| 1. A study of suicidal thoughts in acute stroke patients/ J Stroke Cerebrovasc Dis/ CINAHL |
Describe reports of suicidal thoughts in patients in the acute phase of stroke. |
Suicidal thoughts can occur in the acute phase of a stroke, especially in patients with low education, with a history of mood disorder and in those who developed depressive symptoms after the stroke. |
| 2. Gender differences in determinants of suicidal ideation in French speaking Community living elderly in Canada/ International Psychogeriatrics / CINAHL |
Check if the gender is related to suicidal ideation and thoughts of death in the community elderly. |
There was no statistical association between gender and suicidal ideation and / or thoughts of death in French-speaking elderly people living in the Canadian community. |
| 3. Medical examiner and coroner reports: uses and limitations in the epidemiology and prevention of latelife suicide/ International Journal of Geriatric Psychiatry / CINAHL |
Survey the risk factors that contributed to the suicide of the elderly in research that used the records of medical examiners. |
The following risk factors were found: diagnosis of depression (33%); depressive symptoms (47%); a physical health problem (55%); terminal illness (7.1%). Older people probably received, prior to suicide, care by PHC services, instead of mental health services. The detection of these factors and treatment in PHC services is a potential strategy to combat suicide in the elderly. |
| 4. Personality and suicidal ideation in the elderly: factorial invariance and latent means structures across age/ Aging Mental Health/ CINAHL |
Analyze the components of an invariable measurement model between adults and the elderly and then investigate the relationships between personality dimensions and the risk of suicide. |
Multi-group confirmatory factor analyzes produced a final model with excellent fit to the data, showing a similar pattern of associations between suicidal ideation and personality in the groups, elderly and adults. |
| 5. Screening for and treatment of suicide risk relevant to primary care: a systematic review for the U.S. Preventive Services Task Force / Ann Intern Med / CINAHL |
To evaluate the accuracy of screening instruments and their effectiveness in conducting treatment for population groups, with relevant risk of suicide, in Primary Care. |
Systematic review showed that there is not enough scientific evidence (strong evidence) regarding the accuracy of screening instruments and their effectiveness in conducting treatment for people in the community with a relevant risk of suicide, whether adolescents, adults or the elderly. |
| 6. Suicide Assessment and Prevention During and After Emergency Commitment/ Community Mental Health Journal/ CINAHL |
Evaluate the suicide preventive actions implemented in the emergency services and understand the perception of the patients attended about access to services in PHC, after discharge from those services. |
Suicide preventive measures in emergency services focus on the use of suicide assessment tools on admission and discharge, as well as strategies to safeguard patient safety, when the problem is identified on admission. Almost half of the interviewees (46.6%) rated the availability of mental health treatment in Primary Care services as "insufficient" after discharge from the emergency service, pointing to long waiting periods and insufficient investment in these services. |
| 7. Geriatric depression: prevalence, risk factors, and relationship to physical illnesses in a sample of medical clinic outpatients/ Middle East Curr Psychiatry/ Scopus |
Assess the clinical presentation, prevalence and main factors associated with geriatric depression in outpatients, seen at Mynia University Hospital, to support treatment planning. |
The prevalence of geriatric depression in outpatients was 38.7%, significantly associated with previous and / or family history of depression, as well as with psychosocial stressors, physical illnesses, prescribed drugs and previous hospitalizations. |
| 8. Psychosocial interventions with art, music, Tai Chi and mindfulness for subsyndromal depression and anxiety in older adults: a naturalistic study in Singapore/ Asia Pac Psychiatry/ Scopus |
To evaluate a community psychosocial intervention program and the effects on mental health of the elderly in Singapore. |
Psychosocial interventions with art, music, Tai Chi and Mindfulness significantly reduced the subsyndromic depression and anxiety scores in the single intervention phase (p <0.05), and these reductions remained until the 52nd week after the completion of the intervention phase (p <0.001). It is a simple, inexpensive and culturally accepted approach, and its replication in other communities is recommended. |
| 9. Depressive symptoms and suicide in 56,000 older Chinese: A Hong Kong cohort study/ Soc Psychiatry Psychiatr Epidemiol/ Scopus |
To evaluate, in Chinese elderly, associations between depressive symptoms and suicide, with modifying effects of sex, age and health status. |
