Journal ArticleDOI
Mental Disorder in Elderly Suicides: A Case-Control Study
Margda Waern,Bo S. Runeson,Peter Allebeck,Jan Beskow,Eva Rubenowitz,Ingmar Skoog,Katarina Wilhelmsson +6 more
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TLDR
The findings of this study suggest that elderly individuals who commit suicide represent a heterogeneous group with regard to mental disorders, implying a need for differentiated prevention strategies.Abstract:
OBJECTIVE: The authors’ goal was to study the importance of different psychiatric disorders in relation to suicide in individuals 65 years old or older. METHOD: The psychological autopsy approach was used to study 85 cases of suicide among subjects who were 65 years old or older; 153 living comparison subjects from the same age group who were randomly selected from the tax register were interviewed face-to-face. Retrospective axis I diagnoses were made according to DSM-IV on the basis of interview data and medical records. RESULTS: Ninety-seven percent of the suicide victims fulfilled criteria for at least one DSM-IV axis I diagnosis, compared with 18% of the living comparison subjects. Recurrent major depressive disorder was a very strong risk factor for suicide, as was substance use disorder. An elevated risk was also associated with minor depressive disorder, dysthymic disorder, psychotic disorder, single-episode major depressive disorder, and anxiety disorder. Comorbid axis I disorders were observed i...read more
Citations
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Journal ArticleDOI
Depression in Late Life: Review and Commentary
TL;DR: The extant evidence regarding the etiology of depression in late life from a biopsychosocial perspective is presented and the current therapies prescribed for depressed elders, ranging from medications to group therapy are presented.
Journal ArticleDOI
Depression in the elderly
TL;DR: In elderly people, depression mainly affects those with chronic medical illnesses and cognitive impairment, causes suffering, family disruption, and disability, worsens the outcomes of many medical illnesses, and increases mortality.
Journal ArticleDOI
Psychiatric diagnoses in 3275 suicides: a meta-analysis
TL;DR: Although psychopathology clearly mediates suicide risk, gender and geographical differences seem to exist in the relative proportion of the specific psychiatric disorders found among suicide completers.
Journal ArticleDOI
Risk factors for suicide in later life
TL;DR: This article found that affective disorder is a powerful independent risk factor for suicide in older adults and that social ties and their disruption are significantly and independently associated with risk for suicide, relationships between which may be moderated by a rigid, anxious, and obsessional personality style.
Journal ArticleDOI
Medical illness and the risk of suicide in the elderly.
TL;DR: Treatment for multiple illnesses was strongly related to a higher risk of suicide in elderly patients, and many common illnesses are independently associated with an increased risk of Suicide in the elderly.
References
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Journal ArticleDOI
Suicide as an outcome for mental disorders. A meta-analysis.
E C Harris,B Barraclough +1 more
TL;DR: Almost all mental disorders have an increased risk of suicide excepting mental retardation and dementia, which is highest for functional and lowest for organic disorders with substance misuse disorders lying between.
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Mark D. Miller,Cynthia F. Paradis,Patricia R. Houck,Sati Mazumdar,Jacqueline A. Stack,A. Hind Rifai,Benoit H. Mulsant,Charles F. Reynolds +7 more
TL;DR: The current data suggest that the CIRS(G) can be successfully applied in medically and psychiatrically impaired elderly subjects, with good interrater reliability and face validity (credibility).
Journal ArticleDOI
A comprehensive psychopathological rating scale.
TL;DR: An interdisciplinary group of 15 psychiatrists, psychologists and clinical pharmacologists was formed under the auspices of the Swedish Medical Research Council to study the problem of evaluating change in psychiatric disorders with treatment and decided to construct a new scale covering psychopathological variables likely to be changed by treatment.
Journal ArticleDOI
A Hundred Cases of Suicide: Clinical Aspects
TL;DR: Two recent American studies have shown more than 90 per cent of suicides to be mentally ill before their death, and the familiar clinical observation that suicidal thoughts disappear when the illness is successfully treated provide a strong case for a medical policy of prevention.
Journal ArticleDOI
Mental disorders and comorbidity in suicide.
Markus Henriksson,Hillevi Aro,Mauri Marttunen,M. Heikkinen,Erkki Isometsä,Kimmo Kuoppasalmi,Jouko Lönnqvist +6 more
TL;DR: The majority of suicide victims suffered from comorbid mental disorders, and needs to be taken into account when analyzing the relationship between suicide and mental disorders and in planning treatment strategies for suicide prevention in clinical practice.