Suicide risk in first year after dementia diagnosis in older adults

2021 ◽  
Author(s):  
Timothy Schmutte ◽  
Mark Olfson ◽  
Donovan T. Maust ◽  
Ming Xie ◽  
Steven C. Marcus
Keyword(s):  
Older Adults ◽  
Suicide Risk ◽  
First Year ◽  
Dementia Diagnosis

Suicide Risk in the First Year Following Dementia Diagnosis: A National Study of U.S. Older Adults

2021 ◽  
Vol 29 (4) ◽  
pp. S118-S119
Author(s):  
Timothy Schmutte ◽  
Donovan Maust ◽  
Mark Olfson ◽  
Ming Xie ◽  
Steve Marcus
Keyword(s):  
Older Adults ◽  
Suicide Risk ◽  
National Study ◽  
First Year ◽  
Dementia Diagnosis

scholarly journals Selvmordsrisiko blandt personer diagnosticeret med demens

Suicidologi ◽  
2015 ◽  
Vol 16 (2) ◽  
Author(s):  
Annette Erlangsen
Keyword(s):  
Mood Disorders ◽  
Suicide Risk ◽  
Event History Analysis ◽  
Event History ◽  
First Year ◽  
Dementia Diagnosis ◽  
Individual Level ◽  
Relative Risks ◽  
History Analysis ◽  
Increased Risk

Formål: Studiet undersøger risikoen for selvmord blandt personer med hospitalsdiagnosticeret demens og dets sammenhæng med depression. Data og metode: Individbaserede registerdata dækkende alle personer fyldt 50 år og derover bosat i Danmark i perioden 1. januar 1990 til 31. december 2000 (N = 2.474.767) blev analyseret. Eventhistory analyseteknik blev benyttet til at beregne relative risiko for død af selvmord i multivariable analyser. Resultat: I alt 18.648.875 personår blev observeret over det 11-årige studieforløb. Der forekom 136 selvmord blandt personer med demens diagnosticeret ved hospitalsindlæggelse. Den relative risiko for selvmord blandt mænd og kvinder i alderen 50–69 år med demens var henholdsvis 8,5 [CI-95%: 6,3–11,3] og 10,8 [CI-95%:7,4–15,7]. Personer fyldt 70 år og derover med demensdiagnoser havde en tre gange højere selvmordsrisiko end personer uden demens. Den forhøjede selvmordsrisiko blandt personer med demens forblev signifikant også efter justering for depressionsdiagnoser. Henholdsvis 40% og 38% af selvmord blandt mænd og kvinder med demens fandt sted inden for det første år efter demensdiagnosen første gang blev konstateret. Konklusion: Demens, defineret som diagnosticeret ved hospitalsindlæggelse, var forbundet med en højere selvmordsrisiko for personer fyldt 50 år og derover. Særligt tiden efter første diagnose og dobbeltdiagnose med depression korrelerede med en forhøjet risiko for selvmord. Objective: The current study aims to examine the risk of suicide in persons diagnosed with dementia during a hospitalization and its relationship to mood disorders. Data and method: Individual-level register data on all persons aged 50+ living in Denmark during January 1, 1990 through December 31, 2000 (N = 2,474,767) were included in the analysis. Event-history analysis was applied to calculate relative risks of dying by suicide while controlling for select timevarying covariates Results: A total of 18,648,875 personyears were observed during the 11-year study period. During this period, 136 persons who previously were diagnosed with dementia died by suicide. Men and women aged 50–69 years with hospital presentations of dementia had a relative suicide risk of 8.5 [CI-95%: 6.3–11.3] and 10.8 [CI-95%:7.4–15.7], respecti-vely. Those who aged 70 or older with dementia had a threefold higher risk than persons with no dementia. The risk among persons with dementia remained significant when controlling for diag-noses of mood disorders. As many as 40% of the men and 38% of the women who died by suicide died within the first year after initial dementia diagnosis. Conclusions: Dementia, determined during hospitalization, was associated with an elevated risk of suicide for older adults. Particularly, time shortly after initial diagnosis and presence of mood disorders was found to correlate with an increased risk of suicide.

scholarly journals Suicide risk within 1 year of dementia diagnosis in older adults: a nationwide retrospective cohort study

2020 ◽  
Vol 46 (1) ◽  
pp. E119-E127
Author(s):  
Jae Woo Choi ◽  
Kang Soo Lee ◽  
Euna Han
Keyword(s):  
Older Adults ◽  
Mental Disorders ◽  
Alzheimer Disease ◽  
Suicide Risk ◽  
Cox Proportional Hazards Model ◽  
Dementia Diagnosis ◽  
Suicide Death ◽  
Dementia Patients ◽  
Increased Risk ◽  
Suicide Plan

Background: Although severe dementia could protect against suicide death by decreasing a person’s capacity to implement a suicide plan, patients with early dementia may have better cognition, giving them more sustained insight into their disease and better enabling them to carry out a suicide plan. This study investigated suicide risk in older adults within 1 year of receiving a diagnosis of dementia. Methods: This study used National Health Insurance Service Senior Cohort data and included 36 541 older adults with newly diagnosed dementia (a Mini-Mental State Examination score ≤ 26 and a Clinical Dementia Rating score ≥ 1 or a Global Deterioration Scale score ≥ 3), including Alzheimer disease, vascular dementia and other/unspecified dementia, from 2004 to 2012. We selected older adults without dementia through 1:1 propensity-score matching using sex, age, comorbidities and index year, with follow-up throughout 2013. We estimated adjusted hazard ratios (AHRs) of suicide deaths within 1 year after diagnosis using a time-dependent Cox proportional hazards model. Results: We verified 46 suicide deaths during the first year after a dementia diagnosis. Older adults with dementia had an increased risk of suicide death compared to those without dementia (AHR 2.57; 95% confidence interval [CI] 1.49–4.44). Older adults with Alzheimer disease (AHR 2.50; 95% CI 1.41–4.44) or other/unspecified dementia (AHR 4.32; 95% CI 2.04–9.15) had an increased risk of suicide death compared to those without dementia. Patients with dementia but without other mental disorders (AHR 1.96; 95% CI 1.02–3.77) and patients with dementia and other mental disorders (AHR 3.22; 95% CI 1.78–5.83) had an increased risk of suicide death compared to patients without dementia. Patients with dementia and schizophrenia (AHR 8.73; 95% CI 2.57–29.71), mood disorders (AHR 2.84; 95% CI 1.23–6.53) or anxiety or somatoform disorders (AHR 3.53; 95% CI 1.73–7.21), respectively, had an increased risk of suicide death compared to patients with those conditions but without dementia. Limitations: This study examined only elderly patients in South Korea, a population with a substantially higher suicide rate than the global population. Caution must be exercised when generalizing the results to populations with dissimilar backgrounds. Conclusion: Patients with dementia had an increased risk of suicide death within 1 year after diagnosis compared to those without dementia.

Suicide Risk Among College Student

Crisis ◽  
2015 ◽  
Vol 36 (6) ◽  
pp. 416-423 ◽  
Author(s):  
Richard Shadick ◽  
Faedra Backus Dagirmanjian ◽  
Baptiste Barbot
Keyword(s):  
Sexual Minority ◽  
Students Of Color ◽  
Structural Equation ◽  
Suicide Risk ◽  
Equation Modeling ◽  
First Year ◽  
Chi Square ◽  
First Year College ◽  
Marginalized Groups ◽  
First Year College Students

Abstract. Background: Research on young adults in the general population has identified a relationship between sexual minority identification and risk for suicide. Differential rates of suicidal ideation and attempts have also been found across racial and ethnic groups. Aims: This study examined risk for suicide among university students, based on membership in one or more marginalized groups (sexual minority and racial minority identification). Method: Data were collected from first-year college students (N = 4,345) at an urban university. Structural equation modeling was employed to model a suicidality construct, based on which a "risk for suicide" category system was derived. Chi-square and logistic regression analyses were then conducted to estimate the relationship between the background variables of interest and suicide risk. Results: Students who identified as lesbian, gay, or bisexual (LGB) were associated with higher suicide risk than their heterosexual peers. Students of color were slightly less at risk than their heterosexual peers. However, LGB students of color were associated with elevated suicide risk relative to heterosexual peers. Conclusion: Results indicate that belonging to multiple marginalized groups may increase one's risk for suicide, though these effects are not simply additive. Findings highlight the complexity of the intersection between marginalized identities and suicidality.

Perceived Burdensomeness Is Key to Suicide Risk Among Older Adults

2011 ◽  
Author(s):  
D. R. Jahn ◽  
K. C. Cukrowicz ◽  
K. Linton ◽  
F. Prabhu
Keyword(s):  
Older Adults ◽  
Suicide Risk ◽  
Perceived Burdensomeness

Support needed to address suicide risk of older adults in LTC

2019 ◽  
Vol 29 (25) ◽  
pp. 3-4
Author(s):  
Valerie A. Canady
Keyword(s):  
Older Adults ◽  
Suicide Risk

A First-year Cohort Study based on Health Behaviors of Older Adults in an Urban City: Gender and Age Differences

2017 ◽  
Vol 29 (5) ◽  
pp. 505 ◽  
Author(s):  
Ji Yeon Ha ◽  
Belong Cho ◽  
Misoon Song ◽  
Jaeyoung Lim ◽  
Ga Hye Kim ◽  
...  
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Health Behaviors ◽  
Age Differences ◽  
First Year ◽  
Urban City ◽  
Gender And Age ◽  
Gender And Age Differences

Use of vitamin and mineral supplements in long-term care home residents

2012 ◽  
Vol 37 (1) ◽  
pp. 100-105 ◽  
Author(s):  
Navita Viveky ◽  
Lynda Toffelmire ◽  
Lilian Thorpe ◽  
Jennifer Billinsky ◽  
Jane Alcorn ◽  
...  
Keyword(s):  
Older Adults ◽  
Vitamin D ◽  
Long Term Care ◽  
Care Home ◽  
Care Facility ◽  
Dementia Diagnosis ◽  
Term Care ◽  
Supplement Use ◽  
Supplement Usage

Vitamin–mineral supplementation may offer older adults health and cognition-related benefits but overuse may contribute to polypharmacy. We examined the prevalence of supplement usage in long-term care facility (LTC) residents (≥65 years of age). As cognition may be affected by nutrition, we also examined use in those with diagnosis of dementia and those with no dementia diagnosis. The prevalence of supplement usage and overall “pill count” from pharmaceutical use was assessed in 189 LTC residents and a subsample of 56 older adults with dementia diagnosis, respectively. Participants were residing in an LTC facility of a mid-size metropolitan area during 2009. The average use of supplements was 1.0 per day for all residents, with 35% taking vitamin D supplements, 20% multivitamins, and 26% calcium. Supplement use was similar (p ≥ 0.05) for those with dementia diagnosis (53%, average 2.0 per day) and for those without such diagnosis (45%, average 2.2 per day). Usage ranged between 1–6 supplements per day. In both of these groups, ∼73% of users were taking vitamin D. The number of prescribed medications ranged from 4 to 24 (average 10.2) in a subsample of residents whose supplement intake was 0 to 6 (average 2). These findings suggest an overall low rate of supplement use, with no significant differences (p ≥ 0.05) in use between residents with and without dementia diagnosis. However, some residents were at risk for supplement overuse.

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