Suicidal thinking in community residents over eighty
R. Rao
Bok Engelsk 1997
| Utgitt | 1997
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| Omfang | Side 337- 343
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| Opplysninger | Objective. Main objective: to study the relationship between suicidalthinking and both cognitive impairment and depression.Design. Random sample selected for interview, all of whom were acohort in a pre-existing epidemiological study of dementia.Setting. Community residents.Patients and other participants. Participants aged over 81. Studyexcluded the following: moved out of area/died/too frail/severecommunication difficulties/refused interview, refusal byGP/family/carers. 300 names selected at random from database. 170eligible participants approached; 31 refused, 125 interviewed. 125informants approached for interview; 118 interviewed.Main outcome measures. CAMDEX, 15-item Geriatric Depression Scale(GDS), and Scale for Suicidal Ideation (SSI) (including informantversions of latter 2 scales).Results. 9 people showed suicidal thinking, all women; 6 had clinicalevidence of cardiovascular/cerebrovascular disease. Those withsuicidal thinking showed higher CAMDEX depression scores, weakerstrength of the wish to go on living, higher rates of expressing wishto die and higher rates of depressive illness and mixed DAT/multi-infarct dementia as primary psychiatric diagnoses. No significantassociations between suicidal thinking and GDS scores, Alzheimer-typedementia alone, awareness of memory difficulties or severity ofdementia.Conclusions. Results show association between suicidal thinking andboth depression and mixed DAT/multi-infarct dementia, but do notsupport an association between suicidal thinking and awareness ofmemory problems/severity of dementia. Given the methodologicallimitations, the significance of the results should be viewed withcaution. Further exploration of the role of cerebrovascular diseasein depressive disorder is suggested. ((C) 1997 by John Wiley & Sons,Ltd.)
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