Suicidal ideation and suicide attempts among older recipients of public welfare assistance in Japan.
AGING
PUBLIC HEALTH
SUICIDE
Journal
Journal of epidemiology and community health
ISSN: 1470-2738
Titre abrégé: J Epidemiol Community Health
Pays: England
ID NLM: 7909766
Informations de publication
Date de publication:
20 Jul 2022
20 Jul 2022
Historique:
received:
17
02
2022
accepted:
10
07
2022
entrez:
20
7
2022
pubmed:
21
7
2022
medline:
21
7
2022
Statut:
aheadofprint
Résumé
The high suicide rate among older adults is an important public health issue. Financial insecurity has been linked to suicidal behaviour. Despite this, as yet, there has been little research on suicide-related behaviours among older recipients of public welfare. This study will examine if suicidal ideation and suicide attempts are more prevalent in older recipients of public welfare assistance in Japan. This cross-sectional study analysed data from 16 135 adults aged ≥65 years who participated in the 2019 wave of the Japan Gerontological Evaluation Study. Information was obtained on receiving public welfare assistance, lifetime suicidal ideation and attempts, and a variety of covariates. Poisson regression analysis with robust variance estimates was used to examine associations. Suicidal ideation was reported by 4.8% of the participants, while the corresponding figure for attempted suicide was 2.2%. In fully adjusted analyses public welfare recipients had an almost 1.5 times higher prevalence of lifetime suicidal ideation (prevalence ratio, PR 1.47, 95% CI 1.02 to 2.13), and an almost two times higher prevalence of attempted suicide (PR 1.91, 95% CI 1.20 to 3.04) when compared with their counterparts not receiving public welfare assistance. Older recipients of public welfare have a higher prevalence of suicidal behaviour in Japan. An urgent focus is now warranted on this vulnerable population to determine the specific factors underlying this association.
Sections du résumé
BACKGROUND
BACKGROUND
The high suicide rate among older adults is an important public health issue. Financial insecurity has been linked to suicidal behaviour. Despite this, as yet, there has been little research on suicide-related behaviours among older recipients of public welfare. This study will examine if suicidal ideation and suicide attempts are more prevalent in older recipients of public welfare assistance in Japan.
METHODS
METHODS
This cross-sectional study analysed data from 16 135 adults aged ≥65 years who participated in the 2019 wave of the Japan Gerontological Evaluation Study. Information was obtained on receiving public welfare assistance, lifetime suicidal ideation and attempts, and a variety of covariates. Poisson regression analysis with robust variance estimates was used to examine associations.
RESULTS
RESULTS
Suicidal ideation was reported by 4.8% of the participants, while the corresponding figure for attempted suicide was 2.2%. In fully adjusted analyses public welfare recipients had an almost 1.5 times higher prevalence of lifetime suicidal ideation (prevalence ratio, PR 1.47, 95% CI 1.02 to 2.13), and an almost two times higher prevalence of attempted suicide (PR 1.91, 95% CI 1.20 to 3.04) when compared with their counterparts not receiving public welfare assistance.
CONCLUSION
CONCLUSIONS
Older recipients of public welfare have a higher prevalence of suicidal behaviour in Japan. An urgent focus is now warranted on this vulnerable population to determine the specific factors underlying this association.
Identifiants
pubmed: 35858764
pii: jech-2022-218893
doi: 10.1136/jech-2022-218893
pmc: PMC9484371
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
N Engl J Med. 2020 Jul 9;383(2):97-99
pubmed: 32640128
Epidemiol Rev. 2008;30:133-54
pubmed: 18653727
Int J Environ Res Public Health. 2019 Dec 06;16(24):
pubmed: 31817590
Psychiatry Res. 2017 Dec;258:421-426
pubmed: 28865720
Biopsychosoc Med. 2008 Sep 22;2:15
pubmed: 18808701
Psychiatry Res. 2016 Oct 30;244:345-50
pubmed: 27521975
J Nerv Ment Dis. 2002 Jun;190(6):349-60
pubmed: 12080203
Soc Forces. 2006 Sep;85(1):413-430
pubmed: 17160138
J Epidemiol Community Health. 2019 Aug;73(8):750-758
pubmed: 31142611
Aust N Z J Psychiatry. 2011 Jan;45(1):54-62
pubmed: 20977311
Health Serv Res. 2012 Feb;47(1 Pt 2):344-62
pubmed: 22092239
J Affect Disord. 2020 Dec 1;277:99-103
pubmed: 32799110
BMC Public Health. 2019 Jan 3;19(1):2
pubmed: 30606263
Am J Community Psychol. 2002 Dec;30(6):787-813
pubmed: 12385483
Scand J Public Health. 2011 May;39(3):303-11
pubmed: 21406477
Int J Geriatr Psychiatry. 2019 Nov;34(11):1565-1571
pubmed: 31276241
J Affect Disord. 2019 Feb 15;245:517-523
pubmed: 30445379
J Epidemiol. 2003 Jan;13(1):56-61
pubmed: 12587614
Int Psychogeriatr. 2017 May;29(5):707-708
pubmed: 28351451
Clin Interv Aging. 2018 Apr 20;13:691-699
pubmed: 29719381
J Epidemiol. 2016 Jun 5;26(6):315-21
pubmed: 27064129
J Psychiatr Res. 1982-1983;17(1):37-49
pubmed: 7183759
J Epidemiol. 2002 Nov;12(6):439-49
pubmed: 12462279
Prev Med. 2018 Nov;116:99-103
pubmed: 30219687
J Cardiol. 2021 Apr;77(4):404-407
pubmed: 33183887
Int J Soc Psychiatry. 2015 Feb;61(1):73-81
pubmed: 24903684