Abstract
The authors identified correlates of active suicidal ideation andpassive death ideation in older primary care patients with depression, anxiety, and at-risk alcohol use. Participants included 2,240 older primary care patients (age 65 +), who were identified in three mutually exclusive groups on the basis of responses to the Paykel suicide questions: No Ideation, Death Ideation, and Suicidal Ideation Chi-square, ANOVA, and polytomous logistic regression analyses were used to identify characteristics associated with suicidal ideation. The highest amount of suicidal ideation was associated with co-occurring major depression and anxiety disorder (18%), and the lowest proportion occurred in at-risk alcohol use (3%). Asians have the highest (57%) and African Americans have the lowest (27%) proportion of suicidal or death ideation. Fewer social supports and more severe symptoms were associated with greater overall ideation. Death ideation was associated with the greatest medical comorbidity and highest service utilization. Contrary to previous reports, authors failed to find that active suicidal ideation was associated with increased contacts with healthcare providers. Accordingly, targeted assessment and preventive services should be emphasized for geriatric outpatients with co-occurring depression and anxiety, social isolation, younger age, and Asian or Caucasian race.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 417-427 |
| Number of pages | 11 |
| Journal | American Journal of Geriatric Psychiatry |
| Volume | 10 |
| Issue number | 4 |
| DOIs | |
| State | Published - 2002 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Psychiatry and Mental health
- Geriatrics and Gerontology
Cite this
Suicidal and death ideation in older primary care patients with depression, anxiety, and at-risk alcohol use. / Bartels, Stephen J.; Coakley, Eugenie; Oxman, Thomas E.; Constantino, Giuseppe; Oslin, David; Chen, Hongtu; Zubritsky, Cynthia; Cheal, Karen; Durai, U. Nalla B; Gallo, Joseph J; Llorente, Maria; Sanchez, Herman.
In: American Journal of Geriatric Psychiatry, Vol. 10, No. 4, 2002, p. 417-427.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Suicidal and death ideation in older primary care patients with depression, anxiety, and at-risk alcohol use
AU - Bartels, Stephen J.
AU - Coakley, Eugenie
AU - Oxman, Thomas E.
AU - Constantino, Giuseppe
AU - Oslin, David
AU - Chen, Hongtu
AU - Zubritsky, Cynthia
AU - Cheal, Karen
AU - Durai, U. Nalla B
AU - Gallo, Joseph J
AU - Llorente, Maria
AU - Sanchez, Herman
PY - 2002
Y1 - 2002
N2 - The authors identified correlates of active suicidal ideation andpassive death ideation in older primary care patients with depression, anxiety, and at-risk alcohol use. Participants included 2,240 older primary care patients (age 65 +), who were identified in three mutually exclusive groups on the basis of responses to the Paykel suicide questions: No Ideation, Death Ideation, and Suicidal Ideation Chi-square, ANOVA, and polytomous logistic regression analyses were used to identify characteristics associated with suicidal ideation. The highest amount of suicidal ideation was associated with co-occurring major depression and anxiety disorder (18%), and the lowest proportion occurred in at-risk alcohol use (3%). Asians have the highest (57%) and African Americans have the lowest (27%) proportion of suicidal or death ideation. Fewer social supports and more severe symptoms were associated with greater overall ideation. Death ideation was associated with the greatest medical comorbidity and highest service utilization. Contrary to previous reports, authors failed to find that active suicidal ideation was associated with increased contacts with healthcare providers. Accordingly, targeted assessment and preventive services should be emphasized for geriatric outpatients with co-occurring depression and anxiety, social isolation, younger age, and Asian or Caucasian race.
AB - The authors identified correlates of active suicidal ideation andpassive death ideation in older primary care patients with depression, anxiety, and at-risk alcohol use. Participants included 2,240 older primary care patients (age 65 +), who were identified in three mutually exclusive groups on the basis of responses to the Paykel suicide questions: No Ideation, Death Ideation, and Suicidal Ideation Chi-square, ANOVA, and polytomous logistic regression analyses were used to identify characteristics associated with suicidal ideation. The highest amount of suicidal ideation was associated with co-occurring major depression and anxiety disorder (18%), and the lowest proportion occurred in at-risk alcohol use (3%). Asians have the highest (57%) and African Americans have the lowest (27%) proportion of suicidal or death ideation. Fewer social supports and more severe symptoms were associated with greater overall ideation. Death ideation was associated with the greatest medical comorbidity and highest service utilization. Contrary to previous reports, authors failed to find that active suicidal ideation was associated with increased contacts with healthcare providers. Accordingly, targeted assessment and preventive services should be emphasized for geriatric outpatients with co-occurring depression and anxiety, social isolation, younger age, and Asian or Caucasian race.
UR - http://www.scopus.com/inward/record.url?scp=0036303667&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036303667&partnerID=8YFLogxK
U2 - 10.1097/00019442-200207000-00008
DO - 10.1097/00019442-200207000-00008
M3 - Article
C2 - 12095901
AN - SCOPUS:0036303667
VL - 10
SP - 417
EP - 427
JO - American Journal of Geriatric Psychiatry
JF - American Journal of Geriatric Psychiatry
SN - 1064-7481
IS - 4
ER -