Tobias C R, Pary R, Lippmann S
Department of Psychiatry and Behavioral Sciences, University of Louisville (Ky.) School of Medicine.
Am Fam Physician. 1992 Apr;45(4):1707-13.
Prompt recognition of suicidal intent can prevent suicide in the elderly. Some psychiatric disorders, such as depression, psychoses and organic brain syndromes, can predispose these persons to suicide, as can medical disorders that result in pain, disability or dysfunction. Other factors that increase the risk for suicide include chemical dependency and changing life events. Anti-depressant medications with a low anticholinergic and sedative profile are preferred because of age-related physiologic changes. Electroconvulsive therapy is reserved for serious cases.
及时识别自杀意图可预防老年人自杀。一些精神疾病，如抑郁症、精神病和器质性脑综合征，会使这些人易患自杀，导致疼痛、残疾或功能障碍的医学疾病也会如此。其他增加自杀风险的因素包括药物依赖和生活事件的变化。由于与年龄相关的生理变化，首选抗胆碱能和镇静作用较低的抗抑郁药物。电休克治疗仅用于严重病例。
