TY - JOUR PY - 2016// TI - Trauma exposure and risk of suicidal ideation among older adults JO - American journal of geriatric psychiatry A1 - Beristianos, Matthew H. A1 - Maguen, Shira A1 - Neylan, Thomas C. A1 - Byers, Amy L. SP - 639 EP - 643 VL - 24 IS - 8 N2 - OBJECTIVE: To determine if trauma exposure is associated with suicidal ideation in a nationally representative sample of older adults.

METHODS: This study included 3,277 participants 55 years and older involved in the Collaborate Psychiatric Epidemiology Surveys (2001-2003).

RESULTS: Of the 84.8% of older adults who were exposed to any trauma, 2.2% endorsed late-life suicidal ideation. Multivariable models fully adjusted for sociodemographics, post-traumatic stress disorder, major depressive disorder, and substance use revealed exposure to serious accidents/illness was associated with suicidal ideation (odds ratio: 2.55; 95% confidence interval: 1.16-5.59; Wald χ(2) = 5.47, df = 1, p = 0.019). Investigation of specific traumas within the category revealed that life-threatening illness was specifically associated with suicidal ideation in older adults (odds ratio: 2.12; 95% confidence interval: 1.34-3.36; Wald χ(2) = 10.33, df = 1, p = 0.001).

CONCLUSION: These findings highlight the need for monitoring of suicidal ideation among older adults who have been informed of a life-threatening illness diagnosis.

Published by Elsevier Inc.

Language: en

LA - en SN - 1064-7481 UR - http://dx.doi.org/10.1016/j.jagp.2016.02.055 ID - ref1 ER -