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Suicidal feelings in a population sample of nondemented 85-year-olds.

Journal article
Authors Ingmar Skoog
O Aevarsson
J Beskow
L Larsson
Sigurdur Palsson
Margda Waern
Sten Landahl
Svante Östling
Published in The American journal of psychiatry
Volume 153
Issue 8
Pages 1015-20
ISSN 0002-953X
Publication year 1996
Published at Institute of Clinical Neurosciences, Section of Psychiatry
Pages 1015-20
Language en
Links www.ncbi.nlm.nih.gov/entrez/query.f...
Keywords Aged, Aged, 80 and over, psychology, Anti-Anxiety Agents, therapeutic use, Confidence Intervals, Depressive Disorder, drug therapy, epidemiology, psychology, Female, Geriatric Assessment, Humans, Male, Mental Disorders, drug therapy, epidemiology, psychology, Morbidity, Mortality, Psychotropic Drugs, therapeutic use, Sex Factors, Suicide, psychology, statistics & numerical data, Sweden, epidemiology, Urban Population
Subject categories Psychiatry

Abstract

OBJECTIVE: The authors studied the 1-month frequency of suicidal feelings among very old people. METHOD: A population sample (N = 345) of nondemented 85-year-olds in Gothenburg, Sweden, were examined by a psychiatrist. Suicidal feelings were rated by the system of Paykel et al. Mental disorders were diagnosed according to DSM-III-R. RESULTS: Of the mentally healthy subjects (N = 225), 4.0% had thought during the last month that life was not worth living, 4.0% had had death wishes, and 0.9% had thought of taking their own lives. None had seriously considered suicide. The figures were higher among subjects with mental disorders (N = 120); 29.2% had thought that life was not worth living, 27.5% had had death wishes, 9.2% had thought about taking their lives, and 1.7% had seriously considered suicide. Among the subjects with mental disorders, including depression, suicidal feelings were associated with greater use of anxiolytics but not of antidepressants. Women who felt that life was not worth living had a higher 3-year mortality rate than did women without these feelings (43.2% versus 14.2%). This finding was independent of concomitant physical and mental disorders. CONCLUSIONS: Mild suicidal feelings are common in elderly subjects with metal disorders but infrequent in the mentally healthy. The substantially higher mortality rate in women who felt that life was not worth living, compared to women who did not, suggests these feelings must be taken seriously. Because of the high suicide rate in the elderly, there is a need for better diagnosis and treatment of mental disorders in this age group.

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