Suicide in patients suffering from late-life anxiety disorders; a comparison with younger patients

Oude Voshaar, R. C., van der Veen, D. C., Kapur, N., Hunt, I., Williams, A. and Pachana, N. A. (2015) Suicide in patients suffering from late-life anxiety disorders; a comparison with younger patients. International Psychogeriatrics, 27 7: 1197-1205. doi:10.1017/S1041610215000125

Author Oude Voshaar, R. C.
van der Veen, D. C.
Kapur, N.
Hunt, I.
Williams, A.
Pachana, N. A.
Title Suicide in patients suffering from late-life anxiety disorders; a comparison with younger patients
Journal name International Psychogeriatrics   Check publisher's open access policy
ISSN 1041-6102
Publication date 2015-02-11
Year available 2015
Sub-type Article (original research)
DOI 10.1017/S1041610215000125
Open Access Status
Volume 27
Issue 7
Start page 1197
End page 1205
Total pages 9
Place of publication Cambridge, United Kingdom
Publisher Cambridge University Press
Collection year 2016
Language eng
Formatted abstract
Background: Anxiety disorders are assumed to increase suicide risk, although confounding by comorbid psychiatric disorders may be one explanation. This study describes the characteristics of older patients with an anxiety disorder who died by suicide in comparison to younger patients.

Method: A 15-year national clinical survey of all suicides in the UK (n = 25,128). Among the 4,481 older patients who died by suicide (≥ 60 years), 209 (4.7%) suffered from a primary anxiety disorder, and 533 (11.9%) from a comorbid anxiety disorder. Characteristics of older (n = 209) and younger (n = 773) patients with a primary anxiety disorder were compared by logistic regression adjusted for sex and living arrangement.

Results: Compared to younger patients, older patients with a primary anxiety disorder were more often males and more often lived alone. Although 60% of older patients had a history of psychiatric admissions and 50% of deliberate self-harm, a history of self-harm, violence, and substance misuse was significantly less frequent compared to younger patients, whereas physical health problems and comorbid depressive illness were more common. Older patients were prescribed significantly more psychotropic drugs and received less psychotherapy compared to younger patients.

Conclusion: Anxiety disorders are involved in one of every six older patients who died by suicide. Characteristics among patients who died by suicide show severe psychopathology, with a more prominent role for physical decline and social isolation compared to their younger counterparts. Moreover, treatment was less optimal in the elderly, suggesting ageism. These results shed light on the phenomenon of suicide in late-life anxiety disorder and suggest areas where prevention efforts might be focused.
Keyword 80 years and over
Anxiety Disorders
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Psychology Publications
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