Suicide in the Elderly – The Hastening of Death

Authors

  • Bárbara Pedrosa Serviço de Psiquiatria do Centro Hospitalar de Lisboa Ocidental
  • Ricardo Duque Serviço de Psiquiatria do Centro Hospitalar de Lisboa Ocidental
  • Rui Martins Serviço de Psiquiatria do Centro Hospitalar de Lisboa Ocidental

DOI:

https://doi.org/10.25752/psi.7409

Keywords:

Elderly, Suicide, Risk Factor, Aging.

Abstract

Introduction:  Suicidal thoughts are common amongst the elderly. The risk of suicide in people aged 65 or more is the highest in several countries. The lethality of suicide attempts increases with age and the risk of acting on suicidal thoughts is higher. Many are the risk factors that seem to lead to suicidal ideation in this age.

Aims: The present review aims to study the characteristics, risk factors and prevention programs concerning elderly suicide. It also aims to raise awareness amongst health care workers for this issue.

Methods:  A  literature  review  was  carried out using the Pubmed with the keywords “elderly”, “aging” and “suicide”. Reference of United Nation’s reports and a textbook were also considered.

Results:  Suicide  in  the  elder  seems  to  be multifactorial . 46 to 86% of older people who die of suicide presented an affective affective disorder in the previous weeks, namely, depression. Other risk factors are anxiety, male  gender,  higher  education,  obsessive personality  traits,  poor  social  integration in society, adverse life events, especially the death of the spouse, medical condition and neurocognitive dysfunction.

Conclusions: Suicide prevention programs for the elder should not focus only on depression but in all the factors abovementioned, promoting the development of the subject’s resilience, positive aging, family and society involvement and also the control of medical comorbidities."

Author Biographies

Bárbara Pedrosa, Serviço de Psiquiatria do Centro Hospitalar de Lisboa Ocidental

Interna de Psiquiatria do Serviço de Psiquiatria do Centro Hospitalar de Lisboa Ocidental

Ricardo Duque, Serviço de Psiquiatria do Centro Hospitalar de Lisboa Ocidental

Interno de Psiquiatria do Serviço de Psiquiatria do Centro Hospitalar de Lisboa Ocidental

Rui Martins, Serviço de Psiquiatria do Centro Hospitalar de Lisboa Ocidental

Assistente Graduado de Psiquiatria do Serviço de Psiquiatria do Centro Hospitalar de Lisboa Ocidental

Published

2017-03-15

Issue

Section

Review Articles