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Suicidal Ideation, Depression and Quality of Life in the Elderly: Study in a Gerontopsychiatric Consultation

Published online by Cambridge University Press:  15 April 2014

Carla Ponte ,
Vera Almeida  and
Lia Fernandes
Carla Ponte
Affiliation:
Instituto Superior de Ciências da Saúde-Norte (Portugal)
Vera Almeida*
Affiliation:
Instituto Superior de Ciências da Saúde-Norte (Portugal)
Lia Fernandes
Affiliation:
Universidade do Porto (Portugal)
*
*Correspondence concerning this article should be addressed to Vera Almeida. Instituto Superior de Ciências da Saúde-Norte (Portugal). E-mail: vera.marg@gmail.com
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Abstract

The global increase in elderly population all over the world, especially in Portugal, justifies the importance of mental health study in this age group. The aim of this study was to characterize the elderly patients in Gerontopsychiatry Consultation of Centro Hospitalar São João in Porto, related to socio-demographic aspects, physical and global disabilities, depression, suicidal ideation and quality of life, and to explore the association between suicidal ideation, depression, and quality of life and global and functional disability. In this cross-sectional study, 155 patients were recruited consecutively, with a final sample of 75 subjects (59 women and 16 men) without cognitive deficits and a mean age of 72.8 (SD = 6.04). Concerning the depression level measured with the Geriatric Depression Scale (Barreto et al., 2008) it was found that 66.7% presented severe depression and suicidal ideation (M = 41.96, SD = 36.38), a value considered with a potential risk of suicide using the Suicidal Ideation Questionnaire (Ferreira & Castela, 1999). The elderly also perceived their quality of life as low, revealing global disability assessed with the EasyCare- Elderly Assessment (Sousa & Figueiredo, 2000a). A significant positive correlation was also found between depression and suicidal ideation (rs =.71, p < .001), as well as quality of life (rs = .50, p < .001), and suicidal ideation with quality of life (rs = .40, p < .001). The data obtained in this study corroborate the results found in other studies.

Keywords

elderlydepressionquality of lifesuicidal ideation
Type
Research Article
Information
The Spanish Journal of Psychology , Volume 17 , 2014 , E14
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2014 

