Florio E R, Hendryx M S, Jensen J E, Rockwood T H, Raschko R, Dyck D G
Washington Institute for Mental Illness Research & Training, Washington State University-Spokane, USA.
Suicide Life Threat Behav. 1997 Summer;27(2):182-93.
Sociodemographics, clinical characteristics, and life stressors of community-dwelling suicidal risk and nonsuicidal risk elders referred to a community aging and mental health provider were compared in this study. Information was collected through case manager surveys and agency records on 683 older adults referred to the Elder Services Program of Spokane Mental Health in 1994 and the first 6 months of 1995. This sample included 109 individuals who were clinically judged to be at suicide risk by case managers at the time of initial assessment. Comparisons between suicidal risk and nonsuicidal risk elders indicated that suicidal elders were younger, more likely to be separated or divorced, and more likely to report a previous history of suicidal behavior. Results of a logistic regression analysis indicated that living alone, depression or anxiety disorder, and higher levels of emotional disturbance predicted suicide risk status. In addition, medical problems, family conflict, and relationship loss predicted suicide risk status in this particular sample. Individuals at suicide risk were also more likely to have a family physician than others. Implications of findings for identification and treatment of suicidal elders are discussed.
本研究比较了转介至社区老年与心理健康服务机构的、有自杀风险和无自杀风险的居家老年人的社会人口统计学特征、临床特征及生活应激源。通过个案管理员调查和机构记录，收集了1994年及1995年头6个月转介至斯波坎心理健康中心老年服务项目的683名老年人的信息。该样本包括109名在初次评估时被个案管理员临床判断有自杀风险的个体。有自杀风险和无自杀风险的老年人之间的比较表明，有自杀风险的老年人更年轻，更有可能分居或离婚，且更有可能报告有自杀行为史。逻辑回归分析结果表明，独居、抑郁或焦虑症以及较高水平的情绪困扰可预测自杀风险状态。此外，在这个特定样本中，医疗问题、家庭冲突和关系丧失可预测自杀风险状态。有自杀风险的个体也比其他人更有可能有家庭医生。文中讨论了这些研究结果对识别和治疗有自杀风险老年人的意义。
