Heikkinen M E, Lönnqvist J K
National Public Health Institute, Department of Mental Health, Helsinki, Finland.
Int Psychogeriatr. 1995 Summer;7(2):287-300. doi: 10.1017/s1041610295002043.
The primary objectives of this study were to examine recent stressful life events and to explore possible social interaction factors across age groups in a population of suicides. Life events during the last 3 months preceding suicide (32 items) and factors related to social interaction (6 items) among 219 suicide victims aged 60 years and older were compared with those of 803 victims aged 20 to 59 years. The study population comprised all adult suicides who had life events interview data assessed as reliable by the interviewers in a nationwide total suicide population (1,397) of 1 year in Finland. Differences in life events were found across age groups: Family discord, loss (separation, death), financial trouble, job problems, unemployment, and residence change were more common among younger victims, and somatic illness was more common among elderly victims. Age groups were similar with regard to proportions of persons living alone, availability of confidants and friends with common interests, and reports of loneliness. Similarly, few differences were found among persons aged 60-74 compared to age 75+ with regard to rates of life events, living alone, opportunities for social interaction, and complaints of loneliness. loneliness was reported for persons who experienced loss among both younger and older suicides. In terms of age differences, younger men were more likely to have experienced job-related events, whereas older men were more likely to have had a somatic illness. Somatic illness appeared to be the most important stressor in elderly suicides, particularly for men. Living alone and diminished opportunity for social interaction were not common factors in late-life suicides. Controlled studies with age-matched comparisons are needed to further investigate how life events and social interaction factors vary in their risk for suicide across the life course.
本研究的主要目的是调查近期的应激性生活事件,并探讨自杀人群中不同年龄组可能存在的社会交往因素。将219名60岁及以上自杀受害者在自杀前3个月内的生活事件(32项)和与社会交往相关的因素(6项),与803名20至59岁受害者的情况进行了比较。研究人群包括芬兰全国1年总自杀人口(1397人)中,经访谈者评估生活事件访谈数据可靠的所有成年自杀者。不同年龄组在生活事件方面存在差异:家庭不和、丧失(分居、死亡)、经济困难、工作问题、失业和住所变更在年轻受害者中更为常见,而躯体疾病在老年受害者中更为常见。在独居比例、知己和有共同兴趣朋友的可获得性以及孤独报告方面,各年龄组相似。同样,在60 - 74岁人群与75岁及以上人群之间,在生活事件发生率、独居情况、社会交往机会和孤独抱怨方面,几乎没有发现差异。年轻和老年自杀者中经历丧失的人都报告有孤独感。在年龄差异方面,年轻男性更有可能经历与工作相关的事件,而老年男性更有可能患有躯体疾病。躯体疾病似乎是老年自杀者中最重要的应激源,尤其是对男性而言。独居和社会交往机会减少并非老年自杀的常见因素。需要进行年龄匹配对照的对照研究,以进一步调查生活事件和社会交往因素在整个生命过程中对自杀风险的影响如何变化。