期刊
INTERNATIONAL PSYCHOGERIATRICS
卷 31, 期 1, 页码 139-145出版社
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S104161021800056X
关键词
suicidal; elderly; vision impairment; dual sensory loss; hearing impairment; mental health
资金
- European Union [668648]
- Fondation pour la Recherche Medicale
- Caisse Nationale Maladie des Travailleurs Salaries
- Direction Generale de la Sante
- Conseils Regionaux d'Aquitaine et Bourgogne
- MGEN
- Institut de la Longevite
- Fondation de France
- Ministry of Research-INSERM Program Cohortes et collections de donnees biologiques
- Agence Nationale de la Recherche ANR
- Fondation Plan Alzheimer (FCS)
Objectives: To examine the longitudinal risk of vision loss (VL) or hearing loss (HL) for experiencing suicidal ideation in older adults. Design: The Three-City study, examining data from three waves of follow-up (2006-2008, 2008-2010, and 2010-2012). Setting: Community-dwelling older French adults. Participants: N = 5,438 adults aged 73 years and over. Measurements: Suicidality was assessed by the Mini-International Neuropsychiatric Interview, Major Depressive Disorder module. Mild VL was defined as Parinaud of 3 or 4 and severe VL as Parinaud >4. Mild HL was self-reported as difficulty understanding a conversation and severe HL as inability to understand a conversation. Results: Severe VL was associated with an increased risk of suicidal ideation at baseline (OR = 1.59, 95% CIs = 1.06-2.38) and over five years (OR = 1.65, 95% CIs = 1.05-2.59). Mild and severe HL were associated with an increased risk of suicidal ideation, both at baseline (OR = 1.29, 95% CIs = 1.03-1.63; OR = 1.78, 95% CIs = 1.32-2.40) and over five years (OR = 1.47, 95% CIs = 1.17-1.85; OR = 1.97, 95% CIs = 1.44-2.70). Conclusion: Sensory losses in late life pose a risk for suicidal ideation. Suicidality requires better assessment and intervention in this population.
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