Health Innovation and Transformation Centre, Federation University Australia, Ballarat, VIC, Australia.
Biopsychosocial and eHealth Research and Innovation (BeRI) Hub, Federation University Australia, Ballarat, VIC, Australia.
Front Public Health. 2023 Jan 9;10:992884. doi: 10.3389/fpubh.2022.992884. eCollection 2022.
Vulnerability to suicidality is a concern among older adults, particularly as this proportion of the population is growing. Determining what factors contribute to suicidality will help to create a framework for understanding and assessing suicidal risk among older adults and developing effective treatments. This study examined suicidality among older Australian adults.
This study forms part of a larger study to trial a survey to collect cross-sectional data on the mental and physical health of older Australian adults across time. One hundred and fourteen Australian residents aged 65 years and over completed an anonymous survey online or by returning a paper-and-pencil version of the survey by post. The survey took approximately 25 min to complete and comprised of (1) sociodemographic questions (e.g., age, gender, education), (2) validated questionnaires measuring depression, general anxiety, psychological distress, insomnia, substance dependence, problem gambling, and stress, and (3) mental and physical health and wellbeing items (e.g., religiosity, assistance with daily tasks, and mental health service usage in the last 12-months). The dependent variable, suicidality, was measured by asking participants whether they had ever seriously thought about committing suicide.
Associations with suicidality were analyzed using Chi-squares and independent samples -tests. The results found suicidality to be significantly associated with lower levels of satisfaction with the frequency of seeing and/or communicating with friends, and inadequate levels of community engagement.
The results of this survey reinforce the importance of social connectedness as a central and significant protective factor against suicidality among older adults.
自杀倾向是老年人面临的一个问题,尤其是随着老年人口比例的增长。确定哪些因素会导致自杀倾向,有助于为理解和评估老年人的自杀风险并开发有效的治疗方法构建一个框架。本研究调查了澳大利亚老年人的自杀倾向。
本研究是一项更大规模研究的一部分,旨在试用一项调查,以便跨时间收集澳大利亚老年人心理健康和身体健康的横断面数据。114 名年龄在 65 岁及以上的澳大利亚居民通过在线或邮寄纸质问卷的方式匿名完成了调查。调查大约需要 25 分钟完成,包括(1)社会人口统计学问题(例如年龄、性别、教育),(2)用于测量抑郁、广泛性焦虑、心理困扰、失眠、物质依赖、赌博问题和压力的经过验证的问卷,以及(3)心理健康和幸福感项目(例如宗教信仰、日常任务协助以及过去 12 个月中使用心理健康服务的情况)。自杀倾向通过询问参与者是否曾经认真考虑过自杀来衡量。
使用卡方检验和独立样本 t 检验分析自杀倾向的相关性。结果发现,自杀倾向与对与朋友见面和/或交流频率的满意度较低以及社区参与程度不足显著相关。
这项调查的结果强调了社会联系作为预防老年人自杀倾向的核心和重要保护因素的重要性。