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KMID : 0605720100160010046
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Journal of the Korean Society of Biological Therapies in Psychiatry
2010 Volume.16 No. 1 p.46 ~ p.53
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Risk Factors for Suicide and Depression in the Elderly Over Sixty Years of Age
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Kim Jeong-Eun
Yoon Sung-Wook
Moon Jung-Joon
Jeon Dong-Wook
Baek Jun-Hyung
Shin Dong-Hwan
Lee Bong-Ju
Kim Young-Hoon
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Abstract
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Objectives: In this study authors evaluated depressed mood and suicidal ideation among the elderly over 60 years old. We also investigated sociodemographic and clinical risk factors of depression and suicide.
Methods: Six hundred fifty elderlies participated in this study. One hundred seventy nine subjects agreed to laboratory test and more evaluation. Geriatric Depression Scale(GDS) and Scale for Suicidal Ideation(SSI) were used to evaluate depression and suicidal ideation. Participants whose GDS score was 17 or more were concluded to have depressed mood, whose SSI score was 9 or more were concluded to have suicidal ideation.
Results: The prevalence of depression and suicidal ideation in Korean elderly over 60 years old were 65.4%, 13.9% respectively. Female sex, low education state, low MMSE-KC score, high Hachinski ischemic score and high SSI score were significantly related with depression. Suicidal ideation was related with hypertension history. But MMSE-KC, GDS, SSI and serum lipid levels showed no significance in this study.
Conclusion: Compared with other studies, the prevalence of depression in Korean elderly over 60 years old was higher. The risk factors of depression were female sex, low education state, cognitive impairment and risk of brain vascular disease. And the risk factor of suicidal ideation was hypertension history. But cognitive impairment, depression and suicidal ideation were not significantly correlated with serum lipid levels. To confirm this result, well-designed and wide range studys will be needed.
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KEYWORD
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Geriatric depression, Suicidal Ideation, Cognitive function, Serum lipid level
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