The influence of limitation in activity of daily living and physical health on suicidal ideation: results from a population survey of Great Britain.
BACKGROUND
Studying suicidal ideation (SI) has methodological advantages over examining completed suicide and may provide useful insight into suicidal behaviour. SI is not only strongly associated with mental disorder (particularly depression), but also disability. This article explores the relationship between SI and disability in greater detail.


METHODS
In the survey of psychiatric morbidity in Great Britain, 8,580 randomly selected adults were interviewed. Three questions were asked to assess SI, and a set of questions identified ADL limitation.


RESULTS
Data was available on SI and ADL limitation in 8,513 of those surveyed. The independent association between SI and specific ADL limitations was greatest in older people. The strength of association between SI and ADL limitation increased with the number of domains of ADL affected and was of similar magnitude for most individual domains. In those with limitation in ADL, limited social support remained independently associated with SI.


CONCLUSIONS
Disability is an important independent correlate of suicidal ideation, particularly in older people. Preventative programmes need to be considered for disabled older people.
Dennis
Michael
M
Psychiatry for Older People, School of Medicine, Swansea University, Swansea, SA2 8PP, UK, m.s.dennis@swansea.ac.uk
Baillon
Sarah
S
Brugha
Traolach
T
Lindesay
James
J
Stewart
Robert
R
Meltzer
Howart
H
D000203:Activities of Daily Living / Q000523:psychology*; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D001293:Attitude to Death; D003625:Data Collection; D003866:Depressive Disorder / Q000453:epidemiology / Q000523:psychology; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D008875:Middle Aged; D012307:Risk Factors; D012944:Social Support; D012959:Socioeconomic Factors; D013405:Suicide / Q000523:psychology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D006113:United Kingdom / Q000453:epidemiology; D000092864:Suicide Prevention