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References

Almeida, A. (2000). Efeito de Werther.[Werther effect]. Análise Psicológica, 1(18), 37–51.Google Scholar
Awata, S., Seki, T., Koizumi, Y., Sato, S., Hozawa, A., Omori, K., … Tsujl, I. (2005). Factors associated with suicidal ideation in an elderly urban Japanese population: A community-based, cross-sectional study. Psychiatry and Clinical Neuroscience, 59, 327–336. http://dx.doi.org/10.1111/j.1440-1819.2005.01378.x Google Scholar
Barreto, J., Leuschner, A., Santos, F., & Sobral, M. (2008). Escala de Depressão Geriátrica [Geriatric Depression Scale]. In Mendonça, A. & Guerreiro, M.. Escalas e Testes na Demência [Tests and Scales in Dementia] (pp. 58–59, 2 nd Ed.). Lisboa, Portugal: Grupo de Estudos de Envelhecimento Cerebral e Demência.Google Scholar
Cacho, J., García-García, R., Arcaya, J., Vicente, J., & Lantada, N. (1999). Una propuesta de aplicación y puntuación del test del reloj en la enfermedad de Alzheimer -Original. [A proposal for the clock test application and scoring in Alzheimer disease - Original] Revista de Neurología, 28, 648–655.Google Scholar
Campos, M., & Leite, S. (2002). O suicídio em Portugal nos anos 90 [Suicide in Portugal in 90 ths]. Revista de Estudos Demográficos, 32, 81–106.Google Scholar
Carrilho, M., & Patrício, L. (2009). A situação demográfica recente em Portugal [The recent demographic situation in Portugal]. Revista de Estudos Demográficos, 46, 59–98.Google Scholar
Chamberlain, P., Goldney, R., Delfabbro, P., Gill, T., & Dal Grande, L. (2009). Suicidal ideation. The clinical utility of the K10. Crisis, 30, 39–42. http://dx.doi.org/10.1027/0227-5910.30.1.39 Google Scholar
Cohen, D., Llorente, M., & Eisdorfer, C. (1998). Homicide-suicide in older persons. American Journal of Psychiatry, 115, 390–396.Google Scholar
Conwell, Y., Duberstein, P., & Caine, E. (2002). Risk factors for suicide in later life. Biological Psychiatry, 52, 193–204. http://dx.doi.org/10.1016/S0006-3223(02)01347-1 Google Scholar
Costa, A. (2005). A depressão nos idosos Portugueses [Depression in Portuguese elderly]. In Paul, C. & Fonseca, A. M. (Coords.), Envelhecer em Portugal: Psicologia, saúde e prestação de cuidados [Get old in Portugal: Psychology, health and care delivery]. (pp.157–176). Lisboa, Portugal: Climepsi Editores.Google Scholar
De Renzi, E., & Vignolo, L. (1962) The Token Test: A sensitive test to detect receptive disturbances in aphasics. Brain, 85, 665–678. http://dx.doi.org/10.1093/brain/85.4.665 Google Scholar
European Union (2008, June). Juntos pela Saúde Mental e Bem-Estar: Pacto Europeu para a Saúde Mental e Bem-Estar (versão portuguesa) [Together for mental health and well-being: European Pact for mental health and wellness. European Conference. Bruxelas, Bélgica.Google Scholar
Faria, L., & Marinho, C. (2003). Perspectivas sobre o envelhecimento: Actividade física e promoção do bem-estar físico e psicossocial de idosos [Perspectives about aging: Physical activity and the promotion of physical and psychosocial well-being in elderly]. Revista de Psiquiatria: Faculdade de Medicina do Porto, 3(24), 51–69.Google Scholar
Fernandes, L., Pereira, M., Leuschner, A., Martins, S., Sobral, M., Azevedo, L., … Orrell, M. (2009). Validation study of the camberwell assessment of need for the elderly (CANE) in Portugal. International Psychogeriatrics, 21, 94–102. http://dx.doi.org/10.1017/S1041610208008041 Google Scholar
Ferreira, J., & Castela, M. (1999). Questionário de Ideação Suicida (QIS) [Suicidal Ideation Questionnaire]. In Simões, M., Gonçalves, M., & Almeida, L. (Eds.), Testes e provas psicológicas em Portugal [Tests and psychological testing in Portugal]. Braga, Portugal: APPORT/SHO.Google Scholar
Fleck, M., Lima, A., Louzada, S., Schestasky, G., Henriques, A., Borges, V., & Camey, S. (2002). Associação entre sintomas depressivos e funcionamento social em cuidados primários à saúde [Association between depressive symptoms and social functioning in primary care in health]. Revista de Saúde Pública, 36, 431–438. http://dx.doi.org/10.1590/S0034-89102002000400008 Google Scholar
