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Suicide, assisted suicide, and medical illness
1Department of Psychiatry, New York Medical College and the American Foundation for Suicide Prevention, NY 10005, USA.
The Journal of Clinical Psychiatry
|March 12, 1999
Summary
Medical illness significantly contributes to suicide, especially in older adults. Addressing the physical and psychological distress of terminally ill patients can reduce suicidal ideation and prevent suicide.
Area of Science:
- Geriatric Medicine
- Psychiatry
- Public Health
Background:
- Medical illness is a significant motivator for suicide, particularly in elderly populations.
- Approximately 50% of suicides in patients over 50 and 70% in patients over 70 are linked to medical conditions.
Observation:
- Patients experiencing medical illness, especially those over 70, often exhibit depression, anxiety, and ambivalence about death.
- These psychological states are also prevalent in individuals who attempt suicide or request assisted suicide.
Findings:
- Addressing the underlying physical and psychological desperation in patients requesting assisted suicide can decrease their desire for death.
- Patients often express gratitude for continued life when their suffering is alleviated.
Implications:
- Improved psychiatric and medical care for terminally ill patients is crucial for suicide prevention.
- Interventions focusing on the holistic well-being of elderly patients with chronic illnesses can significantly impact suicide rates.