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Mild Cognitive Impairment and Suicidal Ideation Among Adults Aged 65 Years or Older From Low- and Middle-Income Countries.
Smith, Lee; López Sánchez, Guillermo Felipe; Soysal, Pinar; Veronese, Nicola; Jacob, Louis; Kostev, Karel; Rahmati, Masoud; Barnett, Yvonne; Keyes, Helen; Gibson, Poppy; Butler, Laurie; Shin, Jae Il; Koyanagi, Ai.
Afiliación
  • Smith L; Centre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK.
  • López Sánchez GF; Division of Preventive Medicine and Public Health, Department of Public Health Sciences, School of Medicine, University of Murcia, Murcia, Spain.
  • Soysal P; Faculty of Medicine, Department of Geriatric Medicine, Bezmialem Vakif University, Istanbul, Turkey.
  • Veronese N; Geriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, Palermo, Italy.
  • Jacob L; Research and Development Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain.
  • Kostev K; Department of Physical Medicine and Rehabilitation, Lariboisière-Fernand Widal Hospital, AP-HP, Université Paris Cité, Paris, France.
  • Rahmati M; University Clinic of Marburg, Marburg, Germany.
  • Barnett Y; CEReSS-Health Service Research and Quality of Life Center, Aix-Marseille University, Marseille, France.
  • Keyes H; Faculty of Literature and Human Sciences, Department of Physical Education and Sport Sciences, Lorestan University, Khoramabad, Iran.
  • Gibson P; Centre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK.
  • Butler L; School of Psychology and Sport Science, Anglia Ruskin University, Cambridge, UK.
  • Shin JI; Faculty of Wellbeing, Education and Language Studies, The Open University, England, UK.
  • Koyanagi A; Centre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK.
J Gerontol B Psychol Sci Soc Sci ; 79(9)2024 Sep 01.
Article en En | MEDLINE | ID: mdl-39078933
ABSTRACT

OBJECTIVES:

Mild cognitive impairment (MCI) is a unique indicator of underlying distress that may be strongly associated with suicide risk. Despite this, to date, no study has examined the association between MCI and suicidal ideation. Therefore, the present study aimed to examine the association between MCI and suicidal ideation among adults aged ≥65 years from 6 low- and middle-income countries (LMICs; China, Ghana, India, Mexico, Russia, and South Africa).

METHODS:

Cross-sectional, nationally representative data from the World Health Organization's Study on Global Ageing and Adult Health were analyzed. MCI was defined using the National Institute on Aging-Alzheimer's Association criteria. Self-reported information on past 12-month suicidal ideation was collected. Multivariable logistic regression and meta-analysis were conducted to assess associations.

RESULTS:

Data on 13,623 individuals aged ≥65 years were analyzed. The prevalence of suicidal ideation ranged from 0.5% in China to 6.0% in India, whereas the range of the prevalence of MCI was 9.7% (Ghana) to 26.4% (China). After adjustment for potential confounders, MCI was significantly associated with 1.66 (95% confidence interval [95% CI] = 1.12-2.46) times higher odds for suicidal ideation.

DISCUSSION:

Mild cognitive impairment was significantly associated with higher odds for suicidal ideation among older adults in LMICs. Future longitudinal studies from LMICs are necessary to assess whether MCI is a risk factor for suicidal ideation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Países en Desarrollo / Ideación Suicida / Disfunción Cognitiva Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Africa / Asia / Europa / Mexico Idioma: En Revista: J Gerontol B Psychol Sci Soc Sci Asunto de la revista: CIENCIAS SOCIAIS / GERIATRIA / PSICOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Países en Desarrollo / Ideación Suicida / Disfunción Cognitiva Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Africa / Asia / Europa / Mexico Idioma: En Revista: J Gerontol B Psychol Sci Soc Sci Asunto de la revista: CIENCIAS SOCIAIS / GERIATRIA / PSICOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos