TY  - JOUR
PY  - 2019//
TI  - Beyond depression: estimating 12-months prevalence of passive suicidal ideation in mid- and late-life in the health and retirement study
JO  - American journal of geriatric psychiatry
A1  - Gonzalez, Richard
A1  - Kalesnikava, Viktoryia A.
A1  - Dong, Liming
A1  - Mezuk, Briana
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVES: To provide valid estimates of the 12-month prevalence of passive suicidal ideation among older adults, without conditioning on depression status, using the Health and Retirement Study (HRS). <br><br>METHODS: Data come from the 2012 HRS (n = 17,434) and 2004/5 Baltimore Epidemiologic Catchment Area (ECA) Study (n = 755). In the HRS, passive suicidal ideation (i.e., thought a lot about death-your own, someone else's, or death in general) is only assessed on respondents who reported dysphoria/anhedonia; in the ECA, ideation is assessed on all respondents, regardless of depression. We compare two approaches to estimating the 12-month prevalence of passive suicidal ideation in the HRS without conditioning on depression symptoms: 1) a probit selection model within the HRS, and 2) a prediction model developed using appended ECA data applied to the HRS. <br><br>RESULTS: Using observed data alone on those who screened positive for depression, 6% of older adults reported passive suicidal ideation in the past year. Depending on the approach used, between 5.4% and 9.2% of HRS respondents who screened negative for depression would have reported passive suicidal ideation had they been assessed. Correcting for this selection bias, between 10.9% and 13.4% of U.S. adults over age 50 experienced passive suicidal ideation in 2012. <br><br>CONCLUSIONS: Population surveillance of suicidal ideation among older adults is biased by survey approaches that only assess ideation in the context of depression.<br><br>Copyright © 2019 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 1064-7481
UR  - http://dx.doi.org/10.1016/j.jagp.2019.06.015
ID  - ref1
ER  -