Forsell Y, Jorm A F, Winblad B
Department of Geriatric Medicine, Karolinska Institute, Stockholm, Sweden.
Acta Psychiatr Scand. 1997 Feb;95(2):108-11. doi: 10.1111/j.1600-0447.1997.tb00382.x.
This study examined the prevalence of suicidal thoughts and associated factors in an elderly population. Data for 969 elderly subjects from a population-based study were used, and examinations by physicians, including psychiatric examination and informants' interview, were assessed. In total, 13.3% of the subjects had had suicidal thoughts during the last 2 weeks (10.8% fleetingly and 2.5% frequently). Of those who had had fleeting suicidal thoughts, 26.7% also had major depression, while 50% of those who had frequent suicidal thoughts were depressed. In addition, suicidal thoughts were associated with increased disability in daily living, institutionalization, visual problems and the use of psychotropic drugs. It is concluded that a careful psychiatric assessment is necessary when suicidal thoughts are expressed by an elderly person.
本研究调查了老年人群中自杀念头的患病率及相关因素。使用了来自一项基于人群研究的969名老年受试者的数据，并评估了医生进行的检查，包括精神检查和对 informant 的访谈。总体而言，13.3%的受试者在过去2周内有过自杀念头（10.8%为短暂出现，2.5%为频繁出现）。在那些有过短暂自杀念头的人中，26.7%也患有重度抑郁症，而在那些频繁有自杀念头的人中，50%患有抑郁症。此外，自杀念头与日常生活能力下降、入住养老院、视力问题以及使用精神药物有关。结论是，当老年人表达出自杀念头时，进行仔细的精神评估是必要的。
