Outcomes of a Two-Tiered Multifaceted Elderly Suicide Prevention Program in a Hong Kong Chinese Community
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摘要Objectives: 1) To compare the 2-year completed suicide and reattempt rates in a preintervention group of Hong Kong Chinese suicide attempters (aged 65 years and older) who received standard care and a postintervention group enrolled in a regional elderly suicide prevention program (ESPP) that adopts a two-tiered multifaceted care management model and 2) to examine the trend of suicide rates in older adults aged 65 years and older in the pre- and postintervention periods. Design: The first part is an observational cohort study with baseline, follow-up, and outcome data being identified from a clinical electronic registry. The second part examines changes in suicide rates from official mortality statistics. Setting: A government-funded suicide intervention program serving catchment population (852,796 people aged 65 years and older) in Hong Kong, China. Participants: Suicide attempters (aged 65 years and older) presenting to old-age psychiatric service in the pre- and postintervention phases. Measurements: 1) Two-year rates of completed suicide and suicide reattempt and 2) changes in population suicide rates in the pre- and postintervention periods. Results: The 2-year completed suicide rate was 7.58% in the preintervention group (N = 66) and 1.99% in the ESPP group (N = 351) chi(2) = 6.192; p value: 0.028; df = 1). Reattempt rates were not different. At a population level, suicide rate dropped significantly only in women aged 85 years and older, relative to the preintervention period. Conclusions: The ESPP was associated with a reduced rate of completed suicide in old-age suicide attempters and might have contributed to a fall of suicide rate in women aged 85 years and older. (Am J Geriatr Psychiatry 2011; 19: 1-12)
著者Chan SS, Leung VPY, Tsoh J, Li SW, Yu CS, Yu GKK, Poon TK, Pan PC, Chan WF, Conwell Y, Lam LCW, Chiu HFK
期刊名稱American Journal of Geriatric Psychiatry
出版年份2011
月份2
日期1
卷號19
期次2
出版社Elsevier
頁次185 - 196
國際標準期刊號1064-7481
電子國際標準期刊號1545-7214
語言英式英語
關鍵詞intervention; old-age; Suicide
Web of Science 學科類別Geriatrics & Gerontology; GERIATRICS & GERONTOLOGY; Gerontology; GERONTOLOGY; Psychiatry; PSYCHIATRY, SCI; PSYCHIATRY, SSCI

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