title: Are elderly dependency ratios associated with general population suicide rates?
abstract: BACKGROUND
  The elderly population size is increasing worldwide due to falling birth rates and increasing life expectancy. It has been hypothesized that as the elderly dependency ratio (the ratio of those over the age of 65 years to those under 65) increases, there will be fewer younger people available to care for older people and this, in turn, will increase the burden on younger carers with increased levels of psychiatric morbidity leading to an increase in general population suicide rates.
  
  
  METHODS
  A cross-national study examining the relationship between elderly dependency ratios and general population suicide rates was conducted using data from the World Health Organization and the United Nations websites.
  
  
  RESULTS
  The main findings were of a significant and independent positive correlation between elderly dependency ratios and general population suicide rates in both genders.
  
  
  CONCLUSIONS
  The contribution of cross-national differences in psychiatric morbidity in younger carers on general population suicide rates requires further study. The prevalence of psychiatric morbidity in younger carers of older people should be examined by: (i) cross-national studies using standardized measures of psychiatric morbidity that are education-free, culture-fair and language-fair; and (ii) within-country longitudinal studies with changing elderly dependency ratios over time.
authors.affiliation: Ethnicity and Mental Health, University of Central Lancashire, Preston, UK. ajit.shah@wlmht.nhs.uk
authors.forename: Ajit
authors.initials: A
authors.lastname: Shah
mesh_terms: D000328:Adult; D000368:Aged; D017028:Caregivers / Q000523:psychology* / Q000706:statistics & numerical data*; D017281:Cost of Illness; D003431:Cross-Cultural Comparison; D003430:Cross-Sectional Studies; D003704:Dementia / Q000453:epidemiology* / Q000523:psychology*; D003858:Dependency, Psychological; D005260:Female; D016330:Frail Elderly / Q000523:psychology* / Q000706:statistics & numerical data*; D005102:Health Expenditures / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology; D008875:Middle Aged; D011156:Population Density; D018570:Risk Assessment / Q000706:statistics & numerical data; D012737:Sex Factors; D013223:Statistics as Topic; D013405:Suicide / Q000523:psychology* / Q000706:statistics & numerical data*