Fleck, M., Louzada, S., Xavier, M., Chachamovich, E., Vieira, G., Santos, L., & Pinzon, V. (2000). Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida “WHOQOL-bref” [Administration of the portuguese version of the brief instrument of quality of life evaluation “WHOQOL-bref”]. Revista de Saúde Pública, 34, 178–183. http://dx.doi.org/10.1590/S0034-89102000000200012 Google Scholar
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Mini-mental State: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.Google Scholar
Fontaine, R. (2000). Psicologia do envelhecimento [Aging Psychology]. Lisboa, Portugal: Climepsi Editores.Google Scholar
Garcia-Portilla, M., Bascarán, M., Sáiz, P., Paralleda, M., Bousonô, M., & Bobes, J. (2009). Banco de instrumentos básicos para a prática da psiquiatria clínica. Tradução e adaptação para língua portuguesa dos conteúdos científicos: Medtools [Bank of the basic tools for the practice of clinical psychiatry. Translation and adaptation to Portuguese language of scientific content: MedTools]. Lisboa, Portugal: Ars Medica.Google Scholar
Gonçalves, D., Martín, I., Guedes, J., Cabral-Pinto, F., &. Fonseca, A. (2006). Promoção da qualidade de vida dos idosos Portugueses através da continuação de tarefas produtivas [Promotion of portuguese elderly quality of life through the continuation of productive tasks]. Psicologia, Saúde & Doenças, 7(1), 137–143.Google Scholar
Guerreiro, M. (1998). Contributos da Neuropsicologia para o estudo das demências [Contributions from the Neuropsychology to the study of dementia]. (Unpublished doctoral dissertation). Lisboa, Portugal: Universidade de Lisboa.Google Scholar
Guerreiro, M., Silva, A., Botelho, M., Leitão, O., Castro-Caldas, A., & Garcia, C. (1994). Adaptação à população portuguesa da tradução do «Mini-Mental State Examination» (MMSE) [Adaptation to the portuguese population of the «Mini-Mental State Examination» (MMSE) translation]. Revista Portuguesa de Neurologia, 3(1), 9–10.Google Scholar
Gusmão, R., Xavier, M., Heitor, M., Bento, A., & Caldas de Almeida, J. (2005). O peso das perturbações depressivas. Aspectos epidemiológicos globais e necessidades de informação em Portugal. [The burden of depressive disorders. Global epidemiological aspects and information needs in Portugal]. Acta Médica Portuguesa, 18, 129–146.Google Scholar
Instituto Nacional de Estatística. (2002). População e Envelhecimento. Mulheres e homens em Portugal nos anos 90 [Population and aging. Men and women in Portugal in the 90ths]. Lisboa, Portugal: Author.Google Scholar
Institute for Family Policies. (2009). Report on the family in Europe 2009. Geneva, Switzerland: IPF-Institute for Family Policies.Google Scholar
Ismail, Z., & Shulman, K. (2006). Avaliação cognitiva breve para a demência [Brief cognitive evaluation for dementia]. In Pinto, L. C., Leuschner, A., & Barreto, J. (Eds), Psicogeriatria [Psychogeriatics] . (pp. 513–530). Coimbra, Portugal: Psiquiatria Clínica.Google Scholar
Johnson, D., Storandt, M., & Balota, D. (2003). Discourse analysis of logical memory recall in normal aging and in dementia of the Alzheimer Type. Neuropsychology, 17, 82–92. http://dx.doi.org/10.1037//0894-4105.17.1.82 CrossRefGoogle ScholarPubMed
Marques, L., & Firmino, H. (2003). Depressão e comportamentos suicidários no idoso [Depression and suicidal behaviors in elderly]. In Vaz Serra, A. (Coord.), Medicina: Temas actuais - depressão [Medicine: Actual themes - depression] . (pp.133–162). Castanheira do Ribatejo, Portugal: Atral-Cipan.Google Scholar
Marques, L., & Ramalheira, C. (2006). Os idosos e o suicídio. [The elderly and the suicide]. In Pinto, L. C., Leuschner, A., & Barreto, J. (Eds), Psicogeriatria [Psychogeriatics] . (pp. 233–244). Coimbra, Portugal: Psiquiatria Clínica.Google Scholar
Ministério da Saúde. (2008). Saúde mental em Portugal [Mental health in Portugal]. Boletim Informativo N° 1. Lisboa, Portugal: Direcção-Geral de Saúde.Google Scholar
Oliveira, J. (2008). Psicologia do idoso: Temas complementares [Psychology of the elderly: Complementary themes] . Porto, Portugal: Livpsic.Google Scholar
Paúl, C., Fonseca, A., Martin, I., & Amado, J. (2005). Satisfação e qualidade de vida em idosos portugueses [Satisfaction and quality of life in Portuguese elder]. In Paul, C. & Fonseca, A. M. (Coords.), Envelhecer em Portugal: Psicologia, saúde e prestação de cuidados [Get old in Portugal: Psychology, health and care delivery] (pp. 77–98). Lisboa, Portugal: Climepsi Editores.Google Scholar
