Detection of suicide among the elderly in a long term care facility

Tinakon Wongpakaran, Nahathai Wongpakaran Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand Purpose: The aim of this study was to establish the level of correlation between the suicide item contained within the Core Symptom Index (CSI), and the presence of s...

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Autores principales:	Wongpakaran T, Wongpakaran N
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Keywords: Core Symptom Index elderly suicidality suicidal thoughts long term care MDD Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/b51f0e5bb0984c009ef24d51960264fd
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spelling	oai:doaj.org-article:b51f0e5bb0984c009ef24d51960264fd2021-12-02T04:17:41ZDetection of suicide among the elderly in a long term care facility1178-1998https://doaj.org/article/b51f0e5bb0984c009ef24d51960264fd2013-11-01T00:00:00Zhttps://www.dovepress.com/detection-of-suicide-among-the-elderly-in-a-long-term-care-facility-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Tinakon Wongpakaran, Nahathai Wongpakaran Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand Purpose: The aim of this study was to establish the level of correlation between the suicide item contained within the Core Symptom Index (CSI), and the presence of suicidal thoughts as assessed by the Mini-International Neuropsychiatric Interview (MINI) and the Cornell Scale of Depression in Dementia (CSDD). Patients and methods: Seventy elderly residents in a long term care facility were included in this study. All of these patients completed a CSI and a geriatric depression scale (GDS), plus were interviewed using CSDD, MINI (suicide module), and MMSE. Test characteristics of item two of the CSI (suicidal thoughts) and MINI were compared. Gwet's AC1 and Cohen's Kappa were also used to test the level of agreement between raters, and univariate analysis was used to determine predictors for the severity of any suicidal thoughts present. Results: There was found to be a significant correlation between suicidal ideation, as assessed by item two of the CSI, and the suicidal ideation score as assessed by MINI and CSDD (r=0.773 and r=0.626, P<0.001, respectively). The level of agreement across all three instruments was good (Gwet's AC1 =0.907). The CSI yielded a high level of sensitivity (100%) and specificity (90.32%) for suicidal thoughts as measured by MINI, with an area under the curve of 97%. When assessing predictors of the severity of suicidal thoughts, only item two of the CSI predicted severity, while the depression, GDS, and total scores obtained from the CSI did not. Conclusion: CSI item two has the ability to detect suicidal ideation, regardless of whether the patient has cognitive impairment and/or depression or not, and is currently the best predictor of its presence. Therefore, it shows promise as a measure for screening the presence of suicidal thoughts among the elderly in long term care facilities. Keywords: core symptom index, elderly, suicidality, suicidal thoughts, long-term care, depressionWongpakaran TWongpakaran NDove Medical PressarticleKeywords: Core Symptom Indexelderlysuicidalitysuicidal thoughtslong term careMDDGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 1553-1559 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Keywords: Core Symptom Index elderly suicidality suicidal thoughts long term care MDD Geriatrics RC952-954.6
spellingShingle	Keywords: Core Symptom Index elderly suicidality suicidal thoughts long term care MDD Geriatrics RC952-954.6 Wongpakaran T Wongpakaran N Detection of suicide among the elderly in a long term care facility
description	Tinakon Wongpakaran, Nahathai Wongpakaran Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand Purpose: The aim of this study was to establish the level of correlation between the suicide item contained within the Core Symptom Index (CSI), and the presence of suicidal thoughts as assessed by the Mini-International Neuropsychiatric Interview (MINI) and the Cornell Scale of Depression in Dementia (CSDD). Patients and methods: Seventy elderly residents in a long term care facility were included in this study. All of these patients completed a CSI and a geriatric depression scale (GDS), plus were interviewed using CSDD, MINI (suicide module), and MMSE. Test characteristics of item two of the CSI (suicidal thoughts) and MINI were compared. Gwet's AC1 and Cohen's Kappa were also used to test the level of agreement between raters, and univariate analysis was used to determine predictors for the severity of any suicidal thoughts present. Results: There was found to be a significant correlation between suicidal ideation, as assessed by item two of the CSI, and the suicidal ideation score as assessed by MINI and CSDD (r=0.773 and r=0.626, P<0.001, respectively). The level of agreement across all three instruments was good (Gwet's AC1 =0.907). The CSI yielded a high level of sensitivity (100%) and specificity (90.32%) for suicidal thoughts as measured by MINI, with an area under the curve of 97%. When assessing predictors of the severity of suicidal thoughts, only item two of the CSI predicted severity, while the depression, GDS, and total scores obtained from the CSI did not. Conclusion: CSI item two has the ability to detect suicidal ideation, regardless of whether the patient has cognitive impairment and/or depression or not, and is currently the best predictor of its presence. Therefore, it shows promise as a measure for screening the presence of suicidal thoughts among the elderly in long term care facilities. Keywords: core symptom index, elderly, suicidality, suicidal thoughts, long-term care, depression
format	article
author	Wongpakaran T Wongpakaran N
author_facet	Wongpakaran T Wongpakaran N
author_sort	Wongpakaran T
title	Detection of suicide among the elderly in a long term care facility
title_short	Detection of suicide among the elderly in a long term care facility
title_full	Detection of suicide among the elderly in a long term care facility
title_fullStr	Detection of suicide among the elderly in a long term care facility
title_full_unstemmed	Detection of suicide among the elderly in a long term care facility
title_sort	detection of suicide among the elderly in a long term care facility
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/b51f0e5bb0984c009ef24d51960264fd
work_keys_str_mv	AT wongpakarant detectionofsuicideamongtheelderlyinalongtermcarefacility AT wongpakarann detectionofsuicideamongtheelderlyinalongtermcarefacility
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Detection of suicide among the elderly in a long term care facility

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