Relationships of age and axis I diagnoses in victims of completed suicide : A psychological autopsy study.
Psychiatric illness is a potent risk factor for suicide, rates of which differ markedly with age.
The purpose ofthis study was to examine whether the psychiatric diagnoses ofsuicide victims vary predictably with age.
DSM-III-R axis I diagnoses of 141 persons aged 21 to 92 years who had completed suicide were established by the psychological autopsy method.
Multiple logistic regression analyses were used to determine whether age, gender, or their interaction predicted the presence of specific disorders.
One or more axis I conditions were diagnosable in 90.1% of the suicide victims.
Substance use disorders were most frequent, followed by mood disorders and primary psychotic illness.
Younger age at death was a significant predictor of substance abuse or dependence and primary psychoses, while older age predicted major mood disorders.
Comorbidity of substance use and mood disorders was common.
Among victims with substance abuse or dependence, older age at death predicted major depression ; among victims with mood disorders, younger age at death predicted comorbid substance abuse or dependence.
The distribution of psychiatric illnesses in suicide victims differs across the life course.
Age-related patterns ofaddictive and psychotic disorders echo their prevalence in the general population. (...)
Mots-clés Pascal : Suicide, Antécédent, Trouble psychiatrique, Age, Prédiction, Sexe, Homme, Facteur risque
Mots-clés Pascal anglais : Suicide, Antecedent, Mental disorder, Age, Prediction, Sex, Human, Risk factor
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0395483
Code Inist : 002B18C11. Création : 10/04/1997.