@article{ref1,
title="Characteristics of the "young-old" and "old-old" community-dwelling suicidal Ideators: a longitudinal 6-month follow-up study",
journal="Comprehensive psychiatry",
year="2018",
author="Park, C. Hyung Keun and Lee, Jae Won and Lee, Sang Yeol and Shim, Se-Hoon and Kim, Shin Gyeom and Lee, Jeewon and Kim, Min-Hyuk and Paik, Jong-Woo and Cho, Seong-Jin and Moon, Jung-Joon and Jeon, Dong-Wook and Kim, Seokho and Park, Jae-Hyun and You, Sungeun and Jeon, Hong Jin and Ahn, Yong Min",
volume="89",
number="",
pages="67-77",
abstract="BACKGROUND: Despite heterogeneity of older people in suicidal behavior, research identifying characteristics by age groups is scarce. We examined baseline features of older community-dwelling suicidal ideators by dichotomized age groups and the 6-month trajectory of their suicidal ideation along with its related psychopathology. Predictors of suicidal ideation within each group were investigated. <br><br>METHODS: Older community-dwelling suicidal ideators enrolled in the Korean Cohort for the Model Predicting a Suicide and Suicide-related Behavior study were subdivided into the &quot;young-old (65-74 years)&quot; and &quot;old-old (≥75 years)&quot; group. Baseline, 1-, and 6-month assessments were compared. Within each group, multiple regression analysis using rating scales (Patient Health Questionnaire-9, Beck Anxiety Inventory, Alcohol Use Disorders Identification Test, Stress Questionnaire for Korean National Health and Nutrition Examination Survey-Short Form, and Social Relationships Scale) was conducted to identify predictors of suicidal ideation measured with the intensity subscale of the Columbia-Suicide Severity Rating Scale. Two-way repeated-measures analysis of variance (RM-ANOVA) was used to compare changes in suicidal ideation, depression, anxiety between age groups over time, and one-way RM-ANOVA to examine changes within each age group. <br><br>RESULTS: Among 29 &quot;young-old&quot; and 53 &quot;old-old&quot; ideators, the latter were less likely to be receiving psychiatric treatment (odds ratio [OR] = 4.065) and make suicide attempts (OR = 2.874), whereas the former revealed greater levels of anxiety and stress. Baseline depression and stress in the &quot;young-old&quot; group and the &quot;old-old&quot; group, respectively, predicted the intensity of suicidal ideation at both baseline and 1-month assessments. No significant age group x time interactions on suicidal ideation and depression were found. However, within each age group, both suicidal ideation and depression significantly decreased only during the first month with no further improvement. <br><br>CONCLUSION: We speculate cautiously that more attention may need to be paid to the &quot;old-old&quot; ideators in the evaluation of psychiatric issues and for referral to psychiatrists. To decrease suicidal ideation, tailored approaches involving proactive, timely management of depression in the &quot;young-old&quot; and interventions focusing on stress reduction in the &quot;old-old,&quot; would be helpful.<br><br>Copyright © 2018 Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0010-440X",
doi="10.1016/j.comppsych.2018.12.002",
url="http://dx.doi.org/10.1016/j.comppsych.2018.12.002"
}