@article{ref1,
title="Suicide risk in first year after dementia diagnosis in older adults",
journal="Alzheimer's and dementia",
year="2021",
author="Schmutte, Timothy and Olfson, Mark and Maust, Donovan T. and Xie, Ming and Marcus, Steven C.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: Receiving a diagnosis of Alzheimer's disease or related dementias (ADRD) can be a pivotal and stressful period. We examined the risk of suicide in the first year after ADRD diagnosis relative to the general geriatric population. <br><br>METHODS: We identified a national cohort of Medicare fee-for-service beneficiaries aged ≥ 65 years with newly diagnosed ADRD (n = 2,667,987) linked to the National Death Index. <br><br>RESULTS: The suicide rate for the ADRD cohort was 26.42 per 100,000 person-years. The overall standardized mortality ratio (SMR) for suicide was 1.53 (95% confidence interval [CI] = 1.42, 1.65) with the highest risk among adults aged 65 to 74 years (SMR = 3.40, 95% CI = 2.94, 3.86) and the first 90 days after ADRD diagnosis. Rural residence and recent mental health, substance use, or chronic pain conditions were associated with increased suicide risk. <br><br>DISCUSSION: Results highlight the importance of suicide risk screening and support at the time of newly diagnosed dementia, particularly for patients aged < 75 years.<p /> <p>Language: en</p>",
language="en",
issn="1552-5260",
doi="10.1002/alz.12390",
url="http://dx.doi.org/10.1002/alz.12390"
}