TY - JOUR PY - 2021// TI - Suicidal behaviour in older age: a systematic review of risk factors associated to suicide attempts and completed suicides JO - Neuroscience and biobehavioral reviews A1 - Beghi, Massimiliano A1 - Butera, Elisa A1 - Cerri, Cesare Giuseppe A1 - Cornaggia, Cesare Maria A1 - Febbo, Francesca A1 - Mollica, Anita A1 - Berardino, Giuseppe A1 - Piscitelli, Daniele A1 - Resta, Emanuela A1 - Logroscino, Giancarlo A1 - Daniele, Antonio A1 - Altamura, Mario A1 - Bellomo, Antonello A1 - Panza, Francesco A1 - Lozupone, Madia SP - ePub EP - ePub VL - ePub IS - ePub N2 - In older age, several observational studies investigated risk factors for suicide attempts/completed suicides, however, contrasting evidence came from population-based setting. In the present systematic review, we described through a narrative synthesis the significant associations existing among risk factors and suicide attempts/completed suicides in subjects aged >65 years. From the 39 population-based studies selected in six different databases until February 15, 2021, we analyzed the most frequent 28 risk factors for suicidal behaviour. The risk factors more associated to suicide attempts than other variables frequently related to suicidal behavior in older age were depressive disorders, methods employed to self-harm (particularly poisoning), and psychotropic drug utilization followed by psychological factors and disability. Moreover, male sex, violent methods to self-harm, any psychiatric disorder (depression, anxiety and bipolar disorders), a poor medical condition, stressors/bereavement, and living alone appeared to be more significant for predicting completed suicides in late life. In older age, efforts for suicide prevention should be based on strategies to assess and treat psychiatric disorders along with psychological interventions, particularly in males.
Language: en
LA - en SN - 0149-7634 UR - http://dx.doi.org/10.1016/j.neubiorev.2021.04.011 ID - ref1 ER -