Department of Psychiatry, Schulich School of Medicine and Dentistry, The University of Western Ontario, Ontario, Canada.
Am J Geriatr Psychiatry. 2012 Aug;20(8):717-23. doi: 10.1097/JGP.0b013e31822ccd79.
To investigate whether living alone is significantly associated with expression of suicide ideation among mood-disordered mental health patients and whether degree of family connectedness moderates the association between living alone and expression of suicide ideation.
Cross-sectional survey design.
Inpatient and outpatient mental health services in Rochester, New York.
A total of 130-mood-disordered inpatients and outpatients 50 years and older.
Patients completed a demographics form, an interviewer-rated measure of current suicide ideation (Scale for Suicide Ideation), and a self-report measure of family connectedness derived from the Reasons for Living Scale-Older Adult version.
Patients who reported greater family connectedness were significantly less likely to report suicide ideation; this protective effect was strongest for those living with others (Wald χ(2)[df = 1] = 3.987, p = 0.046, OR = 0.905; 95% CI = 0.821-0.998). A significant main effect of family connectedness on suicide ideation suggested that having a stronger connection to family members decreased the likelihood of reporting suicide ideation (Wald χ(2)[df = 1] = 9.730, p = 0.002, OR = 0.852; 95% CI = 0.771-0.942).
These results suggest potential value in assessing the quality of interpersonal relationships when conducting a suicide risk assessment among depressed middle-aged and older adults.
调查独居是否与心境障碍患者表达自杀意念显著相关，以及家庭联系程度是否调节独居与表达自杀意念之间的关系。
横断面调查设计。
纽约罗切斯特的住院和门诊心理健康服务机构。
共 130 名 50 岁及以上的心境障碍住院和门诊患者。
患者完成了一份人口统计学表格、一个由访谈者评定的当前自杀意念量表（自杀意念量表）和一个源自生活原因量表-老年版的家庭联系自我报告量表。
报告家庭联系程度较高的患者表达自杀意念的可能性显著降低；对于与他人同住的患者，这种保护作用最强（Wald χ(2)[df = 1] = 3.987，p = 0.046，OR = 0.905；95%CI = 0.821-0.998）。家庭联系对自杀意念的显著主效应表明，与家庭成员的联系越强，报告自杀意念的可能性越低（Wald χ(2)[df = 1] = 9.730，p = 0.002，OR = 0.852；95%CI = 0.771-0.942）。
这些结果表明，在对中年和老年抑郁患者进行自杀风险评估时，评估人际关系的质量可能具有潜在价值。
