Dae Jong Oh1, Jae Young Park2, Miyoung Oh3, Kayoung Kim2, Jongwoo Hong2, Taehyun Kim2, Ji Won Han4, Tae Hui Kim5, Ki Woong Kim6. 1. Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea. 2. Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea. 3. Osan Mental Health Center, Osan, Republic of Korea. 4. Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea. 5. Department of Psychiatry, Yonsei University Wonju Severance Christian Hospital, Wonju, Republic of Korea. 6. Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Department of Brain and Cognitive Science, Seoul National University College of Natural Sciences, Seoul, Republic of Korea. Electronic address: kwkimmd@snu.ac.kr.
Abstract
BACKGROUND: Data on outcomes of suicidality in the community-dwelling elderly are scarce. We investigated the association of suicidality with the suicide attempts in a community-dwelling elderly cohort. METHODS: In the Osan Mental Health Survey, 848 randomly sampled elderly Koreans participated in the baseline evaluation, 623 completed 2-year follow-up evaluation and 32 died during the follow-up period. The survey was conducted between February 2010 and January 2013. We evaluated suicidality using the Mini-International Neuropsychiatric Interview suicidality module that includes both suicidal ideation and attempts. RESULTS: The incidences of suicidality and suicide attempts were 70.7 and 13.1 per 1000 persons per year, respectively. Suicidality was associated with increased risk of suicide attempts (odds ratio (OR) = 3.84, 95% CI = 1.06-13.87). Two men with suicidality committed suicide by self-poisoning. Moderate to high intensity daily exercise decreased the risk of suicidality to become persistent or recurrent (OR = 0.32, 95% CI = 0.12-0.81). Low education level (OR = 2.41, 95% CI = 1.21-4.77) and depression (OR = 3.02, 95% CI = 1.65-5.53) were associated with risk of incident suicidality. LIMITATIONS: Study sample was enrolled from a single city of Korea, and the size of the study sample was small. CONCLUSIONS: We may reduce suicide attempts by screening for suicidality and implementing exercise programs in community-dwelling elderly people.
BACKGROUND: Data on outcomes of suicidality in the community-dwelling elderly are scarce. We investigated the association of suicidality with the suicide attempts in a community-dwelling elderly cohort. METHODS: In the Osan Mental Health Survey, 848 randomly sampled elderly Koreans participated in the baseline evaluation, 623 completed 2-year follow-up evaluation and 32 died during the follow-up period. The survey was conducted between February 2010 and January 2013. We evaluated suicidality using the Mini-International Neuropsychiatric Interview suicidality module that includes both suicidal ideation and attempts. RESULTS: The incidences of suicidality and suicide attempts were 70.7 and 13.1 per 1000 persons per year, respectively. Suicidality was associated with increased risk of suicide attempts (odds ratio (OR) = 3.84, 95% CI = 1.06-13.87). Two men with suicidality committed suicide by self-poisoning. Moderate to high intensity daily exercise decreased the risk of suicidality to become persistent or recurrent (OR = 0.32, 95% CI = 0.12-0.81). Low education level (OR = 2.41, 95% CI = 1.21-4.77) and depression (OR = 3.02, 95% CI = 1.65-5.53) were associated with risk of incident suicidality. LIMITATIONS: Study sample was enrolled from a single city of Korea, and the size of the study sample was small. CONCLUSIONS: We may reduce suicide attempts by screening for suicidality and implementing exercise programs in community-dwelling elderly people.
Authors: Ying Yang; Shizhen Wang; Borui Hu; Jinwei Hao; Runhu Hu; Yinling Zhou; Zongfu Mao Journal: Int J Environ Res Public Health Date: 2020-09-02 Impact factor: 3.390