Suicidal thinking in community residents over eighty.
Main objective :
To study the relationship between suicidal thinking and both cognitive impairment and depression.
Random sample selected for interview, all of whom were a cohort in a pre-existing epidemiological study of dementia.
Patients and other participants
Participants aged over 81.
Study excluded the following :
Moved out of area/died/too frail/severe communication difficulties/refused interview, refusal by GP/family/carers. 300 names selected at random from database. 170 eligible participants approached ; 31 refused, 125 interviewed. 125 informants approached for interview ; 118 interviewed.
Main outcome measures
CAMDEX, 15-item Geriatric Depression Scale (GDS), and Scale for Suicidal Ideation (SSI) (including informant versions of latter 2 scales).
9 people showed suicidal thinking, all women ; 6 had clinical evidence of cardiovascular/cerebrovascular disease.
Those with suicidal thinking showed higher CAMDEX depression scores, weaker strength of the wish to go on living, higher rates of expressing wish to die and higher rates of depressive illness and mixed DAT/multi-infarct dementia as primary psychiatric diagnoses.
No significant associations between suicidal thinking and GDS scores, Alzheimer-type dementia alone, awareness of memory difficulties or severity of dementia.
Mots-clés Pascal : Idée suicide, Trouble cognition, Etat dépressif, Trouble humeur, Prise conscience, Trouble mémoire, Démence Alzheimer, Trouble psychiatrique, Epidémiologie, Ramollissement cérébral, Association morbide, Indice gravité, Vieillard, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Maladie dégénérative, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie
Mots-clés Pascal anglais : Suicide ideation, Cognitive disorder, Depression, Mood disorder, Awareness, Memory disorder, Alzheimer disease, Mental disorder, Epidemiology, Cerebral infarction, Concomitant disease, Severity score, Elderly, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Degenerative disease, Cerebrovascular disease, Cardiovascular disease, Vascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0238548
Code Inist : 002B18E. Création : 11/06/1997.