TY  - JOUR
PY  - 2023//
TI  - Physical multimorbidity, suicidal ideation, and suicide attempts among adults aged ≥50 years from low- and middle-income countries
JO  - International journal of geriatric psychiatry
A1  - Smith, Lee
A1  - Shin, Jae Il
A1  - López Sánchez, Guillermo F.
A1  - Kostev, Karel
A1  - Jacob, Louis
A1  - Tully, Mark A.
A1  - Butler, Laurie
A1  - Barnett, Yvonne
A1  - Veronese, Nicola
A1  - Soysal, Pinar
A1  - Abduljabbar, Adel S.
A1  - Haro, Josep Maria
A1  - Koyanagi, Ai
SP  - e5873
EP  - e5873
VL  - 38
IS  - 1
N2  - 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. <br><br>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. <br><br>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%). <br><br>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.<p />  <p>Language: en</p>
LA  - en
SN  - 0885-6230
UR  - http://dx.doi.org/10.1002/gps.5873
ID  - ref1
ER  -