@article{ref1,
title="Sex differences in type of lifetime trauma and suicidal ideation mediated by post-traumatic stress and anxio-depressive disorders in older adults",
journal="International psychogeriatrics / IPA",
year="2019",
author="Vasiliadis, Helen-Maria and Lamoureux-Lamarche, Catherine and Pitrou, Isabelle and Berbiche, Djamal",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: Examine the association between trauma and daily stressors, post-traumatic stress syndrome (PTSS), anxio-depressive disorders, and suicidal ideation in older adults. <br><br>DESIGN: A cross-sectional study. SETTING AND PARTICIPANTS: This study included 1446 older adults recruited in primary care practices (2011-2013) and participating in Quebec's longitudinal study on health services in the elderly. MEASUREMENTS: Lifetime trauma and PTSS was assessed using the validated PTSS scale for older adults based on scores from the Impact of Events Scale-Revised, number of lifetime traumatic events and interference with daily activities. The presence of an anxio-depressive disorder was based on physician diagnoses. Path analyses were conducted to determine the pathways between trauma, daily stressors, PTSS and anxio-depressive disorders and SI. Analyses were conducted on the overall sample and by sex. <br><br>RESULTS: Seven percent and 12% reported SI and PTSS. In males, traumas of sexual assault, violence/stalked, war/combat/imprisonment and daily hassles were directly associated with SI. In females, daily hassles were directly associated with SI. In males, a number of traumas were associated with SI through the mediating effect of PTSS and anxio-depressive disorders. In females, PTSS but not anxio-depressive disorders mediated the relationship between traumas and daily stressors, and suicidal ideation. <br><br>CONCLUSIONS: The effects of lifetime traumas persist well into older age. Traumas leading to SI differ between males and females as do the pathways and comorbidity with PTSS and anxio-depressive disorders. This highlights differences in etiologic patterns, which may be used in primary care practice to identify symptom profiles of older persons at risk of suicidal ideation.<p /> <p>Language: en</p>",
language="en",
issn="1041-6102",
doi="10.1017/S1041610219001893",
url="http://dx.doi.org/10.1017/S1041610219001893"
}