SUICIDE ATTEMPTS IN ELDERLY PSYCHIATRIC-INPATIENTS

被引:67
作者
LYNESS, JM [1 ]
CONWELL, Y [1 ]
NELSON, JC [1 ]
机构
[1] YALE UNIV, SCH MED,DEPT PSYCHIAT, NEW HAVEN, CT 06510 USA
关键词
D O I
10.1111/j.1532-5415.1992.tb02129.x
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objective: To describe the psychopathological characteristics of elderly suicide attempters admitted to an inpatient psychiatric unit. Design: Retrospective chart review. Patients: All 168 patients age 60 years and over treated on the adult psychiatric inpatient unit of Yale-New Haven Hospital from 1979 to 1984. Twenty-five made a suicide attempt. Main Outcome Measures: Presence and severity of suicide attempts were rated and compared with demographic, clinical, and functional data. Results: (1) Eighty percent of the attempters had a major depressive syndrome; (2) among patients with affective disorders, presence of an attempt was significantly associated with a later age of onset; (3) patients who had made more severe attempts were more likely to be diagnosed as psychotic depression, although this trend was not significant; (4) substance abuse and dementia were uncommon diagnoses; (5) symptomatic and functional outcome of hospitalization was as favorable for the attempters as for the entire elderly cohort. Conclusions: Affective illness, especially late-onset major depression, was the major association with suicide attempts.
引用
收藏
页码:320 / 324
页数:5
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