Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-24T15:49:15.088Z Has data issue: false hasContentIssue false

The relationship between elderly suicide rates and elderly dependency ratios: a cross-national study using data from the WHO data bank

Published online by Cambridge University Press:  15 October 2007

Ajit Shah*
Affiliation:
Ageing, Ethnicity and Mental Health, University of Central Lancashire, Preston, U.K. and West London Mental Health NHS Trust, London, U.K.
Mellisha Padayatchi
Affiliation:
West London Mental Health NHS Trust, London, U.K.
Kavita Das
Affiliation:
West London Mental Health NHS Trust, London, U.K.
*
Correspondence should be addressed to: Professor Ajit Shah, West London Mental Health NHS Trust, Uxbridge Road, Southall, Middlesex, UB1 3EU, U.K. Phone: +44 208 354 8140; Fax: +44 208 354 8898. Email: [email protected].

Abstract

Background: Cultural factors may influence cross-national variations in elderly suicide rates.

Methods: A cross-national study examining the relationship between elderly suicide rates and elderly dependency ratios was conducted with the a priori unidirectional hypothesis that lower elderly dependency ratios (ratio of people over the age of 65 years to people under the age of 65 years) may imply a greater number of younger people being potentially available to provide support and respect to the elderly and to hold them in high esteem, and this would lead to a reduction in elderly suicide rates. Data on elderly suicide rates, and the total number of elderly and young people were ascertained from the World Health Organization website.

Results: Significant positive correlations were found between the natural logarithm of suicide rates, in both sexes in two elderly age-bands (65–74 years and 75+ years), and the elderly dependency ratio for males, females and both sexes combined.

