Psychiatric disorder and personality factors associated with suicide in older people: a descriptive and case-control study.

Abstract:

OBJECTIVE:To determine the rates of psychiatric disorder and personality variables in a sample of older people who had committed suicide and to compare the rates in a subgroup of this sample with those in a control group of people who died from natural causes. DESIGN:Descriptive psychological autopsy study, including interviews with informants, of psychiatric and personality factors in 100 suicides in older people. Case-control study using subgroup of 54 cases and matched control group. SETTING:Four counties and one large urban area in central England, UK. SUBJECTS:Individuals 60 years old and over at the time of death who had died between 1 January 1995 and 1 May 1998, and whose deaths had received a coroner's verdict of suicide (or an open or accidental verdict, where the circumstances of death indicated probable suicide). The control group was an age-and sex-matched sample of people dying through natural causes in the same time period. MAIN OUTCOME MEASURES:ICD-10 psychiatric disorder, personality disorder and trait accentuation. MAIN RESULTS:Seventy-seven per cent of the suicide sample had a psychiatric disorder at the time of death, most often depression (63%). Personality disorder or personality trait accentuation was present in 44%, with anankastic or anxious traits the most frequent. Depression, personality disorder, and personality trait accentuation emerged as predictors of suicide in the case-control analysis. CONCLUSION:Personality factors, as well as depression, are important risk factors for suicide in older people.

authors

Harwood D,Hawton K,Hope T,Jacoby R

doi

10.1002/1099-1166(200102)16:2<155::aid-gps289>3.0.

subject

Has Abstract

pub_date

2001-02-01 00:00:00

pages

155-65

issue

2

eissn

0885-6230

issn

1099-1166

pii

10.1002/1099-1166(200102)16:2<155::AID-GPS289>3.0.

journal_volume

16

pub_type

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