Heisel Marnin J
Department of Psychiatry, Schulich School of Medicine and Dentistry, The University of Western Ontario, London.
Can J Psychiatry. 2006 Mar;51(3):143-54. doi: 10.1177/070674370605100304.
To review the research on the epidemiology, risk and resiliency, assessment, treatment, and prevention of late-life suicide.
I reviewed mortality statistics. I searched MEDLINE and PsycINFO databases for research on suicide risk and resiliency and for randomized controlled trials with suicidal outcomes. I also reviewed mental health outreach and suicide prevention initiatives.
Approximately 12/100,000 individuals aged 65 years or over die by suicide in Canada annually. Suicide is most prevalent among older white men; risk is associated with suicidal ideation or behaviour, mental illness, personality vulnerability, medical illness, losses and poor social supports, functional impairment, and low resiliency. Novel measures to assess late-life suicide features are under development. Few randomized treatment trials exist with at-risk older adults.
Research is needed on risk and resiliency and clinical assessment and interventions for at-risk older adults. Collaborative outreach strategies might aid suicide prevention.
回顾关于老年自杀的流行病学、风险与恢复力、评估、治疗及预防的研究。
我查阅了死亡率统计数据。在MEDLINE和PsycINFO数据库中检索了关于自杀风险与恢复力的研究以及有自杀结局的随机对照试验。我还回顾了心理健康外展和自杀预防举措。
在加拿大，每年约有12/100,000名65岁及以上的人死于自杀。自杀在老年白人男性中最为普遍；风险与自杀意念或行为、精神疾病、人格易损性、躯体疾病、丧失及不良社会支持、功能障碍以及恢复力低有关。评估老年自杀特征的新措施正在研发中。针对有风险的老年人的随机治疗试验很少。
需要对有风险的老年人的风险与恢复力以及临床评估和干预措施开展研究。协作性外展策略可能有助于预防自杀。
