Suicide in older adults: current perspectives

Ismael Conejero,1,2 Emilie Olié,1–3 Philippe Courtet,1–3 Raffaella Calati1–3 1Institut National de la Santé Et de la Recherche Médicale (INSERM), University of Montpellier, Neuropsychiatry: Epidemiological and Clinical Research, Montpel...

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Autores principales:	Conejero I, Olié E, Courtet P, Calati R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	suicide older adults. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/9b9b80ad7fa94d7ba83a738d7492d0f6
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spelling	oai:doaj.org-article:9b9b80ad7fa94d7ba83a738d7492d0f62021-12-02T08:11:17ZSuicide in older adults: current perspectives1178-1998https://doaj.org/article/9b9b80ad7fa94d7ba83a738d7492d0f62018-04-01T00:00:00Zhttps://www.dovepress.com/suicide-in-older-adults-current-perspectives-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Ismael Conejero,1,2 Emilie Olié,1–3 Philippe Courtet,1–3 Raffaella Calati1–3 1Institut National de la Santé Et de la Recherche Médicale (INSERM), University of Montpellier, Neuropsychiatry: Epidemiological and Clinical Research, Montpellier, France; 2Department of Emergency Psychiatry and Post-Acute Care, Lapeyronie Hospital, Center Hospitalier Universitairere (CHU) Montpellier, Montpellier, France; 3FondaMental Foundation, Créteil, France Abstract: Suicidal behavior in older adults (65 years old and over) is a major public health issue in many countries. Suicide rates increase during the life course and are as high as 48.7/100,000 among older white men in the USA. Specific health conditions and stress factors increase the complexity of the explanatory model for suicide in older adults. A PubMed literature search was performed to identify most recent and representative studies on suicide risk factors in older adults. The aim of our narrative review was to provide a critical evaluation of recent findings concerning specific risk factors for suicidal thoughts and behaviors among older people: psychiatric and neurocognitive disorders, social exclusion, bereavement, cognitive impairment, decision making and cognitive inhibition, physical illnesses, and physical and psychological pain. We also aimed to approach the problem of euthanasia or physician-assisted suicide in older adults. Our main findings emphasize the need to integrate specific stress factors, such as feelings of social disconnectedness, neurocognitive impairment or decision making, as well as chronic physical illnesses and disability in suicide models and in suicide prevention programs in older adults. Furthermore, the chronic care model should be adapted for the treatment of older people with long-term conditions in order to improve the treatment of depressive disorders and the prevention of suicidal thoughts and acts. Keywords: suicide, attempted suicide, older adults, risk factorsConejero IOlié ECourtet PCalati RDove Medical Pressarticlesuicideolder adults.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 691-699 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	suicide older adults. Geriatrics RC952-954.6
spellingShingle	suicide older adults. Geriatrics RC952-954.6 Conejero I Olié E Courtet P Calati R Suicide in older adults: current perspectives
description	Ismael Conejero,1,2 Emilie Olié,1–3 Philippe Courtet,1–3 Raffaella Calati1–3 1Institut National de la Santé Et de la Recherche Médicale (INSERM), University of Montpellier, Neuropsychiatry: Epidemiological and Clinical Research, Montpellier, France; 2Department of Emergency Psychiatry and Post-Acute Care, Lapeyronie Hospital, Center Hospitalier Universitairere (CHU) Montpellier, Montpellier, France; 3FondaMental Foundation, Créteil, France Abstract: Suicidal behavior in older adults (65 years old and over) is a major public health issue in many countries. Suicide rates increase during the life course and are as high as 48.7/100,000 among older white men in the USA. Specific health conditions and stress factors increase the complexity of the explanatory model for suicide in older adults. A PubMed literature search was performed to identify most recent and representative studies on suicide risk factors in older adults. The aim of our narrative review was to provide a critical evaluation of recent findings concerning specific risk factors for suicidal thoughts and behaviors among older people: psychiatric and neurocognitive disorders, social exclusion, bereavement, cognitive impairment, decision making and cognitive inhibition, physical illnesses, and physical and psychological pain. We also aimed to approach the problem of euthanasia or physician-assisted suicide in older adults. Our main findings emphasize the need to integrate specific stress factors, such as feelings of social disconnectedness, neurocognitive impairment or decision making, as well as chronic physical illnesses and disability in suicide models and in suicide prevention programs in older adults. Furthermore, the chronic care model should be adapted for the treatment of older people with long-term conditions in order to improve the treatment of depressive disorders and the prevention of suicidal thoughts and acts. Keywords: suicide, attempted suicide, older adults, risk factors
format	article
author	Conejero I Olié E Courtet P Calati R
author_facet	Conejero I Olié E Courtet P Calati R
author_sort	Conejero I
title	Suicide in older adults: current perspectives
title_short	Suicide in older adults: current perspectives
title_full	Suicide in older adults: current perspectives
title_fullStr	Suicide in older adults: current perspectives
title_full_unstemmed	Suicide in older adults: current perspectives
title_sort	suicide in older adults: current perspectives
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/9b9b80ad7fa94d7ba83a738d7492d0f6
work_keys_str_mv	AT conejeroi suicideinolderadultscurrentperspectives AT oliee suicideinolderadultscurrentperspectives AT courtetp suicideinolderadultscurrentperspectives AT calatir suicideinolderadultscurrentperspectives
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Suicide in older adults: current perspectives

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