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Elderly suicide attempters: characteristics and outcome
Stéphane Lebret1, Estelle Perret-Vaille, Aurélien Mulliez
1Gabriel Montpied Hospital, Department of Psychiatry A, Clermont-Ferrand, France.
International Journal of Geriatric Psychiatry
|September 7, 2006
Summary
Elderly individuals who attempt suicide face higher mortality and repeat attempt risks. Factors like advanced age, physical illness, and prior attempts significantly impact survival in this vulnerable group.
Area of Science:
- Geriatric Psychiatry
- Suicidology
- Public Health
Background:
- Elderly suicide attempters represent a vulnerable population with unique challenges.
- Understanding post-discharge outcomes is crucial for intervention.
Purpose of the Study:
- To assess mortality and repeat suicide attempt rates in elderly patients post-hospital discharge.
- To identify factors influencing survival and repeat attempts.
- To characterize elderly suicide attempters.
Main Methods:
- Descriptive survey of 59 elderly suicide attempters (≥60 years) admitted between 1993-2000.
- Telephone follow-up with attending physicians for 51 patients.
- Statistical analysis (Log Rank, Cox model) to determine survival factors.
Main Results:
- Increased mortality from suicide and natural causes observed in elderly attempters.
- Repeat attempt risk elevated in females with memory disorders.
- Survival factors included advanced age, physical disability, comorbidities, and prior suicide attempts.
- Typical attempter profile: widowed, socially isolated, depressed woman.
Conclusions:
- Elderly suicide survivors remain physically and mentally vulnerable.
- Detecting repeat attempts is critical for managing life progression.
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