Suicide in older people without psychiatric disorder.
OBJECTIVE
To determine the psychological characteristics and nature of life problems, including physical illness, in people 60 years and over dying through suicide in the absence of psychiatric disorder.


METHODS
Psychological autopsy interviews with relatives and friends for 23 people aged 60 years or over who had died through suicide and did not have a psychiatric disorder at the time of death.


RESULTS
Three (13%) of the sample had significant psychiatric symptoms, one had a diagnosis of personality disorder, and ten (43.5%) had significantly abnormal personality traits. Physical illness and recent bereavement were the commonest life problems associated with suicide. Five (21.7%) of the sample were suffering from severe physical illness at the time of death.


CONCLUSIONS
Sub-syndromal psychiatric disorder may be less important than personality factors, physical illness, and recent bereavement as important contributory factors to suicide in older people not suffering from psychiatric illness at the time of death.
Harwood
Daniel
D
University of Oxford Department of Psychiatry, Warneford Hospital, Oxford UK. daniel.harwood@iow.nhs.uk
Hawton
Keith
K
Hope
Tony
T
Jacoby
Robin
R
D000368:Aged; D000369:Aged, 80 and over; D001601:Bereavement; D015897:Comorbidity; D004739:England / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D010554:Personality Disorders / Q000453:epidemiology*; D012307:Risk Factors; D013405:Suicide / Q000523:psychology* / Q000706:statistics & numerical data