Schmutte Timothy, O'Connell Maria, Weiland Melissa, Lawless Samuel, Davidson Larry
Program for Recovery and Community Health, Yale University School of Medicine, New Haven, Connecticut 06513, USA.
Am J Mens Health. 2009 Sep;3(3):189-200. doi: 10.1177/1557988308316555. Epub 2008 Apr 30.
Preventing suicide has been identified as a national priority by recent commissions in the United States. Despite increased awareness of suicide as a public health problem, suicide in older adults remains a neglected topic in prevention strategies and research. This is especially true regarding elderly White men, who in terms of suicide rates have represented the most at-risk age group for the past half century. In light of the unprecedented aging of the United States as the baby boom generation enters late adulthood, suicide prevention initiatives that focus on aging males are needed to prevent a national crisis in geriatric mental health. This article provides a brief review of the perennially under-recognized reality of suicide in older men and prevention strategies that, if implemented, might help stem this rising tide of suicide in this vulnerable population.
预防自杀已被美国近期的委员会确定为国家优先事项。尽管人们越来越意识到自杀是一个公共卫生问题,但老年人自杀在预防策略和研究中仍然是一个被忽视的话题。对于老年白人男性来说尤其如此,在过去半个世纪里,就自杀率而言,他们一直是风险最高的年龄组。鉴于随着婴儿潮一代步入成年后期,美国正经历前所未有的老龄化,需要针对老年男性的自杀预防举措来防止老年心理健康方面出现全国性危机。本文简要回顾了老年男性自杀这一长期未得到充分认识的现实情况,以及若得以实施可能有助于遏制这一弱势群体中不断上升的自杀潮的预防策略。