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Gender differences in determinants of suicidal ideation in French-speaking community living elderly in Canada

Published online by Cambridge University Press:  19 July 2012

Helen-Maria Vasiliadis ,
Sarah Gagné  and
Michel Préville
Helen-Maria Vasiliadis*
Affiliation:
Faculty of Medicine, Université de Sherbrooke, Longueuil, Quebec, Canada Charles LeMoyne Hospital Research Center, Montreal, Quebec, Canada
Sarah Gagné
Affiliation:
Clinical Sciences, Faculty of Medicine, Université de Sherbrooke, Longueuil, Quebec, Canada
Michel Préville
Affiliation:
Faculty of Medicine, Université de Sherbrooke, Longueuil, Quebec, Canada Charles LeMoyne Hospital Research Center, Montreal, Quebec, Canada
*
Correspondence should be addressed to: Helen-Maria Vasiliadis, Centre de recherche Hôpital Charles LeMoyne, Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, 150 Place Charles-Le Moyne bureau 200, C.P. 11, Longueuil (QC) J4K 0A8, Canada. Phone: (450) 466-5000, poste 3701; Fax: (450) 670-4135. Email: [email protected].
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Abstract

Background: To inform public health suicide prevention and mental health promotion campaigns, this study will carry out gender-specific analyses to ascertain the determinants of suicidal ideation or death thoughts in a large representative sample of community dwelling older adults.

Methods: Data used in this study were from the ESA survey (Enquête sur la Santé des Aînés – Survey on the Health of the Elderly) on a large representative sample of community dwelling older adults (n = 2,494). Multivariate logistic regression analysis was used to study the association between suicidal ideation, mental health service, and antidepressant use and a number of clinical and socio-demographic factors.

Results: The prevalence of suicidal ideation reached 6.3%. The findings of this study show that the presence of suicidal ideation in females is associated with younger age, single or widowed status, the reporting of daily life stressors, and chronic conditions as well as the presence of major or minor depression in the past year. In males, suicidal ideation is associated with older age, single or widowed status, and depression. Furthermore, suicidal ideation is significantly associated with antidepressant use in females but not males and this after controlling for a number of clinical factors.

Conclusion: Although no gender differences are observed between suicidal ideation and mental health service use, females with suicidal ideation are more likely to be dispensed antidepressants than males with suicidal ideation. Future research should focus on gender-specific determinants of antidepressant and mental health service use associated with suicidal ideation.

Keywords

suicidal ideationolder adult populationmental health service usepopulation surveyadministrative data
Type
Research Article
Information
International Psychogeriatrics , Volume 24 , Issue 12 , December 2012 , pp. 2019 - 2026
Copyright
Copyright © International Psychogeriatric Association 2012

