Suicidal Ideation, Depression and Quality of Life in the Elderly: Study in a Gerontopsychiatric Consultation

2014 ◽  
Vol 17 ◽  
Author(s):  
Carla Ponte ◽  
Vera Almeida ◽  
Lia Fernandes

AbstractThe global increase in elderly population all over the world, especially in Portugal, justifies the importance of mental health study in this age group. The aim of this study was to characterize the elderly patients in Gerontopsychiatry Consultation of Centro Hospitalar São João in Porto, related to socio-demographic aspects, physical and global disabilities, depression, suicidal ideation and quality of life, and to explore the association between suicidal ideation, depression, and quality of life and global and functional disability. In this cross-sectional study, 155 patients were recruited consecutively, with a final sample of 75 subjects (59 women and 16 men) without cognitive deficits and a mean age of 72.8 (SD = 6.04). Concerning the depression level measured with the Geriatric Depression Scale (Barreto et al., 2008) it was found that 66.7% presented severe depression and suicidal ideation (M = 41.96, SD = 36.38), a value considered with a potential risk of suicide using the Suicidal Ideation Questionnaire (Ferreira & Castela, 1999). The elderly also perceived their quality of life as low, revealing global disability assessed with the EasyCare- Elderly Assessment (Sousa & Figueiredo, 2000a). A significant positive correlation was also found between depression and suicidal ideation (rs =.71, p < .001), as well as quality of life (rs = .50, p < .001), and suicidal ideation with quality of life (rs = .40, p < .001). The data obtained in this study corroborate the results found in other studies.

2020 ◽  
Vol 1 (2) ◽  
pp. 27-31
Author(s):  
Rilla Fiftina Hadi ◽  
Titis Hadiati ◽  
Natalia Dewi Wardani

Abstract Background: According to WHO, the elderly people have physical and mental challenges, including depression. The incidence of depression lead to suicide on elderly is about 12.7%. In Grobogan Regency, Purwodadi, Central Java, there has been an increase of depression in the last 5 years. Purwodadi Subdistrict depends on the number of orders with the highest number of traffic cases and the elderly.Objective: To determine the correlation between depression level and the risk of suicide.Methods: This research is a quantitative study with cross sectional design in which all respondents were observed and variables were measured at one time. Samples were taken from elderly outpatient of primary health care and Posyandu lansia at Purwodadi, who met the inclusion and exclusion criterias. Research samples were selected based on nonprobability sampling method through purposive sampling. This research used the Indonesian version of the GDS (Geriatric Depression Scale) and CSSRS (Columbia Suicide Severity Rating Scale) questionnaire.Results: The prevalence of elderly depression is 63.3%, and a significant correlation was found between severe depression and low risk of suicide (p <0.05)Conclusion: significant correlation was found between severe depression and low risk of suicide


Author(s):  
Vivin Vincent ◽  
Jeevithan Shanmugam ◽  
Shanmugapriya Duraisamy ◽  
Padmavathy Loganathan ◽  
Vijay Ganeshkumar ◽  
...  

Background: Depression among elderly is the commonest psychiatric disorder however it is commonly misdiagnosed and under treated. Most of the time it is considered as part of aging process rather than a treatable condition. Diagnosing depression in the elderly is often difficult as a result of presence of cognitive impairment as well as reluctance and denial by the elderly and their family members. Objective of the study was to estimate the prevalence of depression among elderly rural population in South India.  Methods: A community based cross sectional study was conducted over a period of 2 months among 575 elderly people aged 60 years and above in the rural field practice area of a tertiary care hospital in south India using a pre validated Geriatric Depression Scale. Data entered and analysed using MS Excel.Results: 77.56% of the study participants were found to be depressed. Among them 74.66% were mild depressive and 25.34% had severe depression. Depression was common in elderly males as compared to females. The prevalence of depression was higher in those who live single and those living with their children without their spouse and those with co morbidities.Conclusions: Prevalence of depression among elderly is high in rural areas. It also increases as the age increases. Early identification and timely intervention would promote healthy old age.


2020 ◽  
Vol 11 (4) ◽  
pp. 7146-7150
Author(s):  
Aditya Dharman ◽  
Chandrina Loungchot ◽  
Ven Davis ◽  
Mahshid Delavari ◽  
Binai K Sankar ◽  
...  

