Physical multimorbidity, suicidal ideation, and suicide attempts among adults aged =50 years from low- and middle-income countries.
Por:
Smith L, Shin JI, López Sánchez GF, Kostev K, Jacob L., Tully MA, Butler L, Barnett Y, Veronese N, Soysal P, Abduljabbar AS, Haro JM and Koyanagi A
Publicada:
1 ene 2023
Resumen:
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.
Filiaciones:
Smith L:
Centre for Health, Performance, and Wellbeing, Anglia Ruskin University, Cambridge, UK
Shin JI:
Department of Pediatrics, Yonsei University College of Medicine, Seodaemun-gu, Seoul, Korea
López Sánchez GF:
Division of Preventive Medicine and Public Health, Department of Public Health Sciences, School of Medicine, University of Murcia, Murcia, Spain
Kostev K:
Philipps University of Marburg, Marburg, Germany
Jacob L.:
Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, ISCIII, Sant Boi de Llobregat, Barcelona, Spain
Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Montigny-le-Bretonneux, France
Tully MA:
School of Medicine, Ulster University, Londonderry, UK
Butler L:
Centre for Health, Performance, and Wellbeing, Anglia Ruskin University, Cambridge, UK
Barnett Y:
Centre for Health, Performance, and Wellbeing, Anglia Ruskin University, Cambridge, UK
Veronese N:
Geriatrics Section, Department of Internal Medicine, University of Palermo, Palermo, Italy
Soysal P:
Department of Geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
Abduljabbar AS:
King Saud University, Riyadh, Saudi Arabia
Haro JM:
Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, ISCIII, Sant Boi de Llobregat, Barcelona, Spain
King Saud University, Riyadh, Saudi Arabia
Koyanagi A:
Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, ISCIII, Sant Boi de Llobregat, Barcelona, Spain
ICREA, Barcelona, Spain
Green Published, hybrid
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