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References

American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th edn. Washington, DC: APA.Google Scholar
Awata, S. et al. (2005). Factors associated with suicidal ideation in an elderly urban Japanese population: a community based cross-sectional study. Psychiatry and Clinical Neurosciences, 59, 327–336.Google Scholar
Borges, G. et al. (2010). Twelve-month prevalence of and risk factors for suicide attempts in the World Health Organization World Mental Health Surveys. Journal of Clinical Psychiatry, 1617–1628.Google Scholar
Centers for Disease Control and Prevention (2003). Suicide fact sheet. Available at: www.cdc.gov/ncipc/factsheets/suifacts.htm; last accessed May 2011.Google Scholar
Corna, L. M., Cairney, J. and Streiner, D. L. (2010). Suicide ideation in older adults: relationship to mental health problems and service use. Gerontologist, 50, 785–797.Google Scholar
Crum, R. M. et al. (1993). Population-based norms for the Mini-Mental State Examination by age and educational level. JAMA, 269, 2386–2391.Google Scholar
Forsell, Y., Jorm, A. F. and Winblad, B. (1997). Suicidal thoughts and associated factors in an elderly population. Acta Psychiatrica Scandinavica, 95, 108–111.Google Scholar
Geddes, J. R., Barbui, C. and Cipriani, A. (2009). Risk of suicidal behaviour in adults taking antidepressants. BMJ, 11, 339.Google Scholar
Institut de la Statistique du Québec (2005). Données sociale. Éditions 2005. [Social Data. 5the Editions] ISBN 2-551-22744-5. Available at: http://www.stat.gouv.qc.ca/publications/conditions/pdf2005/donn_sociale05.pdf; last accessed 19 June 2012.Google Scholar
Institut de la Statistique du Québec (2006). Portrait de santé du Québec et de ses régions 2006. Deuxième rapport national sur l’état de santé de la population du Québec. Institut national de santé publique, Québec avec la collaboration du Ministère de la Santé et des Services sociaux et de l'Institut de la statistique. Available at: www.inspq.qc.ca/pdf/publications; last accessed 17 May 2012.Google Scholar
Institut de la Statistique du Québec (2012). Données démographiques régionales. Index des tableaux. [Regional demographic data]. Available at: http://www.stat.gouv.qc.ca/donstat/societe/demographie/dons_regnl/regional/index.htm; last accessed 19 June 2012.Google Scholar
Jeon, H. J. et al. (2010). Unplanned versus planned suicide attempters, precipitants, methods, and an association with mental disorders in a Korea-based community sample. Journal of Affective Disorders, 127, 274–280.Google Scholar
Jorm, A. F., Henderson, A. S., Scott, R., Korten, A. I., Christensen, H. and Mackinnon, A. J. (1995). Factors associated with the wish to die in the elderly people. Age and Ageing, 24, 389–392.Google Scholar
Juurlink, D. N., Herrmann, N., Szalati, J. P., Kopp, A. and Redelmeier, D. A. (2004). Medical illness and the risk of suicide in the elderly. Archives of Internal Medicine, 164, 1179–1184.Google Scholar
Kanner, A. D., Coyne, J. C., Schaefer, C. and Lazarus, R. S. (1981). Comparison of two modes of stress measurement: daily hassles and uplifts versus major life events. Journal of Behavioral Medicine, 4, 1–39.Google Scholar
Kim, Y., Bogner, H., Brown, G. and Gallo, J. (2006). Chronic medical conditions and wishes to die among older primary care patients. International Journal of Psychiatry in Medicine, 36, 183–198.Google Scholar
Klap, R., Unroe, K. T. and Unützer, J. (2003). Caring for mental illness in the United States: a focus on older adults. American Journal of Geriatric Psychiatry, 11, 517–524.Google Scholar
Kraaij, V., Arensman, E. and Spinhoven, P. (2002). Negative life events and depression in elderly persons: a meta-analysis. Journal of Gerontology, 57B, 87–94.Google Scholar
Mosier, K. E. et al. (2010). Prevalence of mental disorders and service utilization in seniors: results from the Canadian community health survey cycle 1.2. International Journal of Geriatric Psychiatry, 25, 960–967.Google Scholar
Mulder, R. T., Joyce, P. R., Frampton, C. M. A. and Luty, S. E. (2008). Antidepressant treatment is associated with a reduction in suicidal ideation and suicide attempts. Acta Psychiatrica Scandinavica, 118, 116–122.CrossRefGoogle ScholarPubMed
Murphy, E. et al. (2012). Risk factors for repetition and suicide following self-harm in older adults: multicentre cohort study. British Journal of Psychiatry, 200, 399–404.Google Scholar
Préville, M. et al. (2008). The epidemiology of psychiatric disorders in the Quebec older adult population. Canadian Journal of Psychiatry, 53, 822–832.Google Scholar
Robins, L. N. et al. (1985). The diagnostic interview schedule. In Eaton, W. W. and Kessler, L. G. (eds.), Epidemiologic Field Methods in Psychiatry (pp. 143–170). New York: Academic Press.Google Scholar
Scocco, P. and De Leo, D. (2002). One-year prevalence of death thoughts, suicide ideation and behaviours in an elderly population. International Journal of Geriatric Psychiatry, 17, 842–846.Google Scholar
Scocco, P., Meneghel, G., Caon, F., Dello Buono, M. and De Leo, D. (2001). Death ideation and its correlates: survey of an over-65-year-old population. The Journal of Nervous and Mental Disorders, 189, 210–218.Google Scholar
Vanderhorst, R. K. and McLaren, S. (2005). Social relationships as predictors of depression and suicidal ideation in older adults. Aging and Mental Health, 9, 517–525.Google Scholar
Vézina, J. and Giroux, L. (1988). L’Échelle des Embêtements: une étude de validation et d'adaptation du Hassles Scale pour une population adulte âgée. Paper presented at the meeting of the Canadian Psychological Association, Montreal, June.Google Scholar
World Health Organization (2004). International statistical classification of diseases and related health problems 10th revision version for 2004. Available at: http://apps.who.int/classifications/apps/icd/icd10online2004/fr-icd.htm; last accessed 22 April 2011.Google Scholar
Wittchen, H. U. et al. (1991). Cross-cultural feasibility, reliability and sources of variance of the Composite International Diagnostic Interview (CIDI). British Journal of Psychiatry, 159, 645–653.Google Scholar
Woaklander, D. C. et al. (2008). Medical illness, medication use and suicide in seniors: a population-based case–control study. Journal of Epidemiology & Community Health, 62, 138–146.CrossRefGoogle Scholar
Yen, Y. C. et al. (2005). Suicidal ideation and associated factors among community dwelling elders in Taiwan. Psychiatry and Clinical Neurosciences, 59, 365–371.Google Scholar
Yip, P. S. et al. (2003). A prevalence study of suicide ideation among older adults in Hong Kong SAR. International Journal of Geriatric Psychiatry, 18, 1056–1062.Google Scholar