Details:

Alternative Title:
Am J Public Health
Personal Author:
Mezuk, Briana ; Lohman, Matthew ; Leslie, Marc ; Powell, Virginia
Mezuk, Briana ; Lohman, Matthew ; Leslie, Marc ; Powell, Virginia Less -
Description:
Objectives

We investigated the epidemiology of suicide among adults aged 50 years and older in nursing homes and assisted living facilities and whether anticipating transitioning into long-term care (LTC) is a risk factor for suicide.

Methods

Data come from the Virginia Violent Death Reporting System (2003–2011). We matched locations of suicides (n = 3453) against publicly available resource registries of nursing homes (n = 285) and assisted living facilities (n = 548). We examined individual and organizational correlates of suicide by logistic regression. We identified decedents anticipating entry into LTC through qualitative text analysis.

Results

Incidence of suicide was 14.16 per 100 000 in nursing homes and 15.66 in the community. Better performance on Nursing Home Compare quality metrics was associated with higher odds of suicide in nursing homes (odds ratio [OR] = 1.95; 95% confidence interval [CI] = 1.21, 3.14). Larger facility size was associated with higher suicide risk in assisted living facilities (OR = 1.01; 95% CI = 1.00, 1.01). Text narratives identified 38 decedents anticipating transitioning into LTC and 16 whose loved one recently transitioned or resided in LTC.

Conclusions

LTC may be an important point of engagement in suicide prevention.


Keywords:
[+]
Aged Assisted Living Facilities Female Humans Logistic Models Long-Term Care Male Middle Aged Nursing Homes Risk Factors Suicide Virginia
Source:
Am J Public Health. 105(7):1495-1502
Pubmed ID:
25973805
Pubmed Central ID:
PMC4463392
Document Type:
Journal Article
Funding:
F31 AG044974/AG/NIA NIH HHSUnited States/ ; F31-AG044974/AG/NIA NIH HHSUnited States/ ; K01-MH093642/MH/NIMH NIH HHSUnited States/ ; U17/CE001315/CE/NCIPC CDC HHSUnited States/ ; K01 MH093642/MH/NIMH NIH HHSUnited States/ ; ... More +
F31 AG044974/AG/NIA NIH HHSUnited States/ ; F31-AG044974/AG/NIA NIH HHSUnited States/ ; K01-MH093642/MH/NIMH NIH HHSUnited States/ ; U17/CE001315/CE/NCIPC CDC HHSUnited States/ ; K01 MH093642/MH/NIMH NIH HHSUnited States/ ; U17 CE001315/CE/NCIPC CDC HHSUnited States/ Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:45fc4cf0344af58d819a00e5eeadf4f7665833ba71734ff24b12d35d16e6a52f
Download URL:
https://stacks.cdc.gov/view/cdc/32585/cdc_32585_DS1.pdf
File Type:

Supporting Files

• 	NIHMS698999-supplement-Supplemental_tables.docx	docx
  	nihms698999.nxml	xml

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