Social inequalities in depression and suicidal ideation among older primary care patients.

Abstract:

PURPOSE:Depression and suicide are major public health concerns, and are often unrecognized among the elderly. This study investigated social inequalities in depressive symptoms and suicidal ideation among older adults. METHODS:Data come from 1,226 participants in PROSPECT (Prevention of Suicide in Primary Care Elderly: Collaborative Trial), a large primary care-based intervention trial for late-life depression. Linear and logistic regressions were used to analyze depressive symptoms and suicidal ideation over the 2-year follow-up period. RESULTS:Mean Hamilton Depression Rating Scale (HDRS) scores were significantly higher among participants in financial strain [regression coefficient (b) = 1.78, 95 % confidence interval (CI) = 0.67-2.89] and with annual incomes below $20,000 (b = 1.67, CI = 0.34-3.00). Financial strain was also associated with a higher risk of suicidal ideation (odds ratio = 2.35, CI = 1.38-3.98). CONCLUSIONS:There exist marked social inequalities in depressive symptoms and suicidal ideation among older adults attending primary care practices, the setting in which depression is most commonly treated. Our results justify continued efforts to understand the mechanisms generating such inequalities and to recognize and provide effective treatments for depression among high-risk populations.

authors

Gilman SE,Bruce ML,Ten Have T,Alexopoulos GS,Mulsant BH,Reynolds CF 3rd,Cohen A

doi

10.1007/s00127-012-0575-9

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

59-69

issue

1

eissn

0933-7954

issn

1433-9285

journal_volume

48

pub_type

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