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Suicide in older adults: current perspectives.
Ismael Conejero1,2, Emilie Olié1,2,3, Philippe Courtet1,2,3
1Institut National de la Santé Et de la Recherche Médicale (INSERM), University of Montpellier, Neuropsychiatry: Epidemiological and Clinical Research, Montpellier, France.
Clinical Interventions in Aging
|May 3, 2018
Summary
Suicidal behavior in older adults is a serious public health concern. Prevention programs must address social isolation, cognitive issues, and physical illnesses to reduce suicide rates in this demographic.
Area of Science:
- Gerontology
- Public Health
- Psychiatry
Background:
- Suicidal behavior among older adults (65+) is a significant global public health issue.
- Suicide rates escalate with age, particularly among older white men in the USA.
- Complex health conditions and stressors complicate suicide risk assessment in the elderly.
Purpose of the Study:
- To critically evaluate recent research on suicide risk factors in older adults.
- To identify key factors contributing to suicidal thoughts and behaviors in this population.
- To discuss the role of euthanasia and physician-assisted suicide in older adults.
Main Methods:
- A comprehensive PubMed literature search was conducted.
- Focused on recent and representative studies concerning suicide risk factors in older adults.
- A narrative review approach was employed for critical evaluation.
Main Results:
- Key risk factors include psychiatric/neurocognitive disorders, social exclusion, bereavement, and cognitive impairment.
- Physical illnesses, pain, and impaired decision-making/cognitive inhibition are significant contributors.
- Social disconnectedness, neurocognitive impairment, and chronic conditions necessitate integration into suicide models and prevention.
Conclusions:
- Suicide prevention programs for older adults require integration of social, cognitive, and physical health factors.
- Adapting the chronic care model is crucial for managing long-term conditions and preventing depression and suicide in the elderly.
- Addressing social disconnectedness and cognitive decline is vital for effective suicide prevention strategies.
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