Prevalence of Suicidality and its Association with Quality of Life in Older Patients with Clinically Stable Psychiatric Disorders in China During the COVID-19 Pandemic.
J Geriatr Psychiatry Neurol
; 35(2): 237-244, 2022 03.
Article
in English
| MEDLINE | ID: covidwho-1731432
ABSTRACT
AIMS:
The pattern of suicidality in older patients with psychiatric disorders during the COVID-19 pandemic is not clear. This study examined the prevalence of suicidality and its association with quality of life (QOL) among older clinically stable patients with psychiatric disorders during the COVID-19 pandemic.METHODS:
A multicenter, cross-sectional study was conducted from May 22 to July 15, 2020, among four major tertiary psychiatric hospitals in China. Suicidality was assessed by asking 3 standardized questions. Depressive symptoms, pain, and QOL were assessed with the 9-item Patient Health Questionnaire (PHQ-9), the numeric pain rating scale (NPRS), and the World Health Organization Quality of Life Questionnaire-brief version, respectively.RESULTS:
A total of 1063 clinically stable patients participated and completed the assessment. The prevalence of suicidality was 11.8% (95% CI 9.9%-13.7%) during the COVID-19 pandemic. Multiple logistic regression analysis revealed that poor treatment adherence (P = .009, OR = 1.86, 95% CI 1.17-2.96) and perceived illness worsening during the COVID-19 outbreak (P = .02, OR = 2.07, 95% CI 1.15-3.73), being diagnosed with major depressive disorder (P < .001, OR = 2.79, 95% CI 1.68-4.64), PHQ-9 total score (P < .001, OR = 1.20, 95% CI 1.15-1.24) and NPRS total score (P = .002, OR = 1.17, 95% CI 1.06-1.29) were associated with higher risk of suicidality. After controlling for covariates, older psychiatric patients with suicidality had lower QOL compared to those without (F(1, 1063) =16.5, P<.001).CONCLUSIONS:
Suicidality was common in older patients with clinically stable psychiatric disorders during the COVID-19 pandemic. Considering its negative impact on QOL and personal suffering, routine screening and preventive suicide measures should be implemented for older psychiatric patients.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Suicide
/
Depressive Disorder, Major
/
COVID-19
/
Mental Disorders
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
/
Qualitative research
/
Randomized controlled trials
Limits:
Aged
/
Humans
Language:
English
Journal:
J Geriatr Psychiatry Neurol
Journal subject:
Geriatrics
/
Neurology
/
Psychiatry
Year:
2022
Document Type:
Article
Affiliation country:
08919887221078557
Similar
MEDLINE
...
LILACS
LIS