Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
권호 표지

Associations between Physical Disorders and Suicidal Ideation in Elders

노인의 신체질환과 자살사고 간의 연관성

  • Park, Cheol (Department of Psychiatry, Chonnam National University Medical School) ;
  • Kang, Hee-Ju (Department of Psychiatry, Chonnam National University Medical School) ;
  • Lee, Ju-Yeon (Department of Psychiatry, Chonnam National University Medical School) ;
  • Kim, Seon-Young (Department of Psychiatry, Chonnam National University Medical School) ;
  • Bae, Kyung-Yeol (Department of Psychiatry, Chonnam National University Medical School) ;
  • Kim, Sung-Wan (Department of Psychiatry, Chonnam National University Medical School) ;
  • Kim, Jae-Min (Department of Psychiatry, Chonnam National University Medical School) ;
  • Shin, Il-Seon (Department of Psychiatry, Chonnam National University Medical School) ;
  • Yoon, Jin-Sang (Department of Psychiatry, Chonnam National University Medical School)
  • 박철 (전남대학교 의과대학 정신건강의학교실) ;
  • 강희주 (전남대학교 의과대학 정신건강의학교실) ;
  • 이주연 (전남대학교 의과대학 정신건강의학교실) ;
  • 김선영 (전남대학교 의과대학 정신건강의학교실) ;
  • 배경열 (전남대학교 의과대학 정신건강의학교실) ;
  • 김성완 (전남대학교 의과대학 정신건강의학교실) ;
  • 김재민 (전남대학교 의과대학 정신건강의학교실) ;
  • 신일선 (전남대학교 의과대학 정신건강의학교실) ;
  • 윤진상 (전남대학교 의과대학 정신건강의학교실)
  • Received : 2014.02.04
  • Accepted : 2014.04.03
  • Published : 2014.04.30
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Abstract

Objectives : This study aimed to investigate the associations between physical disorders and prevalent/incident suicidal ideation in a community dwelling older population aged 65 years or over. Methods : 1204 people aged 65 years or over evaluated at baseline. Suicidal ideation was identified using the questions from the community version of the Geriatric Mental State Schedule ("GMS B3"). Reported physical disorders covering 11 common and generally chronic health problems were ascertained. Covariates included were depression, age, gender, years of education, accommodation status, past occupation, and current occupation. Of 1066 without suicidal ideation at baseline, 805 (76%) were followed 2 years later, and incident suicidal ideation was evaluated. Results : Prevalent suicidal ideation was significantly associated with 4 of 11 physical disorders: eyesight problems, persistent cough, heart disease and paralysis or weakness in one leg or arm. Incident suicidal ideation was associated with 3 physical disorders: asthma, high blood pressure and paralysis or weakness in one leg or arm. Both prevalent and incident suicidal ideation were significantly associated with increased number of physical disorders. Conclusions : Certain physical disorders were comorbid and precipitating factors of suicidal ideation in elders. And appropriate intervention and treatment of physical disorders might prevent suicidal ideation in elderly.

Keywords

References

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