Risk and protective factors of a wish to die and suicidal ideation in community-dwelling, older, Flemish adults: results of the Belgian ageing studies.

IF 2.8 3区医学 Q3 GERIATRICS & GERONTOLOGY Aging & Mental Health Pub Date : 2024-09-01 Epub Date: 2024-05-06 DOI:10.1080/13607863.2024.2345779

Beau Nieuwenhuijs, Ellen Gorus, Gwendolyn Portzky, Nico De Witte

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引用次数: 0

Abstract

Objectives: This study aims to increase the understanding of suicidality in older adults by investigating the prevalence, characteristics, risk and protective factors of suicidal phenomena in community-dwelling older adults (60+) in Flanders, specifically of a current wish to die (WTD) and lifetime suicidal ideation and behaviour (LSIB).

Method: Cross-sectional data from the Belgian Ageing Studies (BAS) is used (N = 3050). The BAS aims to monitor the needs and quality of life of community-dwelling older adults through a standardised survey. Statistical methods used are bivariate analyses and binary logistic regression.

Results: Prevalence rates of 4.8% for WTD and 8.2% for LSIB are found. LSIB is the biggest predictor of a current WTD, followed by requiring support on three domains, elder abuse, depression and subjective cognitive complaints, and elder abuse were significant risk factors for both WTD and LSIB. Limited effects of protective factors were found.

Conclusion: Previous research regarding risk factors to be confirmed in this study, and new insights on the effect of elder abuse, subjective indicators of cognitive complaints and requiring support are added. Further research into protective factors and underlying mechanisms is required.

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居住在社区的佛兰德老年人希望死亡和产生自杀念头的风险和保护因素：比利时老龄化研究的结果。

研究目的本研究旨在通过调查佛兰德斯地区居住在社区的老年人（60 岁以上）自杀现象的发生率、特征、风险和保护因素，特别是当前想死（WTD）和终生自杀意念和行为（LSIB），加深对老年人自杀倾向的了解：方法：采用比利时老龄化研究（BAS）的横截面数据（N = 3050）。比利时老龄化研究旨在通过标准化调查监测居住在社区的老年人的需求和生活质量。采用的统计方法是二元分析和二元逻辑回归：结果发现，WTD 患病率为 4.8%，LSIB 患病率为 8.2%。LSIB是当前WTD的最大预测因素，其次是需要三个领域的支持、虐待老人、抑郁和主观认知抱怨，虐待老人是WTD和LSIB的重要风险因素。保护性因素的影响有限：本研究证实了之前关于风险因素的研究，并对虐老、认知投诉的主观指标和需要支持的影响有了新的认识。需要进一步研究保护性因素及其内在机制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aging & Mental Health 医学-精神病学

CiteScore

7.00

自引率

2.90%

发文量

176

审稿时长

4-8 weeks

期刊介绍： Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.