Depressive symptoms and suicidal ideation among older adults receiving home delivered meals
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Objective: Homebound older adults may be vulnerable to the deleterious impact of untreated depression. Yet because these elders are difficult to reach, there is little data on the rates of depressive symptoms and suicidal ideation among this group. The objective of this study is to document the rates of depression and correlates among a population of homebound elders. Methods: Using a community based participatory research partnership, we implemented a routine screening for depressive symptoms and suicidal ideation among older recipients of Westchester County's home meal program. Older adults enrolled in the home delivered meal program were administered the Physician Health Questionnaire–9 (PHQ‐9), and questions to assess pain, falls, alcohol abuse and perceived emotional distress. Results: In our sample of 403 meal recipients, 12.2% of older adults reported clinically significant depression (PHQ‐9 > 9) and 13.4% reported suicidal thoughts. One‐third of recipients with significant depressive symptoms were currently taking an antidepressant. Almost one‐third of older adults who endorsed suicide ideation did not report clinically significant depressive symptoms. Among men, suicidal thoughts were associated with chronic pain and greater depression severity, whereas pain was not a predictor of suicidal thoughts among women. Conclusion: More than one in nine elders suffer from depression; most are untreated with one‐third undertreated. Through partnerships between public agencies that provide age related services and academic investigators there is an opportunity for improved detection of unmet mental health needs. Future research should explore innovative models to improve access to mental health services once unmet need is detected. Copyright © 2008 John Wiley & Sons, Ltd.
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Sirey and colleagues found a stronger association between suicidal ideation and chronic pain among older adult men receiving home delivered meals than women.
“Sirey and colleagues found a stronger association between suicidal ideation and chronic pain among older adult men receiving home delivered meals than women (30)”
From Suicide in older adults (2011) · cites this paper as [30]
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- Authors
- Sirey, J. A., Bruce, M. L., Carpenter, M., Booker, D., Reid, M. C., Newell, K., & Alexopoulos, G. S.
- Affiliations
- Cornell University (US)
- Corresponding author
- Sirey, Jo Anne
- Venue
- International Journal of Geriatric Psychiatry
- Publisher
- Wiley
- Published
- 2008-07-09
- Volume
- 23
- Issue
- 12
- Pages
- 1306-1311
- ISSN
- 0885-6230 (ISSN-L)
- 1099-1166
- PMC
- PMC3634570
- OpenAlex
- W2146316071
- Cited by
- 142
- References
- 34
- Citations by year
- 2026: 3 · 2024: 5 · 2023: 3 · 2022: 7 · 2021: 3 · 2020: 7 · 2019: 22 · 2018: 5 · 2017: 8 · 2016: 2 · 2015: 15 · 2014: 13 · 2013: 15 · 2012: 11
- FWCI
- 9.78
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- International Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Mental Health (P30MH068638, K23 MH6681, K23MH066381, P30 MH68638, R01MH079265)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- depressive symptoms, suicidal ideation, older adults, home-delivered meals, homebound older adults, depression screening, PHQ-9, antidepressant use, untreated depression, chronic pain, sex differences, unmet mental health needs, community-based participatory research, Westchester County
- MeSH terms
- Suicide Prevention, Aged, 80 and over, Depressive Disorder, Female, Food Services, Persons with Disabilities, Humans, Male, Pain, Surveys and Questionnaires, Social Support, Socioeconomic Factors, Suicide, Self-Injurious Behavior, Community-Based Participatory Research
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