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The association of pain with suicidal ideation and suicide attempts with depressive symptoms among adults aged ≥50 years from low- and middle-income countries

Authors
 Lee Smith  ;  Jae Il Shin  ;  Damiano Pizzol  ;  Guillermo F López Sánchez  ;  Pinar Soysal  ;  Nicola Veronese  ;  Karel Kostev  ;  Louis Jacob  ;  Laurie T Butler  ;  Yvonne Barnett  ;  Ai Koyanagi 
Citation
 INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Vol.38(7) : e5962, 2023-07 
Journal Title
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
ISSN
 0885-6230 
Issue Date
2023-07
MeSH
Aged ; Cross-Sectional Studies ; Depression / epidemiology ; Developing Countries ; Humans ; Male ; Pain / epidemiology ; Risk Factors ; Suicidal Ideation* ; Suicide, Attempted*
Keywords
low- and middle-income countries ; older adults ; pain ; suicidal ideation ; suicide attempt
Abstract
OBJECTIVES: We aimed to examine the relationship of pain with suicidal ideation and suicide attempts with depressive symptoms among adults aged ≥50 years from six low- and middle-income countries (LMICs) (China, Ghana, India, Mexico, Russia, and South Africa). METHODS: Cross-sectional, community-based, nationally representative data from the WHO Study on global AGEing and adult health were analyzed. Self-reported information on past 12-month suicidal ideation and suicide attempts among people with depressive symptoms was collected. Pain was assessed with the question Overall in the last 30 days, how much of bodily aches or pain did you have? With answer options: none, mild, moderate, severe/extreme. Multivariable logistic regression was done to assess associations. RESULTS: Data on 34,129 adults aged ≥50 years (mean [SD] age 62.4 [16.0] years; males 47.9%) were analyzed. Compared to no pain, mild, moderate, and severe/extreme pain were associated with 2.83 (95% CI = 1.51-5.28), 4.01 (95% CI = 2.38-6.76), and 12.26 (95% CI = 6.44-23.36) times higher odds for suicidal ideation. For suicide attempt, only severe/extreme pain was associated with significantly increased odds (OR = 4.68; 95% CI = 1.67-13.08). CONCLUSIONS: In this large sample of older adults from multiple LMICs, pain was strongly associated with suicidal thoughts and suicide attempts with depressive symptoms. Future studies should assess whether addressing pain among older people in LMICs may lead to reduction in suicidal thoughts and behaviors. © 2023 The Authors. International Journal of Geriatric Psychiatry published by John Wiley & Sons Ltd.
Full Text
https://onlinelibrary.wiley.com/doi/10.1002/gps.5962
DOI
10.1002/gps.5962
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
Yonsei Authors
Shin, Jae Il(신재일) ORCID logo https://orcid.org/0000-0003-2326-1820
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/197880
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