The 5D indicators of suicide risk in older adults who are lonely

IF 4.1 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES
Kimberly A. Van Orden, April Buttaccio, Yeates Conwell
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Abstract

Loneliness is associated with suicide ideation, attempts, and deaths in later life. The objective of this study is to describe characteristics of suicide risk among older adults who report clinically significant loneliness grounded in our conceptual model of the 5Ds of late life suicide. Our sample comprises 291 adults aged 60 years and older who screened positive for loneliness (UCLA 3‐Item Loneliness Scale score of 6 and above) and subsequently completed baseline eligibility interviews for a clinical trial. Interviews obtained information on loneliness severity, suicide ideation, and the 5Ds of late life suicide: (1) depression (PROMIS depression), (2) deadly means (firearms access), (3) disease (number of chronic conditions), (4) disconnection (objective disconnection, Lubben Social Network Scale; subjective disconnection, UCLA Loneliness Scale), and (5) disability (World Health Organization Disability Assessment Schedule). Subjects demonstrated a high frequency of characteristics associated with suicide risk, with the most common presentation (38%) being the presence of 3Ds—subjective disconnection (loneliness), multimorbidity, and disability. While few subjects presented with only subjective disconnection (loneliness), there was diversity in which other Ds were present and in which combination, suggesting heterogeneous presentations. Upstream suicide prevention efforts could target older adults with loneliness to reach a population with numerous compounding indicators of risk.
孤独老年人自杀风险的5D指标
孤独与晚年的自杀意念、企图和死亡有关。本研究的目的是描述在我们的5d晚年自杀概念模型基础上报告临床显著孤独的老年人的自杀风险特征。我们的样本包括291名60岁及以上的成年人,他们的孤独感筛查呈阳性(UCLA 3项孤独感量表得分为6分及以上),随后完成了临床试验的基线资格访谈。访谈获得了孤独严重程度、自杀意念和晚年自杀5d的信息:(1)抑郁(PROMIS抑郁症)、(2)致命手段(枪支获取)、(3)疾病(慢性病数量)、(4)断开(客观断开,Lubben社会网络量表);主观疏离(UCLA孤独量表)和(5)残疾(世界卫生组织残疾评估表)。受试者表现出与自杀风险相关的特征频率较高,最常见的表现(38%)是3d -主观断开(孤独)、多重疾病和残疾的存在。虽然很少有受试者只表现出主观的脱节(孤独),但其他d的存在和组合存在多样性,表明存在异质性。上游预防自杀的努力可以针对孤独的老年人,以达到有许多复合风险指标的人群。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of the New York Academy of Sciences
Annals of the New York Academy of Sciences 综合性期刊-综合性期刊
CiteScore
11.00
自引率
1.90%
发文量
193
审稿时长
2-4 weeks
期刊介绍: Published on behalf of the New York Academy of Sciences, Annals of the New York Academy of Sciences provides multidisciplinary perspectives on research of current scientific interest with far-reaching implications for the wider scientific community and society at large. Each special issue assembles the best thinking of key contributors to a field of investigation at a time when emerging developments offer the promise of new insight. Individually themed, Annals special issues stimulate new ways to think about science by providing a neutral forum for discourse—within and across many institutions and fields.
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