Beautrais Annette L
Canterbury Suicide Project, Christchurch School of Medicine, New Zealand.
Suicide Life Threat Behav. 2002 Spring;32(1):1-9. doi: 10.1521/suli.32.1.1.22184.
Risk factors for serious suicidal behavior among older adults were examined in a case control study of 53 adults aged 55 and older who died by suicide or made medically serious suicide attempts and who were compared with 269 randomly selected comparison subjects. Multivariate analyses suggested that risk of serious suicidal behavior was elevated among those with current mood disorders (OR = 179, CI = 52.8-607.6), psychiatric hospital admission within the previous year (OR = 24.4, CI = 1.9-318.7), limited social network (OR = 4.5, CI = 1.4-14.6). The predominant role of mood disorders was confirmed by population attributable risk (PAR) estimates (73.6%), suggesting that the improved detection, treatment and management of mood disorders should be the primary focus of suicide prevention strategies for older adults.
在一项病例对照研究中，对53名55岁及以上死于自杀或有严重自杀未遂医疗情况的成年人进行了研究，这些人与269名随机选择的对照对象进行了比较，以探讨老年人严重自杀行为的风险因素。多变量分析表明，当前患有情绪障碍的人（比值比=179，可信区间=52.8-607.6）、前一年曾入住精神病院的人（比值比=24.4，可信区间=1.9-318.7）、社交网络有限的人（比值比=4.5，可信区间=1.4-14.6）发生严重自杀行为的风险升高。人群归因风险（PAR）估计值（73.6%）证实了情绪障碍的主要作用，这表明改善情绪障碍的检测、治疗和管理应成为老年人自杀预防策略的主要重点。
