title: Suicidality-based prediction of suicide attempts in a community-dwelling elderly population: Results from the Osan Mental Health Survey.
abstract: BACKGROUND
  Data on outcomes of suicidality in the community-dwelling elderly are scarce. We investigated the association of suicidality with the suicide attempts in a community-dwelling elderly cohort.
  
  
  METHODS
  In the Osan Mental Health Survey, 848 randomly sampled elderly Koreans participated in the baseline evaluation, 623 completed 2-year follow-up evaluation and 32 died during the follow-up period. The survey was conducted between February 2010 and January 2013. We evaluated suicidality using the Mini-International Neuropsychiatric Interview suicidality module that includes both suicidal ideation and attempts.
  
  
  RESULTS
  The incidences of suicidality and suicide attempts were 70.7 and 13.1 per 1000 persons per year, respectively. Suicidality was associated with increased risk of suicide attempts (odds ratio (OR) = 3.84, 95% CI = 1.06-13.87). Two men with suicidality committed suicide by self-poisoning. Moderate to high intensity daily exercise decreased the risk of suicidality to become persistent or recurrent (OR = 0.32, 95% CI = 0.12-0.81). Low education level (OR = 2.41, 95% CI = 1.21-4.77) and depression (OR = 3.02, 95% CI = 1.65-5.53) were associated with risk of incident suicidality.
  
  
  CONCLUSIONS
  Study sample was enrolled from a single city of Korea, and the size of the study sample was small.
  
  
  CONCLUSIONS
  We may reduce suicide attempts by screening for suicidality and implementing exercise programs in community-dwelling elderly people.
authors.affiliation: Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea.
authors.forename: Dae Jong
authors.initials: DJ
authors.lastname: Oh
authors.affiliation: Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
authors.forename: Jae Young
authors.initials: JY
authors.lastname: Park
authors.affiliation: Osan Mental Health Center, Osan, Republic of Korea.
authors.forename: Miyoung
authors.initials: M
authors.lastname: Oh
authors.affiliation: Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
authors.forename: Kayoung
authors.initials: K
authors.lastname: Kim
authors.affiliation: Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
authors.forename: Jongwoo
authors.initials: J
authors.lastname: Hong
authors.affiliation: Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
authors.forename: Taehyun
authors.initials: T
authors.lastname: Kim
authors.affiliation: Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
authors.forename: Ji Won
authors.initials: JW
authors.lastname: Han
authors.affiliation: Department of Psychiatry, Yonsei University Wonju Severance Christian Hospital, Wonju, Republic of Korea.
authors.forename: Tae Hui
authors.initials: TH
authors.lastname: Kim
authors.affiliation: Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Department of Brain and Cognitive Science, Seoul National University College of Natural Sciences, Seoul, Republic of Korea. Electronic address: kwkimmd@snu.ac.kr.
authors.forename: Ki Woong
authors.initials: KW
authors.lastname: Kim
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000523:psychology*; D005260:Female; D006306:Health Surveys; D006801:Humans; D015994:Incidence; D008297:Male; D056910:Republic of Korea / Q000453:epidemiology; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data*
keywords: Geriatric psychiatry; Incidence; Korea; Suicide; attempted