Differential experiences during the holocaust and suicidal ideation in older adults in treatment for depression.
Data were used on 275 Jewish individuals aged 50 and older in outpatient treatment for depression in this retrospective cross-sectional study. Holocaust survivors who were in work camps, in ghettos, or in hiding (HS-WGH) and holocaust survivors who were in concentration camps (HS-CC) were more likely to suffer posttraumatic stress disorder compared to other survivors (HS-OT) and controls. The HS-WGH and HS-CC groups had at least a threefold greater odds of suicidal ideation compared to controls. Suicidal ideation rates did not differ significantly between HS-OT group and controls. Among survivors, HS-WGH had a threefold greater odds of suicidal ideation compared to HS-OT. The results are applicable to survivors of similar atrocities and show that differing types and severities of traumatic experiences have important implications for treatment planning.
Clarke
Diana E
DE
University of Toronto and Baycrest Centre for Geriatric Care, Ontario, Canada. dclarke@baycrest.org
Colantonio
Angela
A
Rhodes
Anne
A
Conn
David
D
Heslegrave
Ron
R
Links
Paul
P
van Reekum
Rob
R
D000368:Aged; D016022:Case-Control Studies; D003209:Concentration Camps; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000208:ethnology* / Q000523:psychology*; D005260:Female; D017767:Holocaust / Q000523:psychology*; D006801:Humans; D007585:Jews / Q000523:psychology*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009864:Ontario / Q000453:epidemiology; D012189:Retrospective Studies; D012306:Risk; D013313:Stress Disorders, Post-Traumatic / Q000208:ethnology / Q000523:psychology; D013405:Suicide / Q000208:ethnology / Q000523:psychology*; D017741:Survivors / Q000523:psychology; D047789:World War II