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Annals of Clinical Psychiatry ; 34(1):2, 2022.
Article in English | EMBASE | ID: covidwho-1913155


BACKGROUND: Suicide behavior among seniors is conÂsidered a significant public health problem across many countries. Its rates in the United States have increased steadily, especially in the life course of older white men, estimated at 48.7/100,000.1 Studies have described many stressors that play a role in attempting or dying by suicide in this age group, e.g., chronic physical ill-ness, mental illness, and social isolation. However, the influence of pandemics on suicide rates is not fully addressed, particularly those with lockdowns and limited social interactions. OBJECTIVE: We aim to study the impact of the COVID-19 pandemic on the rate of suicide among the geriatric populaÂtion in Marion County, Indiana. METHODS: Data for 2019 and 2020 was ed from coroners' records in Marion County, Indiana. In 2019 and 2020, a cumulative total of 130 and 157 suicide cases were reported, respectively. We identified 22 elderly suicide cases in 2019 and 34 elderly suicide cases in 2020 with age range of 65 to 94 years. We analyzed the data for age, race, gender, job, marital status, and the method of suicide. RESULTS: A total of 17% of elderly suicide cases are identiÂfied in 2019 and 22% of elderly suicide cases are identified in 2020. Elderly suicide cases increased by 55% from 2019 to 2020. In 2019, all elderly suicide cases were white, averAâge age was 76 years old, and male to female was 9:2 ~5:1. Approximately 59% of elderly suicide cases were retired, 27% were employed and only 2% were unemÂployed. Regarding marital status, 36% who died by suiÂcide were married, 32% were divorced and 18% were widowed. Most common method of suicide was gunÂshot wound (73%) followed by drug overdose (9%) and hanging (9%). Cases were highest in August (18%) and September (18%). In 2020, almost all elderly suicide cases were white (except one was black), average age was 75.7 years old, and male to female ratio was 10:1. Approximately 56% of elderly suicide cases were retired, 20% were employed, and 20% were unemployed. Regarding marital status, 35% were widowed, 30% were married, and 26% were divorced. Most common method of suicide was gunshot wound (88%), followed by drug overdose (6%), and hanging (6%). Cases were highest in August (21%), December (15%), June (12%) and July (12%). CONCLUSION: Based on our findings, elderly suicide increased by 55% in 2020 in Marion County, Indiana, compared to 2019. However, the other parameters (e.g., race, employment, marital status) remained relatively unchanged. Although previous studies explained the steady increase in the suicide rate among the elderly,1 we believe COVID-19 pandemic lockdown and the limited social interaction have contributed to the rise seen in 2020. In addition, the geriatric population is growing and expected to outweigh the youth in a few years2;hence addressing suicide among the elderly is an urgent public health problem, requires extra efforts, especially during similar circumstances.

Journal of the American Geriatrics Society ; 69(SUPPL 1):S74, 2021.
Article in English | EMBASE | ID: covidwho-1214838


Background: Coronavirus 2019 (COVID-19), also known as Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), infection is a pandemic that causes acute respiratory injury, hospital admission and death. Older adults are at a higher risk of serious illness and death from this pandemic. Many COVID-19 patients have a pre-existing cardiovascular disease (CVD). We aim to develop a risk factor stratification tool, using Artificial Intelligence (AI) method, to predict mortality, ICU admission, and length of hospital stay, in patients with CVD during this pandemic. Methods: This is a retrospective cohort study. An IRB approval was obtained. Patients with confirmed (SARS-Cov-2) test, age more than 60 and older, who were admitted to the Sparrow hospital between March 2020 and October 2020 were included. CV risk factors including Hypertension (HTN), Chronic Ischemic Heart Disease (CHD), Heart Failure (HF), and Cardiac Arrhythmia (CA) were used. Results: Of the 426 patients with COVID-19(mean age:74.5 years), at least 1 CVD was identified in most patients. HTN being the most common (55%), followed by CHD (22%), HF (20%) and CA (3%). Multivariable logistic regression has been conducted to identify risk factors for adverse outcomes and competing risk survival analysis for mortality. Outcomes measures included hospital stay > 7 days, ICU admission, and death. Discussion: Our data suggests patients with HTN required longer hospital stay, had higher ICU admissions and death rate. Conclusion: CV risk factors are common in older adults. HTN is the commonest CVD in this population. Several CV risk factors may contribute to the severity of COVID19 and its impact on older adults. Our study suggests that CV risk factors including HTN, HF, CHD, and CA have major impact on COVID-19 infection in hospitalized geriatric populations - see graph 1. Patients with HTN, had longer hospital stay, ICU admission, and mortality. Based on this work, we suggest that a large data sample might be required to develop an AI software that can help predict outcomes and the need for certain resources for older patients.