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Physical multimorbidity, suicidal ideation, and suicide attempts among adults aged ≥50 years from low- and middle-income countries

Authors
 Lee Smith  ;  Jae Il Shin  ;  Guillermo F López Sánchez  ;  Karel Kostev  ;  Louis Jacob  ;  Mark A Tully  ;  Laurie Butler  ;  Yvonne Barnett  ;  Nicola Veronese  ;  Pinar Soysal  ;  Adel S Abduljabbar  ;  Josep Maria Haro  ;  Ai Koyanagi 
Citation
 INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Vol.38(1) : e5873, 2023-01 
Journal Title
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
ISSN
 0885-6230 
Issue Date
2023-01
MeSH
Aged ; Cross-Sectional Studies ; Developing Countries ; Female ; Humans ; Male ; Multimorbidity ; Risk Factors ; Suicidal Ideation* ; Suicide, Attempted*
Keywords
adults ; epidemiology ; low- and middle-income countries ; multimorbidity ; suicidal ideation ; suicide attempts
Abstract
Objectives: The association between physical multimorbidity and suicidal ideation or suicide attempts among older adults from low- and middle-income countries (LMICs) is largely unknown. We aimed to assess this association as well as its mediators using nationally representative data from six LMICs. Methods: Cross-sectional, community-based data from the Study on Global Aging and Adult Health were analyzed. A total of 11 chronic physical conditions were assessed. Self-reported information on past 12-month suicidal ideation and suicide attempts was also collected. Multivariable logistic regression and mediation analyses were conducted. Results: The final sample consisted of 34,129 adults aged ≥50 years (mean [SD] age 62.4 (16.0) years; maximum age 114 years; 52.1% females). In the overall sample, physical multimorbidity was associated with increased odds for suicidal ideation (OR = 2.99; 95% CI = 2.06–4.34) and suicide attempts (OR = 2.79; 95% CI = 1.58–4.95), with the association being stronger in males than females. The association between multimorbidity and suicidal ideation or suicide attempts was largely mediated by pain/discomfort (mediated% 33.3%–44.2%), sleep/energy (28.2%–33.8%), and mobility limitations (26.6%–34.8%). Conclusions: Physical multimorbidity among older adults in LMICs was associated with a substantially increased risk for suicidal ideation and suicide attempts. Addressing the identified mediators in people with physical multimorbidity may aid in the prevention of suicidal ideation and suicide attempts. © 2023 The Authors. International Journal of Geriatric Psychiatry published by John Wiley & Sons Ltd.
Files in This Item:
T202400324.pdf Download
DOI
10.1002/gps.5873
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/22282913/197890
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