Abstract：
:Suicide rates are high in later life, particularly among older men. Mood disorders are known risk factors, but the risk of suicide associated with poor physical health remains unclear. We completed a cohort study of a community representative sample of 38,170 men aged 65-85 in 1996 who were followed for up to 16years. Data on suicide attempts and completion were obtained from the Western Australia Data Linkage System, as was information about medical and mental health diagnoses. 240 (0.6%) participants had a recorded history of past suicide attempt, most commonly by poisoning (85%). Sixty-nine men died by suicide during follow up (0.3% of all deaths), most often by hanging (50.7%). Age-adjusted competing risk regression showed that past suicide attempt was not a robust predictor of future suicide completion (sub-hazard ratio, SHR=1.58, 95% CI=0.39, 6.42), but bipolar (SHR=7.82, 95% CI=3.08, 19.90), depressive disorders (SHR=2.26, 95% CI=1.14, 4.51) and the number of health systems affected by disease (SHR for 3-4 health systems=6.02, 95% CI=2.69, 13.47; SHR for ≥5 health systems=11.18, 95% CI=4.89, 25.53) were. The population fraction of suicides attributable to having 5 or more health systems affected by disease was 79% (95% CI=57%, 90%), and for any mood disorder (bipolar or depression) it was 17% (95% CI=3%, 28%). Older Australian men with multiple health morbidities have the highest risk of death by suicide, even after taking into account the presence of mood disorders. Improving the overall health of the population may be the most effective way of decreasing the rates of suicide in later life.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Almeida OP,McCaul K,Hankey GJ,Yeap BB,Golledge J,Flicker Ldoi
10.1016/j.ypmed.2016.09.022subject
Has Abstractpub_date
2016-12-01 00:00:00pages
33-38eissn
0091-7435issn
1096-0260pii
S0091-7435(16)30279-1journal_volume
93pub_type
杂志文章abstract：:This study identified barriers and facilitators of repeat participation in mammography and breast physical examination among women ages 50 years and over. Telephone interviews were conducted with 910 women in this age group. Forty percent of respondents had never had a mammogram. Only 38% had had one in the past 12 mo...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(90)90028-i
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abstract：BACKGROUND:This paper identifies factors that predict achievement of a low-fat diet among 242 California adults with low literacy skills, following their participation in the Stanford Nutrition Action Program (SNAP), a randomized classroom-based nutrition intervention trial (1993-1994). METHODS:The intervention classe...
journal_title：Preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1006/pmed.1997.0231
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pub_type： 临床试验,杂志文章
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pub_type： 杂志文章,评审
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doi：10.1016/j.ypmed.2014.01.023
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pub_type： 杂志文章
doi：10.1016/j.ypmed.2016.08.023
更新日期：2016-10-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.ypmed.2005.07.006
更新日期：2005-09-01 00:00:00
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更新日期：2019-03-01 00:00:00
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pub_type： 杂志文章,随机对照试验
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journal_title：Preventive medicine
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pub_type： 杂志文章,meta分析
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更新日期：1998-11-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.ypmed.2004.11.006
更新日期：2005-07-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ypmed.2008.12.001
更新日期：2009-02-01 00:00:00
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更新日期：2014-12-01 00:00:00
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pub_type： 杂志文章
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