title: Daily hassles, physical illness, and sleep problems in older adults with wishes to die.
abstract: BACKGROUND
  Factors associated with the wish to die should be investigated in order to gain more opportunities for preventive interventions targeting older adults at risk for suicide. The goal of the research was to study the prevalence and associated factors of wishes to die in older adults living in the community using the data from a survey on the prevalence of mental disorders in this population.
  
  
  METHODS
  With a representative sample of community living older adults aged 65 years and over (N = 2777), we compared individuals with the wish to die (n = 163) to those without the wish to die on the basis of the presence and severity of daily hassles, physical illness, and sleep quality.
  
  
  RESULTS
  Logistic regression revealed that when depression and sociodemographic variables were held constant, self-rated physical health, number of chronic illnesses, number and intensity of daily hassles, as well as sleep problems were significantly associated with the wish to die in older adults. Painful illnesses and daytime dysfunction due to sleep problems were also associated factors with the wish to die.
  
  
  CONCLUSIONS
  Since desire for death is the first step into the suicidal process, health professionals should seriously consider the important and unique contribution of these variables in order to have more opportunities for detection and intervention.
authors.affiliation: Department of Psychology, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada. Sylvie.Lapierre@uqtr.ca
authors.forename: Sylvie
authors.initials: S
authors.lastname: Lapierre
authors.forename: Richard
authors.initials: R
authors.lastname: Boyer
authors.forename: Sophie
authors.initials: S
authors.lastname: Desjardins
authors.forename: Micheline
authors.initials: M
authors.lastname: Dubé
authors.forename: Dominique
authors.initials: D
authors.lastname: Lorrain
authors.forename: Michel
authors.initials: M
authors.lastname: Préville
authors.forename: Joëlle
authors.initials: J
authors.lastname: Brassard
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000368:Aged; D001293:Attitude to Death; D016022:Case-Control Studies; D002908:Chronic Disease / Q000523:psychology; D003863:Depression / Q000523:psychology; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D015995:Prevalence; D012893:Sleep Wake Disorders / Q000523:psychology*; D012959:Socioeconomic Factors; D059020:Suicidal Ideation