south Indian state of Kerala, was 1 of the worst affected towns during the floods of 2018. Post-flood, Kerala state was under the threat of many infectious diseases including leptospirosis, but did not report any leptospirosis infections. Objectives: This study was conducted with the following objectives: (1) Assess the knowledge, attitude and practices regarding the prevention of leptospirosis among the flood affected population and Accredited Social Health Activists (ASHAs) of Chengannur; and (2) Analyze the factors responsible for and contributing to leptospirosis control in the area post flood. Methodology: A cross-sectional questionnaire based observational study was conducted among 2 groups: the flood affected population, and ASHA. The questionnaire was divided into 3 parts. Part A contained the socio-demographic information. Part B contained questions on assessment of knowledge, attitude, and practices regarding the prevention, and control of leptospirosis. Part C was only for the ASHA involved. Results: The final sample size was 331 (244 from the general population and 87 ASHAs). With respect to knowledge, attitude, and practice, the responses were dichotomized into correct and wrong responses. The mean knowledge score was 9.01 ± 1.08 (maximum score of 10), mean attitude score was of 3.61 ± 0.55 (maximum score of 4) and the mean practice score was 4.12 ± 1.05 (maximum score of 5). Conclusion: Knowledge and attitude scores did not significantly differ between the general population and ASHA, but the practice score showed a higher score among the ASHA, all of which could have probably contributed to the prevention of a leptospirosis outbreak in the region.


Sign in / Sign up

Export Citation Format

Share Document