Conclusions: The impact of elderly dependency ratios on elderly suicide rates may interact with and be modified and mediated through cultural factors. The contribution of cross-national differences in cultural factors on elderly suicide rates require further study by formally measuring cultural factors with validated instruments.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abraham, V. J., Abraham, S. and Jacob, K. S. (2005). Suicide in the elderly in Kanyambadi block, Tamil Nadu, South India. International Journal of Geriatric Psychiatry, 20, 953955.CrossRefGoogle ScholarPubMed
Adityanjee, D. R. (1986). Suicide attempts and suicide in India: cross-cultural aspects. International Journal of Social Psychiatry, 32, 6473.CrossRefGoogle ScholarPubMed
Bhatia, S. C., Kahn, M. H. and Medirrata, R. P. (1987). High risk suicide factors across cultures. International Journal of Social Psychiatry, 33, 226236.CrossRefGoogle ScholarPubMed
Brodaty, H., Green, A. and Low, L. F. (2005). Family carers of people with dementia. In:Burns, A., O'Brien, J. and Ames, D. (eds.), Dementia, 3rd edn (pp. 118131). London: Arnold Health Sciences.Google ScholarPubMed
Daradekh, T. K. (1989). Suicide in Jordan 1980–1985. Acta Psychiatrica Scandinavica, 79, 241244.CrossRefGoogle Scholar
Diekstra, R. F. W. (1989). Suicide and attempted suicide: an international perspective. Acta Psychiatrica Scandinavica, 80 (Suppl. 354), 124.CrossRefGoogle Scholar
Kiemo, K. (2004). Towards a socio-economic and demographic theory of elderly suicides: a comparison of 49 countries at various stages of development. www.soc.ou.se/publications/fulltext/diss2003-3.pdf (last accessed 2 February 2007).Google Scholar
Ko, S. M. and Kua, E. H. (1995). Ethnicity and elderly suicide rates in Singapore. International Psychogeriatrics, 7, 309317.CrossRefGoogle ScholarPubMed
Kua, E. H., Ko, S. M. and Ng, T. P. (2003). Recent trends in elderly suicide rates in a multi-ethnic Asian city. International Journal of Geriatric Psychiatry, 18, 533536.CrossRefGoogle Scholar
Lotrakul, M. (2006). Suicide in Thailand during the period 1998–2003. Psychiatry and Neurosciences, 60, 9095.CrossRefGoogle ScholarPubMed
Moscicki, E. K. (1995). North American perspectives: epidemiology of suicide. International Psychogeriatrics, 7, 137148.CrossRefGoogle Scholar
Neeleman, J., Mak, V. and Wessely, S. (1997) Suicide by age, ethnic group, coroner's verdict and country of birth. A three-year survey in inner London. British Journal of Psychiatry, 181, 463467.CrossRefGoogle Scholar
Raleigh, V. S., Bulusu, L. and Balarajan, R. (1990) Suicides among immigrants from the Indian subcontinent. British Journal of Psychiatry, 156, 4650.CrossRefGoogle Scholar
Sartorius, N. (1995). Recent changes in suicide rates in selected Eastern European and other European countries. International Psychogeriatrics, 7, 301308.CrossRefGoogle ScholarPubMed
Seiden, R. H. (1981) Mellowing with age: factors affecting the non-white suicide rate. International Journal of Aging and Human Development, 13, 265284.CrossRefGoogle Scholar
Shah, A. K. (2007). The relationship between suicide rates and age: an analysis of multinational data from the World Health Organization. International Psychogeriatrics. DOI:10.1017/S1041610207005285 (e-published ahead of print).CrossRefGoogle Scholar
Shah, A. K. and De, T. (1998). Suicide and the elderly. International Journal of Psychiatry in Clinical Practice, 2, 317.CrossRefGoogle ScholarPubMed
Shah, A. K. and Ganesvaran, T. (1994) Suicide in the elderly. In:Chiu, E. and Ames, D. (eds.), Functional Psychiatric Disorders of the Elderly (pp. 221244), Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Shah, A. K., Bhatt, R., MacKenzie, S. and Koen, C. (2007a). Elderly suicide rates: cross-national comparisons and association with sex and elderly age-bands. Medicine, Science and the Law, 47, 244252.CrossRefGoogle ScholarPubMed
Shah, A. K., Bhatt, R., MacKenzie, S. and Koen, C. (2007b). A cross-national study of the relationship between elderly suicide rates and life expectancy and markers of socioeconomic status and healthcare. International Psychogeriatrics. DOI: 10.1017/S1041610207005352 (e-published ahead of print).CrossRefGoogle Scholar
Shimuzu, M. (1990). Depression and suicide in late life. InHasegawa, K. and Homma, A. (eds.), Psychogeriatrics: Biomedical and Social Advances (pp. 330334). Amsterdam: Excerpta Medica.Google Scholar
Wasserman, D., Cheng, Q. and Jiang, G. X. (2005). Global suicide rates among young people aged 15–19. World Psychiatry, 4, 114120.Google ScholarPubMed
Watanabe, N., Hasegawa, K. and Yoshinaga, Y. (1995). Suicide in later life in Japan: urban and rural differences. International Psychogeriatrics, 7, 253261.CrossRefGoogle ScholarPubMed
Woodbury, M. A., Manton, K. G. and Blazer, D. (1987). Trends in US suicide mortality rates 1968–1982: race and sex differences in age, period and cohort components. International Journal of Epidemiology, 17, 356–352.CrossRefGoogle Scholar
Yap, P. M. (1963) Ageing and mental health in Hong Kong. InWilliams, R. H., Tibbits, C. and Donaghue, W. (eds.), Processes of Ageing: Social and Psychological Perspectives II (pp. 176191). New York: Atherton.Google Scholar
Yip, P. S. F. (2001). An epidemiological profile of suicides in Beijing, Chine. Suicide and Life-Threatening Behaviour, 31, 6270.CrossRefGoogle Scholar
Yip, P. S. F. and Tan, R. C. E. (1998). Suicides in Hong Kong and Singapore: a tale of two cities. International Journal of Social Psychiatry, 44, 267279.CrossRefGoogle Scholar
Yip, P. S. F., Chi, I. and Yu, K. K. (1998). An epidemiological profile of elderly suicides in Hong Kong. International Journal of Geriatric Psychiatry, 13, 631637.3.0.CO;2-A>CrossRefGoogle ScholarPubMed
Yip, P. S. F., Callanan, C. and Yuen, H. P. (2000). Urban/rural and gender differentials in suicide rates: East and West. Journal of Affective Disorders, 57, 99106.CrossRefGoogle ScholarPubMed
Yip, P. S. F., Liu, K. Y., Hu, J. and Song, X. M. (2005). Suicide rates in China during a decade of rapid social change. Social Psychiatry and Psychiatric Epidemiology, 40, 792798.CrossRefGoogle Scholar