Depression is a common illness worldwide. Social, psychological and biological factors can lead to depression. Chronic illness among the elderly is a significant reason affecting mental health. Often it is not diagnosed correctly. An observational study was conducted to assess the quality of life and the incidence of depression in post-stroke patients. Subjects were recruited to the study by investigations during ward/OP visits. The subjects were briefed about the study, and informed consent was obtained. Data were collected using various study tools and analyzed statistically by computing proportion for all qualitative data and mean, standard deviation, median, the interquartile range for quantitative data. A total of 50 subjects were enrolled in the study based on inclusion and exclusion criteria. Severe cognitive impairment was revealed in 14% of the patients. The burden of depression and severity was evaluated using Patient health questionnaire-9 and Hamilton depression scale, respectively. It was found that 22 subjects (44%) had moderate depression, while 2 (4%) had severe depression. The functionality of the subjects was measured and found that 18% of subjects were 'dependent' on their caregiver. SSQOL assessment showed the lowest score in the domains 'work & productivity' and 'energy". As much as treating the etiological factors of stroke, dealing with the mental aspect of stroke is necessary. Assessing and treating post-stroke depression is essential to reduce the morbidity and mortality of patients. Hence, early assessment and management of mental health after stroke is necessary to prevent a chance of developing another stroke.


2014 ◽  
Vol 23 (3) ◽  
pp. 648-655 ◽  
Author(s):  
Érika de Cássia Lopes Chaves ◽  
Caroline Freire Paulino ◽  
Valéria Helena Salgado Souza ◽  
Ana Cláudia Mesquita ◽  
Flávia Santana Carvalho ◽  
...  

Quality of life and depression are relevant to the health of the elderly. Studies indicate a positive association between religiosity and health. This study investigated quality of life, depressive symptoms and their relationship with religiosity in the elderly. The study included 287 older people from a unit of the Family Health Strategy. Data were collected by means of the instruments: John Flanagan's Quality of Life Scale, the short Geriatric Depression Scale and the Duke University Religion Index. The elderly showed high levels of religiosity, which, according to Pearson's product-moment correlation coefficient, was positively associated with quality of life (p<0.004), but not related to depressive symptoms. Results indicated a high degree of satisfaction among the elderly subjects with their quality of life, whereas 83% showed mild depression. In conclusion, religiosity is related to improvement in quality of life in the elderly.


2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Letícia Alves de Melo ◽  
Isabela Thaís Machado de Jesus ◽  
Fabiana de Souza Orlandi ◽  
Grace Angélica de Oliveira Gomes ◽  
Marisa Silvana Zazzetta ◽  
...  

ABSTRACT Objective: to analyze the relationship between frailty, depressive symptoms, and quality of life of elderly caregivers of other elderly living in high social vulnerability. Methods: a descriptive, correlational and cross-sectional study conducted with 40 elderly caregivers. A questionnaire to characterize elderly caregivers, the Fried frailty phenotype, the Geriatric Depression Scale (to screen depressive symptoms) and the Short-Form 6 Dimension (to assess quality of life) were used. For data analysis, Student’s t-test, ANOVA, Pearson’s χ2 and Fisher’s exact test were used. Results: most were pre-frail (52.5%) and had no evidence of depressive symptoms (57.5%). They presented, on average, a score of 0.76 (±0.1) in relation to quality of life. Statistical significance was observed between the average scores of quality of life with depressive symptoms (p=0.012) and frailty level (p=0.004). Conclusion: frail elderly caregivers with depressive symptoms had a worse perception of quality of life.


2021 ◽  
Vol 9 (5) ◽  
pp. 1303-1310
Author(s):  
Sakshi Deshmukh ◽  
◽  
Shrikant Sant ◽  

Question:Has COVID-19 Pandemic affected the psychological health of the elderly patients at PRH, Loni? Design: Descriptive Participants: 300 Intervention: Non Interventional Outcome measures: Geriatric Depression Scale (GDS- 15) Score Results: The average of males having significant depression determined, using Geriatric Depression Scale (GDS-15) was 3.56 whereas for females, it was 3.48. The difference in scoring depression between males and females was 1% percentage wise. Conclusion: On an average 41.8% of geriatric patients at PRH, Loni suffered from depression according to GDS- 15 score grading, during the time span of 3 months i.e. from January 2021 to March, 2021. Both inpatients as well as outpatients visiting PRH, Loni were included in the study with equal number of participation of males and females. This study concluded that males suffered from depression slightly higher than females. From the three categories of depression, mild depression had the highest rating than moderate and severe types of depression which was higher in females than in males. Broadly speaking, mild depression was the highest amongst older adults aged between 60 to 80, out of which females were moreover affected than males with a difference of 2.1%. Moderate depression amongst males was 4.6% and in females was comparatively higher with the percentage of 5.3%. The gender difference in the scoring was 2.1%. The percentage of Severe depression was 0.6% in males and was nil in females despite having a slightly higher rate of depression, in general at PRH, Loni.


