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Association between Elder Mistreatment and Suicidal Ideation among Community-Dwelling Chinese Older Adults in the USA.
Gerontology. 2015; 62(1):71-80.G

Abstract

BACKGROUND

Elder mistreatment and suicidal ideation are important public health concerns among aging populations. However, very few studies have been conducted to explore the association between elder mistreatment and suicidal ideation.

OBJECTIVES

To examine the association between elder mistreatment and suicidal ideation among Chinese older adults in the USA.

METHODS

Guided by a community-based participatory research approach, in this study we conducted in-person interviews with Chinese older adults aged 60 years and older in the Greater Chicago area from 2011 to 2013. Elder mistreatment was assessed by a 10-item instrument derived from the Hwalek-Sengstock Elder Abuse Screening Test (H-S/EAST) and the Vulnerability to Abuse Screening Scale (VASS). Suicidal ideation was assessed by the ninth item of the Patient Health Questionnaire-9 (PHQ-9) and the Geriatric Mental State Examination-Version A (GMS-A).

RESULTS

Overall, 3,159 Chinese older adults participated in this study, and their mean age was 72.8 years. After controlling for age, gender, education, income, medical comorbidities, depressive symptoms, and social support, elder mistreatment was significantly associated with 2-week suicidal ideation (OR 2.46, 95% CI 1.52-4.01) and 12-month suicidal ideation (OR 2.46, 95% CI 1.62-3.73). With respect to gender differences, the study found that the association remained significant for older women but not for older men after adjusting for all confounding factors.

CONCLUSION

As the largest epidemiological study conducted among Chinese older adults in the USA, this study suggests that elder mistreatment is significantly associated with 2-week and 12-month suicidal ideation in older women but not in older men. Longitudinal studies should be conducted to explore the mechanisms through which elder mistreatment links with suicidal ideation.

Authors+Show Affiliations

Rush Institute for Healthy Aging, Rush University Medical Center, Chicago, Ill., USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26336817

Citation

Dong, XinQi, et al. "Association Between Elder Mistreatment and Suicidal Ideation Among Community-Dwelling Chinese Older Adults in the USA." Gerontology, vol. 62, no. 1, 2015, pp. 71-80.
Dong X, Chen R, Wu B, et al. Association between Elder Mistreatment and Suicidal Ideation among Community-Dwelling Chinese Older Adults in the USA. Gerontology. 2015;62(1):71-80.
Dong, X., Chen, R., Wu, B., Zhang, N. J., Mui, A. C., & Chi, I. (2015). Association between Elder Mistreatment and Suicidal Ideation among Community-Dwelling Chinese Older Adults in the USA. Gerontology, 62(1), 71-80. https://doi.org/10.1159/000437420
Dong X, et al. Association Between Elder Mistreatment and Suicidal Ideation Among Community-Dwelling Chinese Older Adults in the USA. Gerontology. 2015;62(1):71-80. PubMed PMID: 26336817.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association between Elder Mistreatment and Suicidal Ideation among Community-Dwelling Chinese Older Adults in the USA. AU - Dong,XinQi, AU - Chen,Ruijia, AU - Wu,Bei, AU - Zhang,Ning Jackie, AU - Mui,Ada Chan Yuk-Sim, AU - Chi,Iris, Y1 - 2015/08/26/ PY - 2015/04/15/received PY - 2015/07/07/accepted PY - 2015/9/5/entrez PY - 2015/9/5/pubmed PY - 2016/9/23/medline SP - 71 EP - 80 JF - Gerontology JO - Gerontology VL - 62 IS - 1 N2 - BACKGROUND: Elder mistreatment and suicidal ideation are important public health concerns among aging populations. However, very few studies have been conducted to explore the association between elder mistreatment and suicidal ideation. OBJECTIVES: To examine the association between elder mistreatment and suicidal ideation among Chinese older adults in the USA. METHODS: Guided by a community-based participatory research approach, in this study we conducted in-person interviews with Chinese older adults aged 60 years and older in the Greater Chicago area from 2011 to 2013. Elder mistreatment was assessed by a 10-item instrument derived from the Hwalek-Sengstock Elder Abuse Screening Test (H-S/EAST) and the Vulnerability to Abuse Screening Scale (VASS). Suicidal ideation was assessed by the ninth item of the Patient Health Questionnaire-9 (PHQ-9) and the Geriatric Mental State Examination-Version A (GMS-A). RESULTS: Overall, 3,159 Chinese older adults participated in this study, and their mean age was 72.8 years. After controlling for age, gender, education, income, medical comorbidities, depressive symptoms, and social support, elder mistreatment was significantly associated with 2-week suicidal ideation (OR 2.46, 95% CI 1.52-4.01) and 12-month suicidal ideation (OR 2.46, 95% CI 1.62-3.73). With respect to gender differences, the study found that the association remained significant for older women but not for older men after adjusting for all confounding factors. CONCLUSION: As the largest epidemiological study conducted among Chinese older adults in the USA, this study suggests that elder mistreatment is significantly associated with 2-week and 12-month suicidal ideation in older women but not in older men. Longitudinal studies should be conducted to explore the mechanisms through which elder mistreatment links with suicidal ideation. SN - 1423-0003 UR - https://www.unboundmedicine.com/medline/citation/26336817/Association_between_Elder_Mistreatment_and_Suicidal_Ideation_among_Community_Dwelling_Chinese_Older_Adults_in_the_USA_ L2 - https://www.karger.com?DOI=10.1159/000437420 DB - PRIME DP - Unbound Medicine ER -