Regular Research ArticleHolocaust Experience and Suicidal Ideation in High-Risk Older Adults
Section snippets
Study Design and Setting
The study used data from an existing clinical database in a cross-sectional study design. Data have been routinely collected in the Psychiatric day Hospital (PDH) at Baycrest Centre for Geriatric Care in Toronto, Canada, and entered into a computerized database since September 1986. The program offered treatment for major depression and related disorders, including organic affective disorder, major depressive disorder, atypical depression, dysthymic disorder, adjustment disorder with depressed
RESULTS
Of the available data on 874 admissions, 699 were based on first admissions. Of these, only 75.8% (N=530) met the study's inclusion criteria (Figure 1). There were no statistically significant differences in age and gender between those included in the study and those who were not (N=169). Twenty-two of the excluded individuals were not eligible because of missing information on either the outcome (N=14) or the exposure variable (N=8). These individuals were not statistically different from the
DISCUSSION
The period prevalence of suicidal ideation observed in this sample (34.72%) is consistent with the rates reported in the earlier literature on suicidal ideation in depressed elderly subjects.7, 9 It is also similar to the 38% prevalence rate reported by Waern et al.8 from examination of the medical records of elderly suicide victims. The finding provides confirmation that although suicidal ideation may be less frequent in the elderly population, it is quite prevalent in high-risk groups, such
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The tide does turn: Predictors of remission from suicidal ideation and attempt among Canadians who previously attempted suicide
2019, Psychiatry ResearchCitation Excerpt :For instance, Rowe et al. (2006) found that low perceived social support was associated with suicidal ideation among older adults receiving home healthcare services. Similarly, high-risk Holocaust survivors with a confidant were found to be less likely to exhibit suicidal ideation than those without a confidant (Clarke et al., 2004). This evidence is concordant with other social psychology research that has indicated that reliable social support is protective against psychological distress (Oishi et al., 2010; Siskind et al., 2012) and suicidal behaviors (Baiden and Fuller‐Thomson, 2016; Johnson et al., 2011; Kleiman et al., 2014).
Lifetime suicidal attempts and current suicidal risk in aging survivors of the Jeju April 3 incident
2018, Journal of Affective DisordersCitation Excerpt :This is consistent with the study conducted by Barak et al. (2005) showing that aging Holocaust survivors were at increased risk of attempting suicide, although the same rates of major depression were found among Holocaust survivors and control subjects. Similarly, Clarke et al. (2004) reported that depressed Holocaust survivors were 52% more likely to suffer suicidal ideation than a depressed non-Holocaust sample. The present study has several limitations.
Suicide in the elderly
2013, Revista Colombiana de PsiquiatriaTrauma and suicide behaviour histories among a Canadian indigenous population: An empirical exploration of the potential role of Canada's residential school system
2012, Social Science and MedicineCitation Excerpt :The chronic stress they may have experienced as attendees may still predispose them to cope ineffectively as they age (Kirmayer et al., 2007). Of equal concern is the younger but high-risk survivor cohort, who, as they age, may also be at risk, which has been observed among high-risk, ageing holocaust survivors (Barak, 2007; Clarke et al., 2004). A recent, limited retrospective chart study has shown such risk among Canada's residential school survivors who had sought mental health services for trauma symptoms (Corrado & Cohen, 2003).
Narcissistic personality and vulnerability to late-life suicidality
2007, American Journal of Geriatric PsychiatryCitation Excerpt :To provide greater specificity regarding suicidal features, we conducted a series of χ2 analyses exploring whether NP status was associated with categorical suicide ideator versus non-ideator and suicidal behavior versus non-behavior status on the HAM-D-SI. The prevalence of suicide ideators (HAM-D-SI ≥2)28 was significantly greater for NPD versus non-NPD patients (χ2(n = 526) = 6.25, p = 0.012), and non-significantly greater for NP versus non-NP patients (χ2(n = 538) = 3.30, p = 0.07). No significant differences emerged for NPD or NP groups in suicidal behavior status whether defined broadly (HAM-D-SI ≥3; n = 72) or more narrowly (HAM-D-SI = 4; n = 0), possibly due to the rarity of recent suicidal behavior and NP diagnoses in older samples.
Social support and suicidal ideation in older adults using home healthcare services
2006, American Journal of Geriatric Psychiatry
The findings of this paper were presented at the 2001 EpiCongress held in Toronto, Canada, June 13–16, 2001.
This study was supported by The Leon and Blossom Wigdor Award for Studies in Aging from the Institute for Human Development, Life Course, and Aging at the University of Toronto, the Canadian Institute for Health Research Doctoral Award, Grant #200110MDR-96269-115967, and the Ontario Work Study Program, and the Hy and Bertha Shere and Harry and Sara Gorman Award from the Baycrest Foundation, Baycrest Centre for Geriatric Care.