Rev Rene ◽  
2015 ◽  
Vol 16 (5) ◽  
pp. 731
Author(s):  
Millena Mirelle Pereira ◽  
Maíra Holanda Rufino ◽  
Leidinar Cardoso Nascimento ◽  
Rivaldo Costa Macêdo ◽  
Rouslanny Kelly Oliveira ◽  
...  

Objective: evaluate the relationship between depression and nutritional status of elderly enrolled in the Hiperdia Program.Methods: cross-sectional study in 91 elderly submitted to nutritional assessment and a structured questionnaire forscreening depression, the Geriatric Depression Scale. Results: there was prevalence of women, 60-65 years old. There wasminimal or moderate depression in 61.5% and severe depression in 2.2%. Proportionally high values of waist circumferencewere identified (91.8%) and overweight (67.6%) in elderly patients with minimal or moderate depression. Conclusion:there is an increasing imbalance in the nutritional status among women with a risk of developing cardiovascular disease,as well as overweight. Elderly are under health risk related to depression. This suggests that despite being inserted in aprogram for control of chronic diseases, they must be accompanied by the health team to improve their quality of life.


2017 ◽  
Vol 6 (1) ◽  
pp. 56 ◽  
Author(s):  
Abdel-Hady El-Gilany ◽  
Nadia Saleh ◽  
Heba Mohamed ◽  
Eman Elsayed

Background: Insomnia is a common problem among older adults and can lead to several complications affecting the quality of life of elderly people.Aim: To estimate the prevalence of insomnia and its associated factors among community-dwelling elderly.Study design: This is a cross-sectional descriptive study carried out on 1059 elderly living in three villages affiliated to Mansoura District, Egypt. Data collected during an interview included: socio-demographic and clinical features, habits before sleeping, environmental factors that could affect sleeping, the geriatric depression scale and Athens insomnia scale. Logistic regression analysis was done to find out the independent predictors of insomnia.Results: The prevalence of insomnia was 62.1%. The logistic regression revealed that insomnia is less likely among elderly of 75 and more (AOR=0.3) compared to those aged 60-75 years. The risk of insomnia is high among those with depression (AOR=6.4 and 14.6 for mild and moderate/severe depression; respectively), fear of death (AOR=14.7), life stressors (AOR=7.1), presence of musculoskeletal disorders (AOR=5.6), respiratory disorders (AOR=4.5), worry about children (AOR=4.5) and cold bedroom (AOR=2.7).Conclusion: Slightly less than two-thirds of the studied subjects have insomnia, and most of the associated factors are preventable and/or controllable.Recommendations: According to the results of the present study, the following recommendations are suggested: Design educational program for elders to enhance sleep through emphasizing on the importance of sleep hygiene practice, behavioral and non-pharmacological interventions, and healthy lifestyle.


2020 ◽  
Vol 6 ◽  
pp. 233372142092344
Author(s):  
Eun-Hwa Jeong ◽  
Ji-Hyuk Park

Objectives: This study aimed to identify the relationship among leisure activities, depression, and quality of life of community-dwelling elderly in Korea. Methods: We assessed 100 community-dwelling older adults. Leisure participation and leisure exploration were assessed by using the leisure participation for the elderly. Depression was measured using the Korean version of the Short Form of Geriatric Depression Scale, and quality of life was assessed using EQ-5D. Statistical analysis was performed using the independent-sample t test, the chi-square test, Spearman correlation analysis, and multiple regression analysis. Results: EQ-5D scores of the depression group were significantly higher ( p < .01). Geriatric Depression Scale (GDS) and EQ-5D scores showed a significant correlation with leisure participation and leisure exploration. Furthermore, leisure satisfaction was a significant factor in depressive symptoms (β = -.320, p < .01). There was a significant correlation between depression or quality of life and leisure activities corresponding to games, social activities, cultural activities, outings, and information and communication. Conclusion: This study showed that leisure participation and leisure exploration of the elderly were significantly related to depression and quality of life. Social, emotional, active, and productive activities were the leisure activities that positively affected depression and quality of life.


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