Wei Zhang1, Hansheng Ding2,3, Peng Su1, Guangfeng Duan1, Rong Chen3, Junrui Long1, Lixia Du2,3, Chunyan Xie2,3, Chunlin Jin2,3,4, Chaoqun Hu1, Zixue Sun1, Lingling Gong5, Wenhua Tian1. 1. a Department of Health Services Management , The Second Military Medical University , Shanghai , China. 2. b Shanghai Medical Information Center , Shanghai , China. 3. c Shanghai Health Development Research Center , Shanghai , China. 4. d Shanghai Population and Development Research Center , Shanghai , China. 5. e Community Health Service Center, Jiangning Street, Jing'an District , Shanghai , China.
Abstract
OBJECTIVES: Disability, which has been proved to be associated with suicide and suicidal ideation, has received little attention in relation to suicidal attempts among the elderly. The aim of this study was to explore the influence of disability on attempted suicide within this demographic. METHOD: A multi-stage cluster sample of 8399 residents aged 60 or more was investigated from 15 communities in Shanghai, China. Disability was measured using the Lawton instrumental activities of daily living (IADL) scale. RESULTS: The prevalence of attempted suicide in the elderly was 0.75%. Specific IADL disabilities, including shopping (OR = 3.01, 95% CI = 1.56-5.81), preparing meals (OR = 4.12, 95% CI = 2.12-8.00), housekeeping (OR = 2.48, 95% CI = 1.01-6.06), doing laundry (OR = 2.82, 95% CI = 1.09-7.35), using transport (OR = 3.10, 95% CI = 1.36-6.99) and medical care (OR = 4.41, 95% CI = 2.10-9.17), were significantly and independently associated with attempted suicide in the elderly. The presence of at least one such disability was associated with an almost threefold increase in the attempted suicide rate, and the presence of five or more IADL disabilities was associated with an approximate fivefold increase in the attempted suicide rate. CONCLUSION: Specific IADL disabilities, such as preparing meals or dealing with medical care, may be significant predictive factors for risk of suicidal attempts among the elderly. Therefore, elderly people with certain disabilities should be considered for suicide prevention interventions and should be supported in IADL as much as possible.
OBJECTIVES: Disability, which has been proved to be associated with suicide and suicidal ideation, has received little attention in relation to suicidal attempts among the elderly. The aim of this study was to explore the influence of disability on attempted suicide within this demographic. METHOD: A multi-stage cluster sample of 8399 residents aged 60 or more was investigated from 15 communities in Shanghai, China. Disability was measured using the Lawton instrumental activities of daily living (IADL) scale. RESULTS: The prevalence of attempted suicide in the elderly was 0.75%. Specific IADL disabilities, including shopping (OR = 3.01, 95% CI = 1.56-5.81), preparing meals (OR = 4.12, 95% CI = 2.12-8.00), housekeeping (OR = 2.48, 95% CI = 1.01-6.06), doing laundry (OR = 2.82, 95% CI = 1.09-7.35), using transport (OR = 3.10, 95% CI = 1.36-6.99) and medical care (OR = 4.41, 95% CI = 2.10-9.17), were significantly and independently associated with attempted suicide in the elderly. The presence of at least one such disability was associated with an almost threefold increase in the attempted suicide rate, and the presence of five or more IADL disabilities was associated with an approximate fivefold increase in the attempted suicide rate. CONCLUSION: Specific IADL disabilities, such as preparing meals or dealing with medical care, may be significant predictive factors for risk of suicidal attempts among the elderly. Therefore, elderly people with certain disabilities should be considered for suicide prevention interventions and should be supported in IADL as much as possible.
Authors: P Su; H Ding; W Zhang; G Duan; Y Yang; J Long; L Du; C Xie; C Jin; C Hu; Z Sun; Z Duan; L Gong; W Tian Journal: J Nutr Health Aging Date: 2017 Impact factor: 4.075
Authors: Pian-Pian Zheng; Zi-Le Guo; Xiao-Jing Du; Han-Mo Yang; Zhen-Jie Wang Journal: Int J Environ Res Public Health Date: 2022-01-31 Impact factor: 3.390
Authors: Le Zheng; Oliver Wang; Shiying Hao; Chengyin Ye; Modi Liu; Minjie Xia; Alex N Sabo; Liliana Markovic; Frank Stearns; Laura Kanov; Karl G Sylvester; Eric Widen; Doff B McElhinney; Wei Zhang; Jiayu Liao; Xuefeng B Ling Journal: Transl Psychiatry Date: 2020-02-20 Impact factor: 6.222