Chronic medical conditions and wishes to die among older primary care patients

Yeowon A. Kim, Hillary R. Bogner, Gregory K. Brown, Joseph J. Gallo

Research output: Contribution to journalArticle

Abstract

Objective: To determine the prevalence of wishes to die and the medical correlates of wishes to die among primary care patients aged 65 years and older. Method: Three-hundred and fifty-five adults with and without significant depressive symptoms who were screened in primary care offices and invited to participate completed a baseline in-home assessment. Participants were interviewed using standardized measures of medical conditions, functional status, and psychological status. Thoughts of death and wishes to die were assessed with standard questions from the Composite International Diagnostic Interview (CIDI) Depression Section. Results: The weighted point prevalence of thoughts of death was 9.7% and 6.1% for the wish to die. Several medical conditions were associated with a wish to die, for example myocardial infarction (MI). In multivariate models that adjusted for potentially influential characteristics, the association between a history of MI and the wish to die remained statistically significant (odds ratio (OR) = 3.32, 95% confidence interval (CI) (1.26, 8.75). Conclusions: Thoughts of death and a wish to die are common in older primary care patients and were more likely among persons with chronic medical conditions. Persons with a history of myocardial infarction may be particularly vulnerable to a wish to die.

Original languageEnglish (US)
Pages (from-to)183-198
Number of pages16
JournalInternational journal of psychiatry in medicine
Volume36
Issue number2
DOIs
StatePublished - 2006

Keywords

  • Aged
  • Comorbidity
  • Myocardial infarction
  • Primary health care
  • Suicide

ASJC Scopus subject areas

  • Psychiatry and Mental health

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