TY  - JOUR
PY  - 2020//
TI  - Predictors of passive and active suicidal ideation and suicide attempt among older  people: a study in tertiary care settings in Thailand
JO  - Neuropsychiatric disease and treatment
A1  - Booniam, Somboon
A1  - Wongpakaran, Tinakon
A1  - Lerttrakarnnon, Peerasak
A1  - Jiraniramai, Surin
A1  - Kuntawong, Pimolpun
A1  - Wongpakaran, Nahathai
SP  - 3135
EP  - 3144
VL  - 16
IS  - 
N2  - PURPOSE: This study compared predictors of passive suicidal ideation (SI), active  SI, and suicide attempt (SA) among elderly Thai patients in tertiary care settings. <br><br>PATIENTS AND METHODS: Psychiatric diagnoses and suicidality of 803 older people were  assessed using the Mini-International Neuropsychiatric Interview and the Structured  Clinical Interview for DSM-IV-TR. All participants completed the Montreal Cognitive  Assessment, multidimensional scale of perceived social support (MSPSS), 15-item Thai  geriatric depression scale (TGDS-15), 10-item perceived social scale and the Core  Symptoms Index. The chi-square test, t-test and ANOVA were used for bivariate  analysis of predictors of specific suicidality types. Multiple logistic regression  was used to determine the predictors for each type of suicidality. <br><br>RESULTS: The  patients' mean age was 69.24 ± 6.90 years, and the majority were female (69.74%). Passive SI, active SI and SA were found among 20.42%, 3.74% and 2.37%, respectively,  of the patients. Major depressive disorder (MDD) was a predictor of both passive and  active SI (OR = 2.06 and 3.74, respectively). Other predictors of passive SI  included hypomania (OR = 8.27) and positive score on the TGDS-15 (OR = 1.29). Predictors of active SI included agoraphobia (OR = 6.84) and hypomania (OR = 7.10). Predictors of SA included a family history of alcohol dependence (OR = 14.16), a  history of depression (OR = 4.78) and agoraphobia (OR = 19.89). Surprisingly,  hypertension and self-reported anxiety symptoms were protective factors for passive  SI (OR = 0.51 and 0.85, respectively). Likewise, MSPSS was a protective factor for  SA (OR = 0.90). <br><br>CONCLUSION: Predictors of each type of suicidality differed. MDD was  the main predictor for SI; however, agoraphobia and poor perceived social support  were more pronounced among individuals with SA. Further investigation, especially in  longitudinal fashion, should be warranted.<p />  <p>Language: en</p>
LA  - en
SN  - 1176-6328
UR  - http://dx.doi.org/10.2147/NDT.S283022
ID  - ref1
ER  -