Triggers of suicide ideation and protective factors of actually executing suicide among first onset cases in older psychiatric outpatients: a qualitative study

BMC Psychiatry

Research Article

Li-Bi Huang¹  Ching-Yen Chen²  Shwu-Hua Lee³  Yun-Fang Tsai⁴ 

[1] Department of Nursing, Chang Gung Memorial Hospital at Linkou, 5 Fusing Street, Kwei-Shan, Tao-Yuan, Taiwan;Department of Psychiatry, Chang Gung Memorial Hospital at Linkou, 5 Fusing Street, Kwei-Shan, Tao-Yuan, Taiwan;Department of Psychiatry, Chang Gung Memorial Hospital at Linkou, 5 Fusing Street, Kwei-Shan, Tao-Yuan, Taiwan;College of Medicine, Chang Gung University, 259 Wen-Hwa 1st Road, Kwei-Shan, Tao-Yuan, Taiwan;School of Nursing, College of Medicine, Chang Gung University, 259 Wen-Hwa 1st Road, Kwei-Shan, Tao-Yuan, Taiwan;Department of Nursing, Chang Gung Memorial Hospital at Keelung, 222 Maijin Road, Keelung, Taiwan;

关键词: Suicide ideation;    Psychiatric;    Outpatients;    Older people;   

DOI  :  10.1186/s12888-014-0269-9

 received in 2014-05-21, accepted in 2014-09-16,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundSuicide is a global issue among the elderly, but few studies have explored the experiences of suicide ideation in older Asian psychiatric outpatients.MethodOlder psychiatric outpatients (N = 24) were recruited by convenience from one medical centre and one regional hospital in northern Taiwan. Participants were recruited if they met these inclusion criteria: 1) ≥65 years old, 2) without severe cognitive deficit, 3) outpatients in the psychiatric clinics at the selected hospitals, and 4) self-reported first episode of suicidal ideation within the previous year. Data were collected in individual interviews using a semi-structured guide and analysed by content analysis.ResultsSuicide ideation was triggered by illness and physical discomfort, conflicts with family members/friends, illness of family members, death of family members/friends, and loneliness. Participants’ reasons for not executing suicide were family members’ and friends’ support, receiving treatment, finding a way to shift their attention, fear of increasing pressure on one’s children, religious beliefs, and not knowing how to execute suicide.ConclusionUnderstanding these identified triggers of suicide ideation may help psychiatrists open a channel for conversation with their elderly clients and more readily make their diagnosis. Understanding these identified protective factors against executing suicide can help psychiatrists not only treat depression, but also enhance protective factors for their clients.

【 授权许可】

Unknown   
© Lee et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.