Suicidal ideation and its related factors among older adults: a population-based study in Southwestern Iran

Abstract Objectives Suicidal ideation is a major risk factor for suicide and can negatively affect self-care and health behaviors among the older adults. There are limited data on the prevalence and risk factors of suicidal ideation among the older population during the COVID-19 pandemic. The aim of...

Full description

Bibliographic Details
Main Authors: Ramin Shiraly, Hamideh Mahdaviazad, Roya Zohrabi, Mark D. Griffiths
Format: Article
Language:English
Published: BMC 2022-04-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-022-03049-9
_version_ 1818014275957948416
author Ramin Shiraly
Hamideh Mahdaviazad
Roya Zohrabi
Mark D. Griffiths
author_facet Ramin Shiraly
Hamideh Mahdaviazad
Roya Zohrabi
Mark D. Griffiths
author_sort Ramin Shiraly
collection DOAJ
description Abstract Objectives Suicidal ideation is a major risk factor for suicide and can negatively affect self-care and health behaviors among the older adults. There are limited data on the prevalence and risk factors of suicidal ideation among the older population during the COVID-19 pandemic. The aim of the present study was to examine the prevalence and risk factors of suicidal ideations among Iranian older adults during the COVID-19 pandemic. Methods A total of 803 older community adults in Shiraz (Southwestern Iran) were surveyed to determine potential factors influencing suicidal ideation, including demographic factors, physical health status, access to healthcare, current depression status, fear of COVID-19, perceived social support, and social engagement. Data were collected utilizing face-to-face interviews between November and December 2020. Multivariate logistic regression analysis was used to identify independent variables associated with suicidal ideations. Results Among the 803 participants, 69 reported suicidal ideations (8.6%). Individuals with suicidal ideations were more likely to have greater fear of COVID-19. However, based on the results of multivariate logistic regression analysis, current depression (OR: 2.07, CI 95%: 1.18–3.65), not being married (OR: 1.82, CI 95%: 1.06–3.13), inability to pay for medical bills (OR: 2.16, CI 95%: 1.23–3.79), low perceived social support (OR: 2.03, CI95%: 1.11–3.71), and having limited social network (OR:1.77, CI 95%: 1.02–3.10) appeared to be more powerful influencing factors. Conclusion Suicidal ideation appears to be relatively common among Iranian older adults during the COVID-19 pandemic. A lack of longitudinal data makes it difficult to establish an association between suicidal ideations and the COVID-19 pandemic. Systematic monitoring of suicidal ideation is recommended among high-risk groups, particularly the older population.
first_indexed 2024-04-14T06:42:55Z
format Article
id doaj.art-653361eaaa914fbfb4c4c50af6ae0238
institution Directory Open Access Journal
issn 1471-2318
language English
last_indexed 2024-04-14T06:42:55Z
publishDate 2022-04-01
publisher BMC
record_format Article
series BMC Geriatrics
spelling doaj.art-653361eaaa914fbfb4c4c50af6ae02382022-12-22T02:07:17ZengBMCBMC Geriatrics1471-23182022-04-012211910.1186/s12877-022-03049-9Suicidal ideation and its related factors among older adults: a population-based study in Southwestern IranRamin Shiraly0Hamideh Mahdaviazad1Roya Zohrabi2Mark D. Griffiths3Department of Community Medicine, School of Medicine, Shiraz University of Medical SciencesDepartment of Community Medicine, School of Medicine, Shiraz University of Medical SciencesStudent Research Committee, Shiraz University of Medical SciencesInternational Gaming Research Unit, Psychology Department, Nottingham Trent UniversityAbstract Objectives Suicidal ideation is a major risk factor for suicide and can negatively affect self-care and health behaviors among the older adults. There are limited data on the prevalence and risk factors of suicidal ideation among the older population during the COVID-19 pandemic. The aim of the present study was to examine the prevalence and risk factors of suicidal ideations among Iranian older adults during the COVID-19 pandemic. Methods A total of 803 older community adults in Shiraz (Southwestern Iran) were surveyed to determine potential factors influencing suicidal ideation, including demographic factors, physical health status, access to healthcare, current depression status, fear of COVID-19, perceived social support, and social engagement. Data were collected utilizing face-to-face interviews between November and December 2020. Multivariate logistic regression analysis was used to identify independent variables associated with suicidal ideations. Results Among the 803 participants, 69 reported suicidal ideations (8.6%). Individuals with suicidal ideations were more likely to have greater fear of COVID-19. However, based on the results of multivariate logistic regression analysis, current depression (OR: 2.07, CI 95%: 1.18–3.65), not being married (OR: 1.82, CI 95%: 1.06–3.13), inability to pay for medical bills (OR: 2.16, CI 95%: 1.23–3.79), low perceived social support (OR: 2.03, CI95%: 1.11–3.71), and having limited social network (OR:1.77, CI 95%: 1.02–3.10) appeared to be more powerful influencing factors. Conclusion Suicidal ideation appears to be relatively common among Iranian older adults during the COVID-19 pandemic. A lack of longitudinal data makes it difficult to establish an association between suicidal ideations and the COVID-19 pandemic. Systematic monitoring of suicidal ideation is recommended among high-risk groups, particularly the older population.https://doi.org/10.1186/s12877-022-03049-9Older adultsSuicidal ideationCOVID-19PandemicDepressionSocial support
spellingShingle Ramin Shiraly
Hamideh Mahdaviazad
Roya Zohrabi
Mark D. Griffiths
Suicidal ideation and its related factors among older adults: a population-based study in Southwestern Iran
BMC Geriatrics
Older adults
Suicidal ideation
COVID-19
Pandemic
Depression
Social support
title Suicidal ideation and its related factors among older adults: a population-based study in Southwestern Iran
title_full Suicidal ideation and its related factors among older adults: a population-based study in Southwestern Iran
title_fullStr Suicidal ideation and its related factors among older adults: a population-based study in Southwestern Iran
title_full_unstemmed Suicidal ideation and its related factors among older adults: a population-based study in Southwestern Iran
title_short Suicidal ideation and its related factors among older adults: a population-based study in Southwestern Iran
title_sort suicidal ideation and its related factors among older adults a population based study in southwestern iran
topic Older adults
Suicidal ideation
COVID-19
Pandemic
Depression
Social support
url https://doi.org/10.1186/s12877-022-03049-9
work_keys_str_mv AT raminshiraly suicidalideationanditsrelatedfactorsamongolderadultsapopulationbasedstudyinsouthwesterniran
AT hamidehmahdaviazad suicidalideationanditsrelatedfactorsamongolderadultsapopulationbasedstudyinsouthwesterniran
AT royazohrabi suicidalideationanditsrelatedfactorsamongolderadultsapopulationbasedstudyinsouthwesterniran
AT markdgriffiths suicidalideationanditsrelatedfactorsamongolderadultsapopulationbasedstudyinsouthwesterniran