Associated factors of suicidal ideation among older persons with dementia living at home in eight European countries
Objectives: This study aimed to investigate the occurrence of suicidal ideation and associated factors in older persons with dementia living at home in eight European countries, and its association with quality of life. Furthermore, changes in suicidal ideation over time were investigated. Methods:...
| Autores: | , , , , , , , , |
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| Formato: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2021 |
| País: | España |
| Recursos: | Universitat Pompeu Fabra |
| Repositorio: | Repositorio Digital de la UPF |
| OAI Identifier: | oai:repositori.upf.edu:10230/52935 |
| Acesso em linha: | http://hdl.handle.net/10230/52935 http://dx.doi.org/10.1080/13607863.2020.1745143 |
| Access Level: | acceso abierto |
| Palavra-chave: | Dementia Depression Older people Suicidal ideation |
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Associated factors of suicidal ideation among older persons with dementia living at home in eight European countriesHolmstrand, CeciliaRahm Hallberg, IngalillSaks, KaiLeino-Kilpi, HelenaRenom-Guiteras, AnnaVerbeek, HildeZabalegui, AdelaidaSutcliffe, CarolineLethin, ConnieDementiaDepressionOlder peopleSuicidal ideationObjectives: This study aimed to investigate the occurrence of suicidal ideation and associated factors in older persons with dementia living at home in eight European countries, and its association with quality of life. Furthermore, changes in suicidal ideation over time were investigated. Methods: This cohort study (n = 1,223) was part of the European "RightTimePlaceCare" project conducted in 2010-2013. Participating countries were Estonia, Finland, France, Germany, the Netherlands, Spain, Sweden and the United Kingdom. Baseline and follow-up data were analysed using bivariate and multivariate logistic regression. Results: The occurrence of suicidal ideation in the participating countries varied between 6% and 24%. Factors significantly (p < 0.0018) associated with suicidal ideation using bivariate analysis were: nationality, depressive symptoms, delusions, hallucinations, agitation, anxiety, apathy, disinhibition, irritability, night-time behaviour disturbances, anxiolytics and anti-dementia medication. In the multivariate regression analysis, country of origin, moderate stage of the dementia, depressive and delusional symptoms, and anti-dementia medication were significantly associated with suicidal ideation (p < 0.05). Over time, suicidal ideation decreased from severe to mild or became absent in 54% of the persons with dementia. Conclusion: It is essential that professionals identify older persons with dementia and suicidal ideation and depressive and other psychological symptoms in order to give them appropriate treatment and provide relief for their informal caregivers. We emphasize the importance of identifying suicidal ideation, irrespective of depressive symptoms, and specifically of paying attention to persons with moderate dementia. Living with the informal caregiver seems to be associated with staying stable without suicidal ideationThis work was supported by the EU 7th Framework program for research under grant number 242153. This study was also supported by grants from the Greta and Johan Kocks Foundation and Skåne University Hospitals FoundationsTaylor & Francis202220222021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/52935http://dx.doi.org/10.1080/13607863.2020.1745143reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésinfo:eu-repo/grantAgreement/EC/FP7/242153© 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-ncnd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.http://creativecommons.org/licenses/by-ncnd/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/529352026-06-12T07:21:37Z |
| dc.title.none.fl_str_mv |
Associated factors of suicidal ideation among older persons with dementia living at home in eight European countries |
| title |
Associated factors of suicidal ideation among older persons with dementia living at home in eight European countries |
| spellingShingle |
Associated factors of suicidal ideation among older persons with dementia living at home in eight European countries Holmstrand, Cecilia Dementia Depression Older people Suicidal ideation |
| title_short |
Associated factors of suicidal ideation among older persons with dementia living at home in eight European countries |
| title_full |
Associated factors of suicidal ideation among older persons with dementia living at home in eight European countries |
| title_fullStr |
Associated factors of suicidal ideation among older persons with dementia living at home in eight European countries |
| title_full_unstemmed |
Associated factors of suicidal ideation among older persons with dementia living at home in eight European countries |
| title_sort |
Associated factors of suicidal ideation among older persons with dementia living at home in eight European countries |
| dc.creator.none.fl_str_mv |
Holmstrand, Cecilia Rahm Hallberg, Ingalill Saks, Kai Leino-Kilpi, Helena Renom-Guiteras, Anna Verbeek, Hilde Zabalegui, Adelaida Sutcliffe, Caroline Lethin, Connie |
| author |
Holmstrand, Cecilia |
| author_facet |
Holmstrand, Cecilia Rahm Hallberg, Ingalill Saks, Kai Leino-Kilpi, Helena Renom-Guiteras, Anna Verbeek, Hilde Zabalegui, Adelaida Sutcliffe, Caroline Lethin, Connie |
| author_role |
author |
| author2 |
Rahm Hallberg, Ingalill Saks, Kai Leino-Kilpi, Helena Renom-Guiteras, Anna Verbeek, Hilde Zabalegui, Adelaida Sutcliffe, Caroline Lethin, Connie |
| author2_role |
author author author author author author author author |
| dc.subject.none.fl_str_mv |
Dementia Depression Older people Suicidal ideation |
| topic |
Dementia Depression Older people Suicidal ideation |
| description |
Objectives: This study aimed to investigate the occurrence of suicidal ideation and associated factors in older persons with dementia living at home in eight European countries, and its association with quality of life. Furthermore, changes in suicidal ideation over time were investigated. Methods: This cohort study (n = 1,223) was part of the European "RightTimePlaceCare" project conducted in 2010-2013. Participating countries were Estonia, Finland, France, Germany, the Netherlands, Spain, Sweden and the United Kingdom. Baseline and follow-up data were analysed using bivariate and multivariate logistic regression. Results: The occurrence of suicidal ideation in the participating countries varied between 6% and 24%. Factors significantly (p < 0.0018) associated with suicidal ideation using bivariate analysis were: nationality, depressive symptoms, delusions, hallucinations, agitation, anxiety, apathy, disinhibition, irritability, night-time behaviour disturbances, anxiolytics and anti-dementia medication. In the multivariate regression analysis, country of origin, moderate stage of the dementia, depressive and delusional symptoms, and anti-dementia medication were significantly associated with suicidal ideation (p < 0.05). Over time, suicidal ideation decreased from severe to mild or became absent in 54% of the persons with dementia. Conclusion: It is essential that professionals identify older persons with dementia and suicidal ideation and depressive and other psychological symptoms in order to give them appropriate treatment and provide relief for their informal caregivers. We emphasize the importance of identifying suicidal ideation, irrespective of depressive symptoms, and specifically of paying attention to persons with moderate dementia. Living with the informal caregiver seems to be associated with staying stable without suicidal ideation |
| publishDate |
2021 |
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2021 2022 2022 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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http://hdl.handle.net/10230/52935 http://dx.doi.org/10.1080/13607863.2020.1745143 |
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http://hdl.handle.net/10230/52935 http://dx.doi.org/10.1080/13607863.2020.1745143 |
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Inglés |
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Inglés |
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info:eu-repo/grantAgreement/EC/FP7/242153 |
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http://creativecommons.org/licenses/by-ncnd/4.0/ info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by-ncnd/4.0/ |
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Taylor & Francis |
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Taylor & Francis |
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reponame:Repositorio Digital de la UPF instname:Universitat Pompeu Fabra |
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