Suicide risk in first year after dementia diagnosis in older adults.
Alzheimer's disease
dementia
mental disorder
suicide
Journal
Alzheimer's & dementia : the journal of the Alzheimer's Association
ISSN: 1552-5279
Titre abrégé: Alzheimers Dement
Pays: United States
ID NLM: 101231978
Informations de publication
Date de publication:
02 2022
02 2022
Historique:
revised:
30
03
2021
received:
08
02
2021
accepted:
26
04
2021
pubmed:
27
5
2021
medline:
26
4
2022
entrez:
26
5
2021
Statut:
ppublish
Résumé
Receiving a diagnosis of Alzheimer's disease or related dementias (ADRD) can be a pivotal and stressful period. We examined the risk of suicide in the first year after ADRD diagnosis relative to the general geriatric population. We identified a national cohort of Medicare fee-for-service beneficiaries aged ≥ 65 years with newly diagnosed ADRD (n = 2,667,987) linked to the National Death Index. The suicide rate for the ADRD cohort was 26.42 per 100,000 person-years. The overall standardized mortality ratio (SMR) for suicide was 1.53 (95% confidence interval [CI] = 1.42, 1.65) with the highest risk among adults aged 65 to 74 years (SMR = 3.40, 95% CI = 2.94, 3.86) and the first 90 days after ADRD diagnosis. Rural residence and recent mental health, substance use, or chronic pain conditions were associated with increased suicide risk. Results highlight the importance of suicide risk screening and support at the time of newly diagnosed dementia, particularly for patients aged < 75 years.
Identifiants
pubmed: 34036738
doi: 10.1002/alz.12390
pmc: PMC8613307
mid: NIHMS1703586
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
262-271Subventions
Organisme : NIA NIH HHS
ID : R01 AG056407
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH107452
Pays : United States
Informations de copyright
© 2021 the Alzheimer's Association.
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