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Depression May Be Driving Elderly Over the Edge

From: www.psychiatrymatters.md
Issue 45
26 July 2002

Suicide is rife among senior citizens, but most elderly American, their families, friends, caretakers, and doctors are unaware of the problem. While senior citizens make up about 13% of the population, they account for nearly 20% of suicides. One suicide is committed for every four attempts made by a senior citizen, compared with one suicide for every 20 attempts in the overall population.

Why are the elderly committing suicide?
Research that has been published recently has investigated the reasons why this sector of the population commits suicide at a higher rate than any other age group. The new research confirms previous work and implicates depression and mental impairment as major factors contributing to the sobering suicide statistics.

According to Dr Asghar Hossain, chief of psychiatry for geriatrics at Bergen Regional Medical Center in Paramus, an estimated 5 million of the 32 million people aged 65 years and older suffer from depression. Unfortunately, many people think that depression is a natural part of aging and that it is therefore untreatable. "I don’t think people recognize the severity of this problem," he said. "We have treated and seen many elderly people who have attempted suicide." In many cases, these senior citizens have struggled with depression that has gone undiagnosed and untreated.

The findings are not new to Denise Arlook, a geriatric care manager who supervises the care of many senior citizens in northern New Jersey, USA. Ms Arlook screens her clients for depression and often finds many in need of treatment.

Other contributing factors
In addition to depression, other factors contributing to suicide in elderly people have been identified, including:

  • alcoholism
  • social isolation
  • poor sleep
  • greater access to firearms

Elderly people tend to be more determined to commit suicide than younger individuals, and are prepared to use more lethal means, said Dr Yeates Conwell, professor of psychiatry at the University of Rochester Medical Center in New York, USA. Senior citizens have greater access to firearms, and studies undertaken at the University of Rochester Medical Center found that suicide rates for elderly people fell significantly in states stipulating waiting periods and background checks for gun purchases.

We tend to think that teenagers are more likely to commit suicide than elderly people, and the risk of suicide among the elderly is just not appreciated, said Conwell. "Somehow our awareness of suicide in later life slips through the cracks," he said. "It’s a character of our culture. Older people tend to fade into the background."

Preventing suicides in seniors in the future
Dr Conwell also pointed out that the problem of suicide among the elderly is likely to get worse as the population ages and the number of older people increases dramatically in the USA in the near future. All of this evidence points to an essential mission – ensuring that mental and physical problems are identified and treated in senior citizens to prevent suicides.

For additional information about older adults and aging, please log onto the following resources:

National Institute for Mental Health, http://www.nimh.nih.gov
Older Adults: Depression and Suicide Facts
Phone (301) 443-4513
Fax (301) 443-4279
TTY (301) 443-8431

American Geriatrics Society, http://www.americangeriatrics.org
Depression in Late Life: Not a Natural Part of Aging
Phone – (212) 308-1414
Fax – (212) 832-8646

National Mental Health Association, http://nmha.org
Depression in Later Life
Mental Health Information Center
(800) 969-NMHA
TTY Line (800) 433-5959

Administration on Aging, Department of Health and Human Services, http://www.aoa.gov
Phone: (800) 677-1116
(Eldercare Locator - to find services for an older person in his or her locality)
(202) 619-7501
(for technical information and public inquiries)
TTI Line – (800) 877-8339

American Association for Geriatric Psychiatry, http://www.aagpgpa.org
Phone: (301) 654-7850
fax: (301) 654-4137

Source: The Charleston Gazette, 6 July 2002



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