Kapusta Nestor D, Etzersdorfer Elmar, Sonneck Gernot
Medical University of Vienna, Center for Public Health, Institute of Medical Psychology, Vienna, Austria, and Furtbach Hospital for Psychiatry and Psychotherapy, Stuttgart, Germany.
Int J Geriatr Psychiatry. 2007 May;22(5):438-44. doi: 10.1002/gps.1695.
Suicides of the elderly (persons aged 65 and older) make up a large proportion of total suicides. Since suicide rates of the elderly are highest in western populations, addressing them as a risk group in prevention plans has been recommended. In order to assess possible approaches to prevention strategies, this study examines high-risk groups of the elderly.
We examined official statistics on suicides that occurred in Austria between 1970-2004 (18,101 Suicides of the elderly). We analyzed time trends and differences in suicide methods as well as in age groups and both genders of the elderly.
Three major high-risk groups were identified: elderly male suicides by firearms; elderly female suicides by poisoning, which occur more often with increasing age; and suicides of both genders by jumping from heights.
Besides conducting treatment of psychiatric disorders of the elderly, restricting the means to commit suicide may help to prevent it among the elderly. Such specific prevention strategies should be implemented in national suicide prevention plans for the high-risk groups identified in this study.
老年人(65岁及以上)自杀在自杀总数中占很大比例。由于西方人群中老年人的自杀率最高,因此建议在预防计划中将他们作为一个风险群体加以关注。为了评估预防策略的可能方法,本研究对老年人的高危群体进行了调查。
我们研究了1970年至2004年间奥地利发生的自杀事件官方统计数据(18101例老年人自杀)。我们分析了自杀方式、年龄组以及老年人的性别方面的时间趋势和差异。
确定了三个主要高危群体:老年男性使用枪支自杀;老年女性中毒自杀,且随着年龄增长这种情况更常发生;以及两性从高处跳下自杀。
除了对老年人的精神疾病进行治疗外,限制自杀手段可能有助于预防老年人自杀。此类具体预防策略应在针对本研究确定的高危群体的国家自杀预防计划中实施。