Warning Signs of Murder Suicide in Elderly Often Missed in Primary Care
Mary Ann Moon
More than half of the elderly men who commit suicide or who kill themselves
after murdering their wives have clear evidence of psychopathology, but their
primary physicians apparently fail to detect or properly treat it.
In what they described as the first study to compare older married men who
commit suicide with those who commit murder-suicide, researchers at the
University of South Florida, Tampa, found that 61% of the former group and 52%
of the latter showed evidence of at least one psychiatric symptom--primarily
depression--before they acted. Yet only 5% of both groups were receiving
psychiatric care at the time.
Toxicology tests showed that 14%-15% of both groups were positive for
benzodiazepine use, but none were positive for antidepressants or
antipsychotics.
IPA Announces Suicide Among the World's Elderly is Becoming Epidemic - A
Rapidly Escalating Global Tragedy.
International Psychogeriatric Association
Ninth Congress Vancouver, B.C. Canada, Aug. 15-20, 1999
VANCOUVER, British Columbia, Aug. 19 /PRNewswire/ -- Dr. Eric Caine, Chair of
the Department of Psychiatry at the University of Rochester Medical Centre in
New York, said here this week that compassion motivates concern worldwide about
suicide among teens and young adults, but far too little attention is being paid
to the much graver statistical data of suicide among the elderly.
Dr. Caine is leading efforts by the International Psychogeriatric
Association, in cooperation with the World Health Organization, to initiate a
global program to address this problem. A director of IPA, Dr. Caine is among
2,000 of the world's foremost authorities on mental health and aging, who have
been meeting here since Sunday.
"Suicide among the elderly is becoming epidemic," Dr. Caine said. He cited
three principal reasons for this:
* This is the fastest growing segment of the population in developed
countries, a "demographic imperative" that fuels the concern. People are living
longer worldwide, with dramatic increases to life expectancy in developing
countries, and in the rest of the world, the postwar baby boom is moving toward
advanced age.
* Suicide rates are highest among the elderly and the situation appears to be
getting worse. Depression is a primary factor in these deaths.
* Much of the depression occurs because of multiple small problems -medical
and otherwise - exaggerated in the minds of an individual, more often than
because of terminal illness. People become "demoralized and discouraged" by
their declining physical abilities and assorted nagging problems, but the
depression these difficulties generate is far more serious than whatever brought
it on.
Dr. Caine said the ultimate tragedy is that most of these people suffer from
"eminently treatable late-onset depression." He said 75 per cent of elder
suicides involve depression and fully two-thirds of those would have been
late-onset and "very treatable."
Researchers have more questions than answers. Older men commit suicide four
to six times the rate worldwide as do women, but there are anomalies. In Hong
Kong, the rate is just 1.3 men versus women.
"We don't understand these extraordinary variations in different societies,"
Dr. Caine said. "What are the risk factors and what are the protective factors?
What protective interventions will lead to prevention?"
This is the challenge IPA wishes to research and address around the world.
COPYRIGHT 1999 PR Newswire Association, Inc. COPYRIGHT 2000 Gale Group
http://www.findarticles.com/cf_0/m0BJI/11_31/76333402/ p1/article.jhtml?term=murder-suicide


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