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Sensory loss and suicide ideation in older adults: findings from the Three-City cohort study

Published online by Cambridge University Press:  25 May 2018

S. Cosh Open the ORCID record for S. Cosh [Opens in a new window] ,
I. Carrière ,
V. Daien ,
C. Tzourio ,
C. Delcourt  and
C. Helmer
S. Cosh*
Affiliation:
Bordeaux Population Health Research Center, University of Bordeaux, Inserm, Team LEHA, UMR 1219, Bordeaux, France School of Psychology and Behavioural Science, University of New England, Armidale, NSW, Australia
I. Carrière
Affiliation:
Inserm U1061, Montpellier, France University of Montpellier, Montpellier, France
V. Daien
Affiliation:
Inserm U1061, Montpellier, France University of Montpellier, Montpellier, France Department of Ophthalmology, Gui De Chauliac Hospital, Montpellier, France
C. Tzourio
Affiliation:
Department of Ophthalmology, Gui De Chauliac Hospital, Montpellier, France Bordeaux Population Health Research Center, University of Bordeaux, Inserm, Team HEALTHY, UMR 1219, Bordeaux, France
C. Delcourt
Affiliation:
Bordeaux Population Health Research Center, University of Bordeaux, Inserm, Team LEHA, UMR 1219, Bordeaux, France
C. Helmer
Affiliation:
Bordeaux Population Health Research Center, University of Bordeaux, Inserm, Team LEHA, UMR 1219, Bordeaux, France
*
Correspondence should be addressed to: Dr. S. Cosh, Université Bordeaux, Case 11, 146 rue Léo Saignat, 33076 Bordeaux cedex, France. Phone: +33-5-57-57-13-93. Email: scosh@une.edu.au.
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Abstract

Objectives:

To examine the longitudinal risk of vision loss (VL) or hearing loss (HL) for experiencing suicidal ideation in older adults.

Design:

The Three-City study, examining data from three waves of follow-up (2006–2008, 2008–2010, and 2010–2012).

Setting:

Community-dwelling older French adults.

Participants:

N = 5,438 adults aged 73 years and over.

Measurements:

Suicidality was assessed by the Mini-International Neuropsychiatric Interview, Major Depressive Disorder module. Mild VL was defined as Parinaud of 3 or 4 and severe VL as Parinaud >4. Mild HL was self-reported as difficulty understanding a conversation and severe HL as inability to understand a conversation.

Results:

Severe VL was associated with an increased risk of suicidal ideation at baseline (OR = 1.59, 95% CIs = 1.06–2.38) and over five years (OR = 1.65, 95% CIs = 1.05–2.59). Mild and severe HL were associated with an increased risk of suicidal ideation, both at baseline (OR = 1.29, 95% CIs = 1.03–1.63; OR = 1.78, 95% CIs = 1.32–2.40) and over five years (OR = 1.47, 95% CIs = 1.17–1.85; OR = 1.97, 95% CIs = 1.44–2.70).

Conclusion:

Sensory losses in late life pose a risk for suicidal ideation. Suicidality requires better assessment and intervention in this population.

Keywords

suicidalelderlyvision impairmentdual sensory losshearing impairmentmental health
Type
Brief Report
Information
International Psychogeriatrics , Volume 31 , Issue 1: Issue Theme: Parkinson's Disease , January 2019 , pp. 139 - 145
Copyright
Copyright © International Psychogeriatric Association 2018 

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Footnotes

*

Authorlist for Sense-Cog WP1 group is available as supplementary material attached to the electronic version of this paper; please visit https://doi.org/10.1017/S104161021800056X.

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