Reynolds, W. (1988). Suicidal ideation questionnaire: Professional manual. Odessa, FL: Psychological Assessment Resources.Google Scholar
Rubenowitz, E., Waern, M., Wilhelrnson, K., & Allebek, P. (2001). Life events and psychological factors, in elderly suicide –a case– control study. Psychological Medicine, 31, 1193–1202.Google Scholar
Santana, I. (2005). Avaliação Neuropsicológica [Neuropsychological evaluation]. In , I., Santana, , , L., Cunha, , & Colb, . Demência(s). Manual para medicos [Dementia. Manual for physicians] . (pp. 23–29). Coimbra, Portugal: Universidade de Coimbra, Faculdade e Medicina.Google Scholar
Shulman, K., Shedletsky, R., & Silver, I. (1986). The challenge of time: Clock drawing and cognitive function in the elderly. International Journal Geriatric Psychiatry, 1, 135–140. http://dx.doi.org/10.1002/gps.930010209 CrossRefGoogle Scholar
Silva, D., Mendonça, A., & Guerreiro, M. (2009). A prova do desenho do relógio: Notas históricas seguidas de alguns exemplos. In sociedade portuguesa de neurologia [Clock drawing test: Historical notes followed by some examples]. Sinapse, 9(2), 52–59.Google Scholar
Smith, J. (2001). Well-being and health from age 70 to 100: Findings from the Berlin aging study. European Review; 9, 461–477. http://dx.doi.org/10.1017/S1062798701000424 Google Scholar
Sousa, L., & Figueiredo, D. (2000a). EASYCare - Um instrumento de avaliação da qualidade de vida do idoso: Guia de utilização do EASYCare e alguns aspectos fundamentais a considerar [EASYCare-An evaluation scale of quality of life of eldery:Utilization guide and some fundamental aspects to consider]. Aveiro, Portugal: Universidade de Aveiro.Google Scholar
Sousa, L., & Figueiredo, D. (2000b). Facilitar os cuidados aos idosos: Uma escala de avaliação da qualidade de vida e bem-estar [Facilitate elderly care: A evaluation scale of quality of life and well-being]. Psychologica, 25, 19–24.Google Scholar
Sousa, L., Galante, H., & Figueiredo, D. (2003). Qualidade de vida e bem-estar dos idosos: Um estudo exploratório na população portuguesa [Quality of life and elderly well-being, an exploratory study in Portuguese population]. Revista Saúde Pública, 37, 364–371. http://dx.doi.org/10.1590/S0034-89102003000300016 Google Scholar
Stevens, N. (2001). Combating loneliness: A friendship enrichment program for older women. Ageing and Society, 21, 183–202. http://dx.doi.org/10.1017/S0144686X01008108 Google Scholar
Storandt, M., & Hill, R. D. (1989). Very mild senile dementia of the Alzheimer’s type: II. Psychometric tests performance. Archives of Neurology. 46, 383–386.Google Scholar
Taylor, A., Dal Grande, E., Gill, T., Fisher, L., & Goldney, R. (2007). Detecting determinants of suicidal ideation: South Australian surveillance system results. International Journal of Public Health, 52, 142–152. http://dx.doi.org/10.1007/s00038-007-5064-7 CrossRefGoogle ScholarPubMed
Vaz Serra, A. (2003). Prefácio [Preface]. In Vaz Serra, A., (Coord.), Medicina: Temas actuais - depressão [Medicine: Actual themes-depression]. Castanheira do Ribatejo, Portugal: Atral-Cipan.Google Scholar
Vecchia, R., Ruiz, T., Bocchi, S., & Corrente, J. (2005). Qualidade de vida na terceira idade: Um conceito subjectivo [Quality of life in old age: a subjective concept]. Revista Brasileira de Epidemiologia, 8, 246–252. http://dx.doi.org/10.1590/S1415-790X2005000300006 CrossRefGoogle Scholar
Warr, P., Butcher, V., & Robertson, I. (2004). Activity and psychological well-being in older people. Aging and Mental Health, 8, 172–183. http://dx.doi.org/10.1080/13607860410001649662 CrossRefGoogle ScholarPubMed
World Health Organization (2000). Prevenção do suicídio: Um manual para profissionais de saúde em atenção primária [Suicide prevention: A manual for health professionals in primary care]. Genebra, Switzerland: Author.Google Scholar
World Health Organization. (2009). World suicide prevention day 2009. Suicide prevention in different cultures. Geneva, Switzerland: Author.Google Scholar
Yesavage, J., Brink, T., Lum, O., Huang, V., Adey, M., & Leirer, O. (1983) Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatry Research, 17, 37–49.Google Scholar
Zimerman, G. (2000). Velhice: Aspectos biopsicossociais [Old age: biopsychosocial aspects]. Porto Alegre, Brazil: Artmed.Google Scholar