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Int Psychogeriatr. 2019 Jan;31(1):139-145. doi: 10.1017/S104161021800056X. Epub 2018 May 25.

Sensory loss and suicide ideation in older adults: findings from the Three-City cohort study.

Author information

1
Bordeaux Population Health Research Center,University of Bordeaux,Inserm,Team LEHA,UMR 1219,Bordeaux,France.
2
Inserm U1061,Montpellier,France.
3
Department of Ophthalmology,Gui De Chauliac Hospital,Montpellier,France.

Abstract

ABSTRACTObjectives:To examine the longitudinal risk of vision loss (VL) or hearing loss (HL) for experiencing suicidal ideation in older adults.

DESIGN:

The Three-City study, examining data from three waves of follow-up (2006-2008, 2008-2010, and 2010-2012).

SETTING:

Community-dwelling older French adults.

PARTICIPANTS:

N = 5,438 adults aged 73 years and over.

MEASUREMENTS:

Suicidality was assessed by the Mini-International Neuropsychiatric Interview, Major Depressive Disorder module. Mild VL was defined as Parinaud of 3 or 4 and severe VL as Parinaud >4. Mild HL was self-reported as difficulty understanding a conversation and severe HL as inability to understand a conversation.

RESULTS:

Severe VL was associated with an increased risk of suicidal ideation at baseline (OR = 1.59, 95% CIs = 1.06-2.38) and over five years (OR = 1.65, 95% CIs = 1.05-2.59). Mild and severe HL were associated with an increased risk of suicidal ideation, both at baseline (OR = 1.29, 95% CIs = 1.03-1.63; OR = 1.78, 95% CIs = 1.32-2.40) and over five years (OR = 1.47, 95% CIs = 1.17-1.85; OR = 1.97, 95% CIs = 1.44-2.70).

CONCLUSION:

Sensory losses in late life pose a risk for suicidal ideation. Suicidality requires better assessment and intervention in this population.

KEYWORDS:

dual sensory loss; elderly; hearing impairment; mental health; suicidal; vision impairment

PMID:
29798742
DOI:
10.1017/S104161021800056X
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