Depressive symptoms, assessed by the Geriatric Depression Scale (GDS), were associated with suicide after adjustment for sex, age, education, monthly income, smoking, alcohol consumption, physical activity and body mass index. Thus, the results suggest that sex and age do not interact with the association between depressive symptoms and suicide. Self-assessment of negative health status was an important risk factor for suicide. However, depressive symptoms were more common among older, less educated elderly people, the poorest, underweight and health problems. The GDS score showed no threshold in predicting suicide risk, suggesting that the elderly, even with low scores, deserve more attention; and those with high scores need urgent intervention. |
| 10. Association of depression and psychotropic medication on cardiac-related outcomes in a nationwide community-dwelling elderly population in Taiwan/ Medicine (Baltimore)/ PubMed |
To evaluate the association of depression, psychotropic medications and mental illness, with cardiovascular diseases, in elderly Taiwanese in the community, nationwide. |
Cardiovascular disease was significantly associated with depression, as well as mental illness, both for self-reported and those diagnosed by a doctor, with the use of antipsychotic, benzodiazepine and non-benzodiazepine drugs. |
| 11. Double RASS cut point accurately diagnosed suicidal risk in females with long-term conditions attending the emergency department compared to their male counterparts/ Compr Psychiatry/ PubMed |
Using the Double RASS scale, to assess the prevalence of suicide risk in patients with chronic diseases, treated in emergency services, considering gender. |
The prevalence of suicide risk was 22.9%, according to the MINI (psychiatric interview for the diagnosis of mental disorders, according to the DSM-IV or ICD-10). At an ideal cutoff point of 270, RASS had a sensitivity of 81.3% and specificity of 81.8%. The ideal RASS cutoff point for women (340) was twice the cutoff point for men (175). The burden of somatic symptoms was associated with the risk of suicide in both sexes, but it became insignificant after the depressive symptoms were taken into account; suicidal risk was also associated with a history of depression in women and lower income in men. |
| 12. A tool to predict suicidal ideation and behavior in bipolar disorder: The Concise Health Risk Tracking Self-Report/ J Affect Disord / Pubmed |
Evaluate the psychometric characteristics of the Concise Health Risk Tracking Self-report (CHRT) in terms of suicide risk in patients with bipolar disorder. |
The tool presented, in the versions of 14 and 7 items, a good psychometric evaluation, obtaining a Cronbach's coefficient of 0.88 and 0.79, respectively. The use of the extended version (14 items) is more recommended, due to the higher internal consistency index. |
| 13. Physical comorbidities in depression co-occurring with anxiety: a cross sectional study in the Czech Primary Care System/ Int J Environ Res Public Health/ Pubmed |
To evaluate the correlation between physical comorbidities with depression and anxiety in Primary Care. |
It was found that depression along with anxiety are associated with an increased chance of pain and gastrointestinal diseases, as well as suffering from depression with panic disorder increases the chances of pain and neoplasms. Depression, together with post-traumatic stress is associated with high chances of pain, when having both comorbidities: hypertension and diabetes mellitus. |
| 14. Depression and risk of hospitalisations and rehospitalisations for ambulatory care-sensitive conditions in Denmark: a population-based cohort study/ BMJ Open/ Pubmed |
Determine whether individuals with depression are at increased risk of hospitalization in an outpatient condition and re-hospitalization for the same reason within 30 days. |
Individuals with depression have a high risk of hospitalization in outpatient conditions and, when released, increase the risk and re-hospitalization within 30 days (1.21 times of chance, when compared with individuals without depression). |
| 15. Gender differences in depressive symptom profile: results from nationwide general population surveys in Korea/ J Korean Med Sci/ Pubmed |
To investigate differences between the sexes in the Korean population in relation to symptoms in depression. |
Depression is greater in Korean women (37.3%) when compared to men (19.6%). As for the symptoms, the female sex was significantly associated with a higher prevalence of fatigue (p = 0.008), hypersomnia (p = 0.001), noticeable psychomotor retardation (p = 0.029) and suicide attempts (p = 0.016). In the same analysis, men with depression were more vulnerable to decreased libido than women (p = 0.009). |
| 16. Reasons for living, meaning in life, and suicide ideation: investigating the roles of key positive psychological factors in reducing suicide risk in community-residing older adults/ Aging Ment Health/ Pubmed |
Investigate the reasons for living and the meaning of life among the elderly in the community, considering the promotion and well-being of mental health and the psychometric properties of the Reasons for Living Scale. |
It was identified that the elderly who have reason and meaning to live have a lower occurrence of suicidal ideation, aspects that should be considered in psychological assistance. The Reasons for Living Scale obtained a satisfactory assessment of the psychometric characteristics. |
