A Study of Elderly Suicide Attempters Admitted to an Inpatient Psychiatric Unit

The authors distinguish demographic and clinical characteristics of elderly suicide attempters admitted to an inpatient psychiatric unit within 4 weeks of a suicide attempt. Of 560 patients admitted, 28 (5%) were recent attempters, 32 (6%) had a past history of suicide attempt, and 500 (89%) were nonattempters. Of the 28 recent attempters, 21 (75%) were diagnosed with a mood disorder, 4 (14%) with an organic mental disorder, and 3 (11%) with other mental disorders. Among the nonattempters, the distribution among the three diagnostic categories was 188 (38%), 251 (50%), and 61 (12%), respectively. Of 166 patients with a diagnosis of major depression, 18 (11%) were recent attempters, 14 (8%) were past attempters, and 134 (71%) were nonattempters. Recent attempts were significantly associated with alcohol abuse. This study confirms earlier reports of high rates of major depression in elderly attempters.