Beristianos Matthew H, Maguen Shira, Neylan Thomas C, Byers Amy L
Department of Psychiatry, University of California, San Francisco, CA, USA; San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA; Alliant International University, San Francisco, CA, USA.
Department of Psychiatry, University of California, San Francisco, CA, USA; San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA.
Am J Geriatr Psychiatry. 2016 Aug;24(8):639-643. doi: 10.1016/j.jagp.2016.02.055. Epub 2016 Mar 9.
To determine if trauma exposure is associated with suicidal ideation in a nationally representative sample of older adults.
This study included 3,277 participants 55 years and older involved in the Collaborate Psychiatric Epidemiology Surveys (2001-2003).
Of the 84.8% of older adults who were exposed to any trauma, 2.2% endorsed late-life suicidal ideation. Multivariable models fully adjusted for sociodemographics, post-traumatic stress disorder, major depressive disorder, and substance use revealed exposure to serious accidents/illness was associated with suicidal ideation (odds ratio: 2.55; 95% confidence interval: 1.16-5.59; Wald χ(2) = 5.47, df = 1, p = 0.019). Investigation of specific traumas within the category revealed that life-threatening illness was specifically associated with suicidal ideation in older adults (odds ratio: 2.12; 95% confidence interval: 1.34-3.36; Wald χ(2) = 10.33, df = 1, p = 0.001).
These findings highlight the need for monitoring of suicidal ideation among older adults who have been informed of a life-threatening illness diagnosis.
在全国具有代表性的老年人样本中，确定创伤暴露是否与自杀意念相关。
本研究纳入了参与协作精神病学流行病学调查（2001 - 2003年）的3277名55岁及以上的参与者。
在暴露于任何创伤的84.8%的老年人中，2.2%认可有晚年自杀意念。对社会人口统计学、创伤后应激障碍、重度抑郁症和物质使用进行全面调整的多变量模型显示，暴露于严重事故/疾病与自杀意念相关（比值比：2.55；95%置信区间：1.16 - 5.59；Wald χ(2)=5.47，自由度=1，p = 0.019）。对该类别内特定创伤的调查显示，危及生命的疾病与老年人的自杀意念特别相关（比值比：2.12；95%置信区间：1.34 - 3.36；Wald χ(2)=10.33，自由度=1，p = 0.001）。
这些发现凸显了对被告知患有危及生命疾病诊断的老年人进行自杀意念监测的必要性。