| 17. Investigating the psychometric properties of the Geriatric Suicide Ideation Scale (GSIS) among community-residing older adults/ Aging Ment Health/ PubMed |
To investigate the psychometric properties of the geriatric suicidal ideation scale (GSIS) in the elderly in the community. |
The scale presented a statistically significant psychometric evaluation regarding the suicidal ideation of the elderly in the community. |
| 18. Overview of community-based studies of depression screening interventions among the elderly population in Japan/ Aging Ment Health/ PubMed |
Build a literature review on the impact of community interventions in tracking depression for suicide prevention among the elderly. |
Screening interventions were associated with lower suicide rates. Added to this, the need for communication between different levels of care for the success of interventions. |
| 19. Depression, frailty, and all-cause mortality: a cohort study of men older than 75 years/ / J Am Med Dir Assoc/ PubMed |
To determine mortality in men over 75 years of age with a history of depression (previous and current), considering the frailty. |
The mortality risk was 4.26 for men with depression, compared to men who were never depressed, and 1.79 after adjusting for frailty. For this reason, aspects related to improving frailty should be considered in the treatment of depression, with a view to reducing mortality. |
| 20. Suicide risk in primary care: identification and management in older adults/ Curr Psychiatry Rep/ PubMed |
This is a literature review on the risk of suicide in Primary Care, considering risk factors and assessment instruments. |
There was a need to conduct research on the risk of suicide in the elderly in communities assigned to PHC units, given its fundamental role in preventing it, by tracking risk factors and interventions. |
| 21. Passive suicide ideation: an indicator of risk among older adults seeking aging services?/ Gerontologist/ PubMed |
Assess the presence of suicidal ideation, death and psychological distress in vulnerable elderly. |
The ideation of death is rarely present in vulnerable elderly people in the absence of significant risk factors for suicide, such as psychological distress or suicidal ideation. In addition, it was concluded that aging does not constitute, in isolation, a risk factor for suicidal ideation. |
| 22. Depressive symptoms and hospital readmission in older adults/ J Am Geriatr Soc/ PubMed |
Assess the risk of unplanned hospital readmission in elderly people with depressive symptoms. |
The prevalence of depressive symptoms was 19%, as well as the incidence of unplanned hospital readmission in 30 days. Depressive symptoms were not significantly associated with hospital readmission (relative risk = 1.20, 95% confidence interval CI = 0.83-1.72). Age, scores on the Charlson Comorbidity Index and number of hospitalizations in the last six months were significant predictors of unplanned hospital readmission within 30 days in the study population. |
| 23. Prevalence of depression and associated risk factors among the elderly in Middle Anatolia, Turkey/ Geriatr Gerontol Int/ PubMed |
To determine the prevalence of depression and its relationship with degree of dependence for activities of daily living in the elderly. |
Depression affects 46% of the elderly, with the following risk factors: sex (female), presence of chronic disease and living alone. In addition, it is emphasized that PHC actions must seek integrated actions and the early diagnosis of depression. |
| 24. Suicide risk assessment received prior to suicide death by Veterans Health Administration patients with a history of depression/ J Clin Psychiatry/ PubMed |
Evaluate the care provided to depressive individuals who committed suicide between 1999 and 2004. |
It was identified that the majority (74%) of depressed individuals received some assessment regarding the risk of suicide. The importance of developing evaluation and prevention strategies is emphasized, in addition to medical consultations. |
| 25. Suicide among the elderly and associated factors in South Korea/ Aging Ment Health/ PubMed |
To determine the relationship between physical and mental health, socio-environmental condition and suicidal behavior in elderly individuals. |
An independent relationship between the state of physical health and suicidal behavior in the elderly was evidenced. |
| 26. Approaches to decrease the prevalence of depression in later life/ Curr Opin Psychiatry/ PubMed |
Evidence of strategies to reduce depression in the elderly. |
The review suggests that decreasing the appearance of a depressive disorder in vulnerable individuals is a way to reduce its prevalence in the community. Added to this, the need for a more systematic approach to risk factors to reduce depression in the elderly. |
| 27. A review of social isolation: an important but underassessed condition in older adults/ J Prim Prev/ PubMed |
Evidence the state of the art on social isolation and provide practical suggestions for its evaluation in the elderly. |
