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Suicidal Behavior Among Elderly Inpatients: its Relation to Functional Disability and Pain
Suzaily Wahab1, Tien Yong Chua2, Rosdinom Razali1
1Department of Psychiatry, Universiti Kebangsaan Malaysia Medical Centre, Cheras, Wilayah Persekutuan Kuala Lumpur, 56000, Malaysia.
Psychology Research and Behavior Management
|March 31, 2022
Summary
Elderly inpatients with depression have a significantly higher risk of suicidal ideation (SI). Early screening for depression and SI is vital for effective management in this vulnerable population.
Area of Science:
- Geriatric Psychiatry
- Epidemiology of Mental Health
- Clinical Psychology
Background:
- Suicidal behavior (SB) is an increasing global concern among elderly inpatients.
- This study addresses the prevalence of SB in this demographic and its links to depression and functional disability.
Purpose of the Study:
- To determine the prevalence of suicidal behavior among elderly inpatients.
- To investigate the relationship between suicidal behavior, depression, and functional disability in this population.
Main Methods:
- A cross-sectional study involving 136 elderly inpatients (≥60 years) in Kuala Lumpur, Malaysia.
- Utilized standardized scales including the Columbia Suicide Severity Rating Scale (CSSRS), Geriatric Depression Scale (GDS-15), and Mini International Neuropsychiatric Interview (M.I.N.I.).
Main Results:
- Prevalence rates: Major Depressive Disorder (MDD) 24.3%, recurrent MDD 8.8%, passive suicidal ideation (SI) 27.9%, active SI 5.9%.
- Depressed elderly inpatients showed a 6-17 times higher risk for passive or active SI.
- Passive SI linked to oncology/surgical admission and current MDD; active SI associated with older age, single status, oncology/orthopedic admission, and MDD.
Conclusions:
- Depressed elderly inpatients face a high risk of passive and active suicidal ideation.
- Routine screening for depression and suicidal ideation is essential for timely intervention and care.
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