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Prevalence of Suicidality and its Association with Quality of Life in Older Patients with Clinically Stable Psychiatric Disorders in China During the COVID-19 Pandemic
Liu, Rui1,2,3,4; Xu, Xiuying5; Zou, Siyun6,7; Li, Yulong8; Wang, Huan8; Yan, Xiaona5; Du, Xiangdong6,7; Zhang, Lan8; Zhang, Qinge4; Li, Wen1,2,3; Cheung, Teris9; Ungvari, Gabor S.10,11; Ng, Chee H.12; Xiang, Yu Tao1,2,3
2022-03-04
Source PublicationJOURNAL OF GERIATRIC PSYCHIATRY AND NEUROLOGY
ISSN0891-9887
Volume35Issue:2Pages:237 - 244
Abstract

Aims: The pattern of suicidality in older patients with psychiatric disorders during the COVID-19 pandemic is not clear. This study examined the prevalence of suicidality and its association with quality of life (QOL) among older clinically stable patients with psychiatric disorders during the COVID-19 pandemic. Methods: A multicenter, cross-sectional study was conducted from May 22 to July 15, 2020, among four major tertiary psychiatric hospitals in China. Suicidality was assessed by asking 3 standardized questions. Depressive symptoms, pain, and QOL were assessed with the 9-item Patient Health Questionnaire (PHQ-9), the numeric pain rating scale (NPRS), and the World Health Organization Quality of Life Questionnaire-brief version, respectively. Results: A total of 1063 clinically stable patients participated and completed the assessment. The prevalence of suicidality was 11.8% (95% CI: 9.9%–13.7%) during the COVID-19 pandemic. Multiple logistic regression analysis revealed that poor treatment adherence (P =.009, OR = 1.86, 95% CI: 1.17–2.96) and perceived illness worsening during the COVID-19 outbreak (P =.02, OR = 2.07, 95% CI: 1.15–3.73), being diagnosed with major depressive disorder (P <.001, OR = 2.79, 95% CI: 1.68–4.64), PHQ-9 total score (P <.001, OR = 1.20, 95% CI: 1.15–1.24) and NPRS total score (P =.002, OR = 1.17, 95% CI: 1.06–1.29) were associated with higher risk of suicidality. After controlling for covariates, older psychiatric patients with suicidality had lower QOL compared to those without (F =16.5, P<.001). Conclusions: Suicidality was common in older patients with clinically stable psychiatric disorders during the COVID-19 pandemic. Considering its negative impact on QOL and personal suffering, routine screening and preventive suicide measures should be implemented for older psychiatric patients.

KeywordCovid-19 Older Patients Psychiatric Disorder Quality Of Life Suicidality
DOI10.1177/08919887221078557
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaGeriatrics & Gerontology ; Neurosciences & Neurology ; Psychiatry
WOS SubjectGeriatrics & Gerontology ; Clinical Neurology ; Psychiatry
WOS IDWOS:000765853800001
PublisherSAGE PUBLICATIONS INC, 2455 TELLER RD, THOUSAND OAKS, CA 91320
Scopus ID2-s2.0-85125835156
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionFaculty of Health Sciences
INSTITUTE OF COLLABORATIVE INNOVATION
INSTITUTE OF ADVANCED STUDIES IN HUMANITIES AND SOCIAL SCIENCES
Institute of Translational Medicine
DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Co-First AuthorLiu, Rui; Xu, Xiuying; Zou, Siyun; Li, Yulong
Corresponding AuthorZhang, Qinge; Xiang, Yu Tao
Affiliation1.Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao
2.Centre for Cognitive and Brain Sciences, University of Macau, Macao
3.Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao
4.The National Clinical Research Center for Mental Disorders Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital the Advanced Innovation Center for Human Brain Protection, School of Mental Health, Capital Medical University, Beijing, China
5.Department of Psychiatry, Xiamen Xianyue Hospital, Xiamen, China
6.Medical College of Soochow University, Jiangsu province, China
7.Guangji Hospital, Soochow University, Jiangsu province, China
8.Department of Psychiatry, Lanzhou University Second Hospital, Gansu province, China
9.School of Nursing, Hong Kong Polytechnic University, Hong Kong
10.Division of Psychiatry, School of Medicine, University of Western Australia, Perth, Australia
11.University of Notre Dame Australia, Fremantle, Australia
12.Department of Psychiatry, The Melbourne Clinic and St Vincent’s Hospital, University of Melbourne, Richmond, Australia
First Author AffilicationFaculty of Health Sciences;  University of Macau
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Liu, Rui,Xu, Xiuying,Zou, Siyun,et al. Prevalence of Suicidality and its Association with Quality of Life in Older Patients with Clinically Stable Psychiatric Disorders in China During the COVID-19 Pandemic[J]. JOURNAL OF GERIATRIC PSYCHIATRY AND NEUROLOGY, 2022, 35(2), 237 - 244.
APA Liu, Rui., Xu, Xiuying., Zou, Siyun., Li, Yulong., Wang, Huan., Yan, Xiaona., Du, Xiangdong., Zhang, Lan., Zhang, Qinge., Li, Wen., Cheung, Teris., Ungvari, Gabor S.., Ng, Chee H.., & Xiang, Yu Tao (2022). Prevalence of Suicidality and its Association with Quality of Life in Older Patients with Clinically Stable Psychiatric Disorders in China During the COVID-19 Pandemic. JOURNAL OF GERIATRIC PSYCHIATRY AND NEUROLOGY, 35(2), 237 - 244.
MLA Liu, Rui,et al."Prevalence of Suicidality and its Association with Quality of Life in Older Patients with Clinically Stable Psychiatric Disorders in China During the COVID-19 Pandemic".JOURNAL OF GERIATRIC PSYCHIATRY AND NEUROLOGY 35.2(2022):237 - 244.
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