Suicidal Ideation among Older Adults Who Live Alone with Care Services : a Moderating Effect of Alcohol Drinking in the Relationship between Previous Suicidal Attempts and Suicidal Ideation

Abstract Background Understanding how living arrangements may affect psychological well-being (PWB) is critical in China, a society with the largest older population in the world. However, few studies have examined the moderating effect of income sources on the relationship between living arrangements and PWB. Our aim was to examine whether living arrangements are associated with PWB and whether income sources moderate this association. Methods The data were drawn from the third (2002) to sixth (2011/2012) waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Six questions reflecting older adults’ well-being were used to measure PWB. Living arrangements were classified as follows: living alone, living with family and living in an institution. Income sources were categorized into financially independent, supported by children, and governmental support. We performed random-effects ordinal probit models to examine the association of living arrangements with PWB and the moderating effect of income sources on this relationship. Results We included a total sample of 30,899 observations for 16,020 respondents aged 65 and over during 9-year follow-up. Older adults living with family (β = .29, p < .001) and those living in an institution (β = .34, p < .001) had stronger PWB than those living alone; moreover, support from children (β= −.24, p < .001) or from the government (β= −.08, p < .05) has a negative effect on PWB compared to the effect of financial self-support. Living in an institution with support from children (β= −.22, p < .05) led to lower PWB than living alone with financial self-support. The opposite result was observed for older adults living with their family and supported by the government (β = .16, p < .05). Conclusions Our analysis provides a significant contribution to the existing literature on the relationship between living arrangements and PWB in China. We recognize that living with family or in an institution leads to better PWB than does living alone. In addition, financial support from the government can moderate this association.

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What Accounts for the Relationship Between Internet Use and Suicidal Ideation of Korean Older Adults? A Mediation Analysis

The Journals of Gerontology Series B ◽

10.1093/geronb/gbw163 ◽

2016 ◽

pp. gbw163 ◽

Cited By ~ 3

Author(s):

Hey Jung Jun ◽

Myoung-Yong Kim

Keyword(s):

Older Adults ◽

Suicidal Ideation ◽

Mediation Analysis ◽

Internet Use ◽

The Relationship

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The moderating effect of psychedelics on the prospective relationship between prescription opioid use and suicide risk among marginalized women

Journal of Psychopharmacology ◽

10.1177/0269881118798610 ◽

2018 ◽

Vol 32 (12) ◽

pp. 1385-1391 ◽

Cited By ~ 5

Author(s):

Elena Argento ◽

Melissa Braschel ◽

Zach Walsh ◽

M Eugenia Socias ◽

Kate Shannon

Keyword(s):

Suicidal Ideation ◽

Confidence Interval ◽

Suicide Risk ◽

Moderating Effect ◽

Prescription Opioid ◽

P Value ◽

Opioid Use ◽

Marginalized Women ◽

Prescription Opioid Use ◽

The Relationship

Background/aims: Given high rates of depression and suicide among marginalized women, and increasing calls to integrate trauma-informed biomedical and community-led structural interventions, this study longitudinally examines the potential moderating effect of psychedelic use on the relationship between other illicit drug use and suicide risk. Methods: Data (2010–2017) were drawn from a community-based, prospective open cohort of marginalized women in Vancouver, Canada. Extended Cox regression analyses examined the moderating effect of psychedelic use on the association between other illicit drug use and incidence of suicidal ideation or attempt over follow-up. Results: Of 340 women without suicidal ideation or attempt at baseline, 16% ( n=53) reported a first suicidal episode during follow-up, with an incidence density of 4.63 per 100 person-years (95% confidence interval 3.53–6.07). In unadjusted analysis, psychedelic use moderated the relationship between prescription opioid use and suicide risk: among women who did not use psychedelics, prescription opioid use increased the hazard of suicide (hazard ratio 2.91; 95% confidence interval 1.40–6.03) whereas prescription opioid use was not associated with increased suicidal ideation or attempt among those who used psychedelics (hazard ratio 0.69; 95% confidence interval 0.27–1.73) (interaction term p-value: 0.016). The moderating effect of psychedelics remained significant when adjusted for confounders (interaction term p-value: 0.036). Conclusions: Psychedelic use had a protective moderating effect on the relationship between prescription opioid use and suicide risk. In the context of a severe public health crisis around prescription opioids and lack of addiction services tailored to marginalized women, this study supports calls for innovative, evidence-based and trauma-informed interventions, including further research on the potential benefits of psychedelics.

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