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Suicide risk in first year after dementia diagnosis in older adults

dc.contributor.authorSchmutte, Timothy
dc.contributor.authorOlfson, Mark
dc.contributor.authorMaust, Donovan T.
dc.contributor.authorXie, Ming
dc.contributor.authorMarcus, Steven C.
dc.date.accessioned2022-04-08T18:08:58Z
dc.date.available2023-03-08 14:08:56en
dc.date.available2022-04-08T18:08:58Z
dc.date.issued2022-02
dc.identifier.citationSchmutte, Timothy; Olfson, Mark; Maust, Donovan T.; Xie, Ming; Marcus, Steven C. (2022). "Suicide risk in first year after dementia diagnosis in older adults." Alzheimer’s & Dementia 18(2): 262-271.
dc.identifier.issn1552-5260
dc.identifier.issn1552-5279
dc.identifier.urihttps://hdl.handle.net/2027.42/172107
dc.description.abstractIntroductionReceiving a diagnosis of Alzheimer’s disease or related dementias (ADRD) can be a pivotal and stressful period. We examined the risk of suicide in the first year after ADRD diagnosis relative to the general geriatric population.MethodsWe identified a national cohort of Medicare fee‐for‐service beneficiaries aged ≥ 65 years with newly diagnosed ADRD (n = 2,667,987) linked to the National Death Index.ResultsThe suicide rate for the ADRD cohort was 26.42 per 100,000 person‐years. The overall standardized mortality ratio (SMR) for suicide was 1.53 (95% confidence interval [CI] = 1.42, 1.65) with the highest risk among adults aged 65 to 74 years (SMR = 3.40, 95% CI = 2.94, 3.86) and the first 90 days after ADRD diagnosis. Rural residence and recent mental health, substance use, or chronic pain conditions were associated with increased suicide risk.DiscussionResults highlight the importance of suicide risk screening and support at the time of newly diagnosed dementia, particularly for patients aged < 75 years.
dc.publisherNational Center for Health Statistics. 2020
dc.publisherWiley Periodicals, Inc.
dc.subject.otherdementia
dc.subject.otherAlzheimer’s disease
dc.subject.othersuicide
dc.subject.othermental disorder
dc.titleSuicide risk in first year after dementia diagnosis in older adults
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelNeurology and Neurosciences
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/172107/1/alz12390.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/172107/2/alz12390_am.pdf
dc.identifier.doi10.1002/alz.12390
dc.identifier.sourceAlzheimer’s & Dementia
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dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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