TY - JOUR PY - 1996// TI - Suicide in old age: A tragedy of neglect JO - Canadian journal of psychiatry, The A1 - Duckworth, G. A1 - McBride, H. SP - 217 EP - 222 VL - 41 IS - 4 N2 - OBJECTIVE: To investigate the incidence and treatment of depression in geriatric suicide. METHOD: All coroners' records, autopsy and police reports for suicide victims aged 65+ in Ontario (n = 543) over 3 years were examined. RESULTS: Over 80% of the elderly who committed suicide received no psychiatric referral. Of the sample, 87% were untreated while only 13% received antidepressants. Tricyclics, which are lethal in overdose, were the drugs of choice. None of the sample was treated with the safer specific serotonin reuptake inhibitors (SSRIs). Females were 3 times as likely to be treated as were males, and those seeing psychiatrists were 4 times more likely to be treated with antidepressants than those seeing general practitioners (GPs). The physically ill were rarely treated. CONCLUSIONS: These findings suggest that early geropsychiatric assessment and vigorous treatment could prevent many suicides in old age.
Language: en
LA - en SN - 0706-7437 UR - http://dx.doi.org/ ID - ref1 ER -