NDLI: Care service use in 2 years preceding suicide among older adults: comparison with those who died a natural death and those who lived longer

Content Provider	Springer Nature Link
Author	Forma, Leena Aaltonen, Mari Pulkki, Jutta Raitanen, Jani Rissanen, Pekka Jylhä, Marja
Copyright Year	2016
Abstract	The aim of the study is (1) to describe and analyse health and social service use and medicine purchases in the last 2 years of life among older adults who died by suicide and (2) to compare use and purchases between three groups: those who died by suicide, died a natural death or who lived longer. Nation-wide Finnish register data were used. The data consist of 316,639 decedents who died at the age of 70 years or older in 1998–2008 and 222,967 people who lived longer. Use of hospital, long-term care and home care, and the purchase of prescribed psychotropic medications were studied for the 2-year period. Binary logistic regression analyses were applied. 1118 older adults died by suicide (0.4 % of all deaths). A majority of older adults who died by suicide had multiple somatic diseases and mental disorders, especially depression, and had contact with health and social services in the last 2 years of life. At the same level of morbidity, use of hospital and long-term care was less common among those who died by suicide than among those who died of natural causes, but more common than among those who lived longer. Those who died by suicide received less home care than those who lived longer. A high proportion of suicides occurred in the first month following hospital discharge. Health and social services should improve support for older adults with chronic diseases and depression.
Starting Page	143
Ending Page	153
Page Count	11
File Format	PDF
ISSN	16139372
Journal	European Journal of Ageing
Volume Number	14
Issue Number	2
e-ISSN	16139380
Language	English
Publisher	Springer Netherlands
Publisher Date	2016-10-04
Publisher Place	Dordrecht
Access Restriction	Subscribed
Subject Keyword	Suicide Health and social service use Psychotropic drugs Last years of life Depression Finland Aging Demography Geriatrics/Gerontology Public Health Psychology
Content Type	Text
Resource Type	Article
Subject	Health (social science) Geriatrics and Gerontology

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