title: Few older people in New Zealand who commit suicide receive specialist psychogeriatric services.
abstract: OBJECTIVE
  Suicide in older people is a growing public health concern in many parts of the world. The literature on this issue is lacking in New Zealand. The aim of this study is to ascertain whether this group is accessing specialist psychogeriatric services. A retrospective case series study of completed suicides in older people (≥65 years) during a three-year period from January 2010 to December 2012 was performed.
  
  
  METHODS
  An online survey detailing demographic and clinical information was completed by psychiatrists in 15 of the 20 District Health Boards in New Zealand.
  
  
  RESULTS
  Only about 15% of older people who committed suicide were accessing specialist psychogeriatric services and the group with the highest suicide rate (men≥85 years) did not feature in specialist services. Depression (61%) was the most common diagnosis and nearly half (35%) had had contact with specialist services within three days prior to the suicide. Over half (52%) had a history of past suicide attempt(s).
  
  
  CONCLUSIONS
  Older people who complete suicide are infrequently accessing specialist services. In those that do, there are questions to be answered regarding suicide prediction and prevention for this high-risk group of vulnerable individuals. More research is required targeting those not accessing specialist services, in particular the high risk group of older men. The role of general practitioner, community care, the assessment and management of depression and whether there is any access issue to specialist psychogeriatric services require elucidation.
authors.affiliation: Senior Lecturer, Department of Psychological Medicine, The University of Auckland, Auckland, New Zealand GCheung@adhb.govt.nz.
authors.forename: Gary
authors.initials: G
authors.lastname: Cheung
authors.affiliation: Specialist Psychogeriatrician, Mental Health Services for Older People, Auckland District Health Board, Auckland, New Zealand.
authors.forename: Jane
authors.initials: J
authors.lastname: Casey
keywords: depression; elderly; older people; suicide