What interventions work for suicide prevention? and do they work for the elderly?

Background Suicides occur more often in the young and in the elderly. However, although several studies have been performed to evaluate the effect of suicide prevention in the young, no studies have explored this in the elderly. Somatic comorbidity is associated with elevated suicide risk, especia...

Full description

Bibliographic Details
Main Author: C. Van Der Feltz-Cornelis
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933821001620/type/journal_article
_version_ 1797616649678880768
author C. Van Der Feltz-Cornelis
author_facet C. Van Der Feltz-Cornelis
author_sort C. Van Der Feltz-Cornelis
collection DOAJ
description Background Suicides occur more often in the young and in the elderly. However, although several studies have been performed to evaluate the effect of suicide prevention in the young, no studies have explored this in the elderly. Somatic comorbidity is associated with elevated suicide risk, especially in case of pain, which occurs often in the elderly. Objective To explore if suicide prevention interventions might be applicable in the elderly and if somatic comorbidity might be relevant for their application. Method Evidence synthesis of controlled studies evaluating suicide prevention interventions and of collaborative care trials for depressive disorder in patients with and without somatic comorbidity. Results Elderly living alone and with multimorbidity are more prone to suicide risk. Hence interventions involving admission in a general hospital after a suicide attempt, short intervention and follow up might be well applicable in the elderly. In terms of outpatient interventions, and IPD analysis found that collaborative care for depressive disorder is effective in reducing suicidality, especially in the elderly. This effect is independent of somatic comorbidity. Conclusion There is potential to develop and evaluate suicide prevention interventions for the elderly. Such interventions should address depression, multimorbidity and social isolation and may be provided at general hospital and at outpatient level. Disclosure No significant relationships.
first_indexed 2024-03-11T07:44:14Z
format Article
id doaj.art-7a1d12fa62034afdaafde2a19faf2099
institution Directory Open Access Journal
issn 0924-9338
1778-3585
language English
last_indexed 2024-03-11T07:44:14Z
publishDate 2021-04-01
publisher Cambridge University Press
record_format Article
series European Psychiatry
spelling doaj.art-7a1d12fa62034afdaafde2a19faf20992023-11-17T05:07:53ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S51S5110.1192/j.eurpsy.2021.162What interventions work for suicide prevention? and do they work for the elderly?C. Van Der Feltz-Cornelis0Health Sciences, University of York, Heslington, York, United Kingdom Background Suicides occur more often in the young and in the elderly. However, although several studies have been performed to evaluate the effect of suicide prevention in the young, no studies have explored this in the elderly. Somatic comorbidity is associated with elevated suicide risk, especially in case of pain, which occurs often in the elderly. Objective To explore if suicide prevention interventions might be applicable in the elderly and if somatic comorbidity might be relevant for their application. Method Evidence synthesis of controlled studies evaluating suicide prevention interventions and of collaborative care trials for depressive disorder in patients with and without somatic comorbidity. Results Elderly living alone and with multimorbidity are more prone to suicide risk. Hence interventions involving admission in a general hospital after a suicide attempt, short intervention and follow up might be well applicable in the elderly. In terms of outpatient interventions, and IPD analysis found that collaborative care for depressive disorder is effective in reducing suicidality, especially in the elderly. This effect is independent of somatic comorbidity. Conclusion There is potential to develop and evaluate suicide prevention interventions for the elderly. Such interventions should address depression, multimorbidity and social isolation and may be provided at general hospital and at outpatient level. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933821001620/type/journal_articleSuicide preventionElderly
spellingShingle C. Van Der Feltz-Cornelis
What interventions work for suicide prevention? and do they work for the elderly?
European Psychiatry
Suicide prevention
Elderly
title What interventions work for suicide prevention? and do they work for the elderly?
title_full What interventions work for suicide prevention? and do they work for the elderly?
title_fullStr What interventions work for suicide prevention? and do they work for the elderly?
title_full_unstemmed What interventions work for suicide prevention? and do they work for the elderly?
title_short What interventions work for suicide prevention? and do they work for the elderly?
title_sort what interventions work for suicide prevention and do they work for the elderly
topic Suicide prevention
Elderly
url https://www.cambridge.org/core/product/identifier/S0924933821001620/type/journal_article
work_keys_str_mv AT cvanderfeltzcornelis whatinterventionsworkforsuicidepreventionanddotheyworkfortheelderly