Citation

Wiktorsson S, Rydberg Sterner T, Mellqvist Fässberg M, Skoog I, Ingeborg Berg A, Duberstein P, Van Orden K, Waern M. Int. J. Environ. Res. Public Health 2018; 15(1): e15010141.

Affiliation

Institute of Neuroscience and Physiology, Department of Psychiatry, University of Gothenburg, Blå Stråket 15, SU/Sahlgrenska, 413 45 Gothenburg, Sweden. margda.waern@gu.se.

Copyright

(Copyright © 2018, MDPI: Multidisciplinary Digital Publishing Institute)

DOI

10.3390/ijerph15010141

PMID

29337907

Abstract

Relatively little research attention has been paid to sex issues in late life suicidal behaviour. The aim was to compare clinical characteristics of women and men aged 70+ who were hospitalized after a suicide attempt. We hypothesized higher depression and anxiety scores in women, and we expected to find that men would more often attribute the attempt to health problems and compromised autonomy. Participants (56 women and 47 men, mean age 80) were interviewed by a psychologist. In addition to psychiatric and somatic health assessments, participants responded to an open-ended question concerning attributions of the attempt. There were no sex differences in depression and anxiety. Forty-five percent of the men and 14% of the women had a history of substance use disorder (p = 0.02). At least one serious physical disability was noted in 60.7% of the women and 53.2% of the men (p = 0.55). Proportions attributing their attempt to somatic illness did not differ (women, 14.5% vs. men 17.4%, p = 0.79), and similar proportions attributed the attempt to reduced autonomy (women, 21.8% vs. men, 26.1%, p = 0.64). We found strikingly similar figures for depression scores, functional disability and attributions for attempting suicide in older men and women. Larger studies are needed in diverse settings as sex differences might be influenced by cultural context.

Language: en

Keywords

depression; late life; physical disability; sex differences; suicide attempt