Life-Weariness, Wish to Die, Active Suicidal Ideation, and All-Cause Mortality in Population-Based Samples of Older Adults.
Am J Geriatr Psychiatry
; 31(4): 267-276, 2023 04.
Article
em En
| MEDLINE
| ID: mdl-36369206
ABSTRACT
OBJECTIVES:
To investigate potential differences in the strength of associations between different levels of passive and active suicidal ideation and all-cause mortality in older adults.DESIGN:
Prospective cohort study.SETTING:
Population-based samples of older adults in Gothenburg, Sweden.PARTICIPANTS:
Older adults aged 79 and above who participated in any wave of the Gothenburg H70 Birth Cohort Studies or the Prospective Population Study of Women between 1986 and 2015 (n = 2,438; 1,737 women, 701 men; mean age 86.6). MEASUREMENTS Most intense level of passive or active suicidal ideation during the past month life-weariness, wish to die, or active suicidal ideation. The outcome was all-cause mortality over 3 years.RESULTS:
During follow-up, 672 participants (27.6%) died. After adjustments for sex, age, and year of examination, participants who reported a wish to die (HR 2.01; 95% CI 1.55-2.60) as the most intense level of ideation, but not participants who reported life-weariness (HR 1.40; 95% CI 0.88-2.21) or active suicidal ideation (HR 1.10; 95% CI 0.69-1.76) were at increased risk of all-cause mortality. Reporting a wish to die remained associated with mortality in a fully adjusted model, including somatic conditions, dementia, depression, and loneliness (HR 1.70; 95% CI 1.27-2.26).CONCLUSION:
In older adults, reporting a wish to die appears to be more strongly associated with all-cause mortality than either life-weariness or active suicidal ideation.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Morte
/
Ideação Suicida
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Aged
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Aged80
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Female
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Humans
/
Male
País/Região como assunto:
Europa
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article