Suicide among older psychiatric inpatients: an evidence-based study of a high-risk group.

@article{Erlangsen2006SuicideAO,
  title={Suicide among older psychiatric inpatients: an evidence-based study of a high-risk group.},
  author={Annette Erlangsen and Steven H Zarit and Xin Tu and Yeates Conwell},
  journal={The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry},
  year={2006},
  volume={14 9},
  pages={
          734-41
        }
}
  • A. Erlangsen, S. Zarit, +1 author Y. Conwell
  • Published 1 September 2006
  • Psychology, Medicine
  • The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
OBJECTIVE Older adults have elevated suicide rates, especially in the presence of a psychiatric disorder, yet not much is known about predictors for suicide within this high-risk group. The current study examines the characteristics associated with suicide among older adults who are admitted to a psychiatric hospital. METHOD All persons aged 60 and older living in Denmark who were hospitalized with psychiatric disorders during 1990-2000 were included in the study. Using a case-control design… 
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Hospital-diagnosed dementia and suicide: a longitudinal study using prospective, nationwide register data.
  • A. Erlangsen, S. Zarit, Y. Conwell
  • Medicine, Psychology
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
  • 2008
TLDR
Dementia, determined during hospitalization, was associated with an elevated risk of suicide for older adults and preventive measures should focus on suicidal ideation after initial diagnosis.
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References

SHOWING 1-10 OF 39 REFERENCES
Mental disorder in elderly suicides: a case-control study.
TLDR
The findings of this study suggest that elderly individuals who commit suicide represent a heterogeneous group with regard to mental disorders, implying a need for differentiated prevention strategies.
Psychiatric hospitalisation and suicide among the very old in Denmark: population-based register study.
TLDR
The association between suicide and psychiatric hospitalisation is much weaker for the very old than for the old, and the inverse interaction effect is distinctly smaller compared with that in the middle-aged and old groups.
Mental disorders in elderly suicide.
TLDR
Investigation of the prevalence and comorbidity of current mental disorders defined by DSM-III-R among elderly suicide victims and to compare them with the mental disorders among younger victims found suicide among the elderly without a diagnosable mental disorder and somatopsychiatric comerbidity seems to be rare.
Suicide among psychiatric hospital in-patients.
TLDR
In the psychiatric hospital setting the in-patient at risk for suicide has previously exhibited suicidal behaviour, suffers from schizophrenia, was admitted involuntarily, lives alone and that the risk of suicide may remain high among long-stay schizophrenics.
Suicide and aging. I: Patterns of psychiatric diagnosis.
TLDR
Comparison by age within and between studies further suggests that depressive illness is more common and substance abuse less prevalent in later-life victims, and that the aging process itself (biological, psychological, and social) may account for the observed pattern.
Suicide risk in relation to psychiatric hospitalization: evidence based on longitudinal registers.
TLDR
This study demonstrates that there are 2 sharp peaks of risk for suicide around psychiatric hospitalization, one in the first week after admission and another in theFirst week after discharge; suicide risk is significantly higher in patients who received less than the median duration of hospital treatment; affective disorders have the strongest impact on suicide risk in terms of its effect size and population attributable risk.
Toward a clinical model of suicidal behavior in psychiatric patients.
TLDR
A stress-diathesis model is proposed in which the risk for suicidal acts is determined not merely by a psychiatric illness but also by a diathesis, reflected in tendencies to experience more suicidal ideation and to be more impulsive and, therefore, more likely to act on suicidal feelings.
Suicide after discharge from psychiatric inpatient care
Relationships of age and axis I diagnoses in victims of completed suicide: a psychological autopsy study.
TLDR
It is suggested that risk for suicide increases with age in individuals with major affective illness, and depressed elderly men are particular targets for suicide prevention strategies.
Affective disorders and suicide risk: a reexamination.
TLDR
A hierarchy of risk based on the intensity of the treatment setting is demonstrated among patients with affective disorders, showing that patients with a hospitalization history, particularly when suicidal, have a much elevated suicide prevalence over both psychiatric outpatients and nonpatients.
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