The results show negative effects on physical, behavioral and physiological health and possible risk factors (age, sex, marital status, living alone, decline in cognitive status, health and functional health, life satisfaction and family losses) related to isolation Social. PHC professionals should take measures to increase the early assessment of social isolation and refer individuals at risk to available resources in order to avoid social isolation or further isolation. |
| 28. Discrimination, family relationships, and major depression among Asian Americans/ Immigr Minor Health/ PubMed |
To verify the association between social discrimination and family dynamics with depression among Asian Americans. |
Discrimination (odds ratio = 2.13) and negative interactions with relatives (odds ratio = 1.28) were associated with depression; while the presence of family support, the lower occurrence of depression (odds ratio = 0.73). |
| 29. Prevalence of exposure to suicide: a meta-analysis of population based/ J Psychiatr Res/ PubMed |
Estimating the prevalence of suicide exposure by age group. |
It is estimated that 22% of the population is exposed to suicide during their lifetime. There was no statistically significant difference (p = 0.681) regarding the prevalence of exposure to suicide and the age group. |
| 30. Major depression in primary care: making the diagnosis/ Singapore Med J / Web of Science |
Describe the approach to the treatment of depression in PHC. |
The diagnosis of depression made in PHC services was associated with the presence of chronic disease, increased age and coexisting mental illnesses. Screening (screening) is an important tool in addressing depression in PHC. Furthermore, the assessment of risk factors for suicide in depressed individuals should be performed. |
| 31. Assessing suicide risk in older adults/ Nurse Pract/ Web of Science |
Analyze factors related to suicide in the elderly. |
There was an association of demographic factors (male gender, older age, change in housing or daily routine, social isolation); history of mental health (previous suicide attempt, substance abuse, abuse and self-mutilation; presence of somatic disease and decreased autonomy with the risk of suicide in the elderly. The training and availability of specific assessment tools are essential for the effective and qualified performance of the PHC team in preventive actions against suicide. |
| 32. Late-life depression, suicidal ideation, and attempted suicide: the role of individual differences in maximizing, regret, and negative decision outcomes/ J Behav Decis Mak/ Web of Science |
Assess the association between feelings of regret in decisions made and suicidal ideation. |
There was a statistically significant association between the feeling of regret in decisions made and suicidal ideation. |
| 33. Suicide in older people: revisioning new approaches/ Int J Ment Health Nurs/ Web of Science |
Conducting a bibliographic survey on approaches to suicide in the elderly. |
The protective factors for suicide in the elderly are: positive social support network, marital status (married) and religiosity. While those at risk: presence of depression, physical illness, social isolation and marital status (single). The need for research on this theme is emphasized, seeking to substantiate the interventions of health professionals and, thus, promote more effective preventive actions. |
| 34. Trajectories of suicidal ideation in depressed older adults undergoing antidepressant treatment./ J Psychiatr Res./ Web of Science |
To analyze the influence of the cognitive aspects of the depressed elderly, undergoing drug treatment, on suicidal ideation. |
There was a positive association between low levels of attention and cognitive status with suicidal ideation. |
| 35. Assessment and management of major depressive disorder in older adults./ Psychiatr Danub/ Web of Science |
Briefly address clinical aspects of depression in the elderly. |
Drug treatment of depression in the elderly should be carefully performed, given the risks of iatrogenesis; in the non-medicated, the insertion of psychotherapy and encouraging social participation are strategies that must be considered. |
| 36. The ABC's of Suicide Risk Assessment: applying a tripartite approach to individual evaluations./ Plos One/ Web of Science |
Assess the psychometric characteristics of the SABCS scale |
The scale showed a satisfactory assessment of psychometric abilities. |
| 37. Assessment of the person with late-life depression/ Psychiatr Clin N Am/ Web of Science |
Understand the characteristics of depressive disorders in the elderly. |
Depression in the elderly is characterized by anhedonia, irritability and social withdrawal. Somatic complaints and neuro-vegetative changes, such as fatigue, changes in appetite, sleep disorders, low concentration and psychomotor retardation, are often prominent. In addition, they have agitation, somatic complaints (mainly gastrointestinal symptoms), hypochondria and loss of sexual interest compared to younger adults. |
| 38. Development of the Risk Assessment Suicidality Scale (RASS): A population-based study/ J Affect Disord/ Web of Science |
Develop suicide risk assessment scale. |
The scale obtained satisfactory psychometric indicators. |
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