[Psychosocial Risk Factors of the Wish to be Dead in the Elderly].
BACKGROUND
Suicidal ideation is a common phenomenon in the elderly. The purpose of this report is to reveal the influence of psychosocial risk factors and psychiatric disorders on the wish to die in the elderly.


METHODS
We compared the data of 54 persons (age 70+) who said that they wished to die with 462 persons without death wishes according to several psychosocial risk factors, physical health and psychiatric diagnoses. The data come from the Berlin Aging Study, an interdisciplinary assessment of an epidemiological random sample of 516 citizens in Germany.


RESULTS
Using a MANOVA and logistic regression analysis the data indicated that the wish to be dead, even in these very old persons, was mostly associated with the occurrence of a major depression, self rated higher depressivity, higher age, female gender, and negative life conditions such as living in a nursing home.


CONCLUSIONS
The results of this study support that the wish to be dead in the very old is very likely to be associated with the occurrence of a psychiatric disorder, especially major depression and the higher probability of negative life conditions. Thus, we emphasize the requirement of psychiatric assessment as well as treatment of those older people who want to die.
Barnow
S
S
Klinik und Poliklinik für Psychiatrie und Psychotherapie, Ernst-Moritz-Arndt-Universität Greifswald, Germany.
Linden
M
M
D000367:Age Factors; D000368:Aged / Q000523:psychology*; D001293:Attitude to Death; D001604:Berlin / Q000453:epidemiology; D003863:Depression / Q000523:psychology; D005260:Female; D006304:Health Status; D006801:Humans; D008019:Life Style; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000523:psychology; D009735:Nursing Homes; D011569:Psychiatric Status Rating Scales; D012044:Regression Analysis; D012307:Risk Factors; D012737:Sex Factors; D013405:Suicide / Q000523:psychology