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Related Experiment Videos

Suicidal ideation in elderly Korean population: a two-year longitudinal study.

Hee-Ju Kang1, Robert Stewart, Bo-Ok Jeong

  • 1Department of Psychiatry & Depression Clinical Research Center, Chonnam National University Medical School, Gwangju, South Korea.

International Psychogeriatrics
|September 27, 2013
PubMed
Summary

Suicidal ideation (SI) affects 11.5% of older adults. Depressive symptoms are a key risk factor for prevalent, incident, and persistent SI, alongside other psychosocial factors.

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Area of Science:

  • Geriatric Psychiatry
  • Epidemiology
  • Mental Health Research

Background:

  • Suicidal ideation (SI) is a significant concern in elderly populations.
  • Understanding the prevalence, incidence, and persistence of SI is crucial for targeted interventions.
  • Psychosocial factors play a role in the development and continuation of SI among older adults.

Purpose of the Study:

  • To determine the prevalence, incidence, and persistence of suicidal ideation (SI) in community-dwelling elderly adults.
  • To identify psychosocial factors associated with prevalent, incident, and persistent SI in this demographic.

Main Methods:

  • A cohort of 1,204 elderly adults (≥65 years) was assessed at baseline, with 909 followed up after two years.
  • Suicidal ideation was measured using the Geriatric Mental State (GMS) diagnostic schedule (GMS B3).
  • A comprehensive assessment of demographic, social, and clinical factors was conducted at baseline.

Main Results:

  • Baseline SI prevalence was 11.5%. Follow-up incidence was 9.6% and persistence was 36.5%.
  • Prevalent SI was linked to unemployment, low income, stressful events, pain, disability, depression, and smoking.
  • Incident SI was predicted by unmarried status, poor social support, severe pain, depression, and smoking. Persistent SI was associated with stressful events and depression.

Conclusions:

  • Depressive symptoms are a consistent predictor across prevalent, incident, and persistent suicidal ideation in older adults.
  • Specific psychosocial factors differentially predict the incidence and persistence of SI.
  • Findings highlight the importance of addressing depression and other psychosocial factors in preventing and managing SI in the elderly.