TY  - JOUR
PY  - 2021//
TI  - Passive and active suicidal ideation in Swedish 85-year-olds: time trends 1986-2015
JO  - Journal of affective disorders
A1  - Jonson, Mattias
A1  - Sigström, Robert
A1  - Mellqvist Fässberg, Madeleine
A1  - Wetterberg, Hanna
A1  - Rydén, Lina
A1  - Rydberg Sterner, Therese
A1  - Hedna, Khedidja
A1  - Lagerlöf Nilsson, Ulrika
A1  - Skoog, Ingmar
A1  - Waern, Margda
SP  - 300
EP  - 307
VL  - 290
IS  - 
N2  - BACKGROUND: Older adults have high suicide rates. We investigated potential time trends in the prevalence of passive and active suicidal ideation in 85-year-olds. Further, we examined factors associated with such ideation in this age group. <br><br>METHODS: Population-based samples of 85-year-olds were interviewed in 1986 (N = 347), 2008 (N = 426) and 2015 (N = 320). Past-month passive/active suicidal ideation was evaluated with the Paykel questions. <br><br>RESULTS: Reporting any type of passive or active suicidal ideation was less common in 2008 (7.3%, p < 0.001) and 2015 (7.2%, p < 0.001) compared to 1986 (16.4%). The change was driven by decreases in passive ideation. Passive/active suicidal ideation was associated with higher MADRS score (OR: 1.2, 95% CI: 1.1-1.2, p < 0.001), institution residence (OR: 3.9, 95% CI: 1.7-8.9, p = 0.001) and feelings of loneliness (OR: 2.7, 95% CI: 1.4-5.2, p = 0.003). When stratified by sex, it was associated with institution residence (OR: 3.7, 95% CI: 1.4-9.9, p = 0.008) and feelings of loneliness (OR: 3.0, 95% CI: 1.4-6.3, p = 0.005) in women. In men, we observed a tenfold higher risk in those without partners (OR: 9.8, 95% CI: 2.9-33.5, p < 0.001). LIMITATIONS: While differential three-year mortality was not observed in 1986, mortality was higher among non-participants in 2008 and 2015. This might have inflated cohort differences in passive/active suicidal ideation. <br><br>CONCLUSION: An initial decrease in the prevalence of passive/active suicidal ideation in 85-year-olds was observed but this positive trend did not persist. <br><br>RESULTS underline that preventive strategies targeting loneliness and focusing on institutional settings are needed, as are interventions for men without partners.<p />  <p>Language: en</p>
LA  - en
SN  - 0165-0327
UR  - http://dx.doi.org/10.1016/j.jad.2021.04.060
ID  - ref1
ER  -