TY  - JOUR
PY  - 2022//
TI  - Prevalence of suicidality and its association with quality of life in older patients with clinically stable psychiatric disorders in China during the CoViD-19 pandemic
JO  - Journal of geriatric psychiatry and neurology
A1  - Liu, Rui
A1  - Xu, Xiuying
A1  - Zou, Siyun
A1  - Li, Yulong
A1  - Wang, Huan
A1  - Yan, Xiaona
A1  - Du, Xiangdong
A1  - Zhang, Lan
A1  - Zhang, Qinge
A1  - Li, Wen
A1  - Cheung, Teris
A1  - Ungvari, Gabor S.
A1  - Ng, Chee H.
A1  - Xiang, Yu-Tao
SP  - 237
EP  - 244
VL  - 35
IS  - 2
N2  - AIMS: The pattern of suicidality in older patients with psychiatric disorders during the COVID-19 pandemic is not clear. This study examined the prevalence of suicidality and its association with quality of life (QOL) among older clinically stable patients with psychiatric disorders during the COVID-19 pandemic. <br><br>METHODS: A multicenter, cross-sectional study was conducted from May 22 to July 15, 2020, among four major tertiary psychiatric hospitals in China. Suicidality was assessed by asking 3 standardized questions. Depressive symptoms, pain, and QOL were assessed with the 9-item Patient Health Questionnaire (PHQ-9), the numeric pain rating scale (NPRS), and the World Health Organization Quality of Life Questionnaire-brief version, respectively. <br><br>RESULTS: A total of 1063 clinically stable patients participated and completed the assessment. The prevalence of suicidality was 11.8% (95% CI: 9.9%-13.7%) during the COVID-19 pandemic. Multiple logistic regression analysis revealed that poor treatment adherence (P =.009, OR = 1.86, 95% CI: 1.17-2.96) and perceived illness worsening during the COVID-19 outbreak (P =.02, OR = 2.07, 95% CI: 1.15-3.73), being diagnosed with major depressive disorder (P <.001, OR = 2.79, 95% CI: 1.68-4.64), PHQ-9 total score (P <.001, OR = 1.20, 95% CI: 1.15-1.24) and NPRS total score (P =.002, OR = 1.17, 95% CI: 1.06-1.29) were associated with higher risk of suicidality. After controlling for covariates, older psychiatric patients with suicidality had lower QOL compared to those without (F((1, 1063)) =16.5, P<.001). <br><br>CONCLUSIONS: Suicidality was common in older patients with clinically stable psychiatric disorders during the COVID-19 pandemic. Considering its negative impact on QOL and personal suffering, routine screening and preventive suicide measures should be implemented for older psychiatric patients.<p />  <p>Language: en</p>
LA  - en
SN  - 0891-9887
UR  - http://dx.doi.org/10.1177/08919887221078557
ID  - ref1
ER  -