Suicidal and death ideation in older primary care patients with depression, anxiety, and at-risk alcohol use

Stephen J. Bartels, Eugenie Coakley, Thomas E. Oxman, Giuseppe Constantino, David Oslin, Hongtu Chen, Cynthia Zubritsky, Karen Cheal, U. Nalla B Durai, Joseph J Gallo, Maria Llorente, Herman Sanchez

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)417-427
Number of pages11
JournalAmerican Journal of Geriatric Psychiatry
Volume10
Issue number4
DOIs
StatePublished - 2002
Externally publishedYes

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Suicidal Ideation
Primary Health Care
Anxiety
Alcohols
Depression
Social Isolation
Anxiety Disorders
Social Support
Geriatrics
African Americans
Health Personnel
Suicide
Comorbidity
Analysis of Variance
Outpatients
Logistic Models
Regression Analysis

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 journalArticle

Bartels, SJ, Coakley, E, Oxman, TE, Constantino, G, Oslin, D, Chen, H, Zubritsky, C, Cheal, K, Durai, UNB, Gallo, JJ, Llorente, M & Sanchez, H 2002, 'Suicidal and death ideation in older primary care patients with depression, anxiety, and at-risk alcohol use', American Journal of Geriatric Psychiatry, vol. 10, no. 4, pp. 417-427. https://doi.org/10.1097/00019442-200207000-00008
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. / Suicidal and death ideation in older primary care patients with depression, anxiety, and at-risk alcohol use. In: American Journal of Geriatric Psychiatry. 2002 ; Vol. 10, No. 4. pp. 417-427.
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