Cheung Gary, Sundram Frederick
a The University of Auckland , Auckland , New Zealand.
Clin Gerontol. 2017 Mar-Apr;40(2):124-129. doi: 10.1080/07317115.2016.1217962. Epub 2016 Jul 28.
Suicide in older people is a significant public health issue given the aging population and increasing suicide rates with age in many parts of the world. Depression and physical illness are two factors consistently associated with suicidal behavior in older people; however, their inter-relationships are not well understood. We present here a case study based on a newly developed conceptual model illustrating the various medical, psychological, social and resilience factors involved in the progression of physical illness to suicidal behavior. This model provides a framework for clinicians to understand protective factors and address late-life suicide risk.
鉴于全球人口老龄化以及许多地区自杀率随年龄增长而上升的情况,老年人自杀已成为一个重大的公共卫生问题。抑郁症和身体疾病是与老年人自杀行为一直相关的两个因素;然而,它们之间的相互关系尚未得到充分理解。我们在此展示一个基于新开发概念模型的案例研究,该模型阐明了从身体疾病发展到自杀行为过程中涉及的各种医学、心理、社会和恢复力因素。该模型为临床医生理解保护因素和应对晚年自杀风险提供了一个框架。