Factors Associated with Suicide Idea in an Elderly Population

老年人自殺意念之相關因素

張鈺姍(Yu-San Chang) ； 賴俊揚(Chun-Yang Lai) ； 孫秀如(Siou-Ru Sun) ； 邱嘉凡(Chai-Fan Chiu) ； 梁秀青(Shiow-Ching Liang) ； 湯淑慧(Shu-Hui Tang) ； 盧美柔(Mei-Rou Lu)

《台灣精神醫學》 22卷3期 (2008/09) Pp. 202-213

https://doi.org/10.29478/TJP.200809.0005

摘要

目的：此橫斷面之研究主要是比較某一社區的老年居民，有、無自殺意念者之臨床特徵。方法：研究對象為高雄市鼓山區某一里65歲以上之居民共178位，所收集之資料包括：基本資料、生活事件、中文版多功能評估問卷之社會資源量表與日常生活工能量表、台灣簡明版世界衛生組織生活品質問卷、15項老年憂鬱量表、簡式智能評估與中文版匹茲堡睡眠品質量表。比較有、無自殺意念者二者之差異，並以多變項邏輯迴歸分析確認與老年自殺意念者最有關之因素。結果：共95位（50位男性）完成評估，平均年齡73.4±5.2歲，其中22位有自殺意念，二組比較之結果具自殺意念者：1)較常有肌肉骨骼、內分泌疾患與自覺健康狀況不良，2)較有經濟、其他生活事件之壓力與經歷較多之生活事件，3)其社會資源、日常生活功能、生活品質與睡眠品質較差，憂鬱程度較明顯。經多變項邏輯迴歸分析所得之結果以憂鬱程度與生理範疇之生活品質為自殺意念之最有關因素。結論：老年人之自殺意念與憂鬱症狀及生理範疇之生活品質最有關係，如何察覺憂鬱症狀將是老年人預防自殺之重要議題。一般民眾仍需加強心理衛生教育。

關鍵字

老年人 ； 自殺 ； 憂鬱

並列摘要

Objective: The purpose of this cross-sectional study was to identify the clinical and demographic characteristics of a group of elderly individuals who had contemplated the idea of suicide. Methods: The study population consisted of 178 community-dwelling individuals aged 65 years or over who lived in one neigh-bourhood of Gushan District, Kaohsiung City, Taiwan. A variety of Study measures include demographic factors, stressful life events, Chinese version of the Multidimensional Functional Assessment Questionnaire (CMFAQ) of social resources, Taiwanese brief version of the World Health Organization Quality of Life (QOL), 15-item Geriatric Depression Scale, Mini-Mental State Examination, CMFAQ of activities of daily living (ADL) and Chinese version of Pittsburgh Sleep Quality Index were used to study the participants. We compared these variables assessed using the above measures between those who had and had not contemplated the idea of suicide. Multivariate logistic regression analysis was applied to identify possible associated factors for contemplating suicide in this elderly population. Results: In total, 95 subjects (50 men and 45 women) with a mean age of 73.4±5.2 years completed the evaluation. Twenty-two of the study subjects had contemplated suicide. All showed a tendency of (1) having musculoskeletal disorders, endocrine disorders and a poor self-perceived health condition; and (2) experiencing financial stressors, other stressful life events and a greater number of life events, (3) having fewer social resources, low ADL and QOL scores, poor self-perceived sleep quality and more severe levels of depression. Logistic regression analysis revealed that the level of depression and the QOL scores for the physical domain were identified as possible factors associated with contemplating suicide. Conclusions: Contemplating the idea of suicide is more likely to be associated with clinical depression and the QOL physical domain. The recognition of depression should form an important part of suicide prevention among the elderly. There is still a major need to emphasize on mental health education in Taiwan.

並列關鍵字

elderly ； suicide ； depression

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