title: A comparison of suicidal and nonsuicidal elders referred to a community mental health center program.
abstract: Sociodemographics, clinical characteristics, and life stressors of community-dwelling suicidal risk and nonsuicidal risk elders referred to a community aging and mental health provider were compared in this study. Information was collected through case manager surveys and agency records on 683 older adults referred to the Elder Services Program of Spokane Mental Health in 1994 and the first 6 months of 1995. This sample included 109 individuals who were clinically judged to be at suicide risk by case managers at the time of initial assessment. Comparisons between suicidal risk and nonsuicidal risk elders indicated that suicidal elders were younger, more likely to be separated or divorced, and more likely to report a previous history of suicidal behavior. Results of a logistic regression analysis indicated that living alone, depression or anxiety disorder, and higher levels of emotional disturbance predicted suicide risk status. In addition, medical problems, family conflict, and relationship loss predicted suicide risk status in this particular sample. Individuals at suicide risk were also more likely to have a family physician than others. Implications of findings for identification and treatment of suicidal elders are discussed.
authors.affiliation: Washington Institute for Mental Illness Research & Training, Washington State University-Spokane, USA.
authors.forename: E R
authors.initials: ER
authors.lastname: Florio
authors.forename: M S
authors.initials: MS
authors.lastname: Hendryx
authors.forename: J E
authors.initials: JE
authors.lastname: Jensen
authors.forename: T H
authors.initials: TH
authors.lastname: Rockwood
authors.forename: R
authors.initials: R
authors.lastname: Raschko
authors.forename: D G
authors.initials: DG
authors.lastname: Dyck
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D016009:Chi-Square Distribution; D003155:Community Mental Health Centers / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005192:Family Health; D005260:Female; D015577:Geriatric Assessment / Q000706:statistics & numerical data*; D006299:Health Services for the Aged / Q000706:statistics & numerical data; D006801:Humans; D016015:Logistic Models; D008297:Male; D017533:Marital Status; D001523:Mental Disorders / Q000453:epidemiology; D008875:Middle Aged; D016017:Odds Ratio; D012372:ROC Curve; D012307:Risk Factors; D012494:Sampling Studies; D013315:Stress, Psychological / Q000453:epidemiology; D013405:Suicide / Q000523:psychology* / Q000706:statistics & numerical data; D014861:Washington / Q000453:epidemiology