The Impact of Epidemic Outbreak: The Case of Severe Acute Respiratory Syndrome (SARS) and Suicide Among Older Adults in Hong Kong
Abstract
Background: Previous studies revealed that there was a significant increase in suicide deaths among those aged 65 and over in 2003. The peak coincided with the majority of SARS cases being reported in April 2003. Aims: In this paper we examine the mechanism of how the SARS outbreak resulted in a higher completed suicide rate especially among older adults in Hong Kong. Methods: We used Qualitative data analysis to uncover the association between the occurrence of SARS and older adult suicide. Furthermore, we used a qualitative study based on the Coroner Court reports to provide empirical evidence about the relationship between SARS and the excessive number of suicide deaths among the elderly. Results: SARS-related older adult suicide victims were more likely to be afraid of contracting the disease and had fears of disconnection. The suicide motives among SARS-related suicide deaths were more closely associated with stress over fears of being a burden to their families during the negative impact of the epidemic. Social disengagement, mental stress, and anxiety at the time of the SARS epidemic among a certain group of older adults resulted in an exceptionally high rate of suicide deaths. Conclusions: We recommend that the mental and psychological well-being of the community, in particular older adults, be taken into careful account when developing epidemic control measures to combat the future outbreak of diseases in the community. In addition, it is important to alert family members to vulnerable individuals who are at potential risk because of their illnesses or anxieties.
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The 2003 SARS epidemic was linked to a 30% rise in suicide among people aged 65 and older.
“The severe acute respiratory syndrome epidemic in 2003 was associated with a 30% increase in suicide in those aged 65 years and older; around 50% of recovered patients remained anxious; and 29% of health-care workers experienced probable emotional distress.18, 19, 20”
From Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science (2020) · cites this paper as [18]
About half of recovered SARS patients remained anxious.
“The severe acute respiratory syndrome epidemic in 2003 was associated with a 30% increase in suicide in those aged 65 years and older; around 50% of recovered patients remained anxious; and 29% of health-care workers experienced probable emotional distress.18, 19, 20”
From Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science (2020) · cites this paper as [18]
29% of health-care workers experienced probable emotional distress.
“The severe acute respiratory syndrome epidemic in 2003 was associated with a 30% increase in suicide in those aged 65 years and older; around 50% of recovered patients remained anxious; and 29% of health-care workers experienced probable emotional distress.18, 19, 20”
From Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science (2020) · cites this paper as [18]
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- Authors
- Yip, P. S. F., Cheung, Y. T., Chau, P. H., & Law, Y. W.
- Affiliations
- University of Hong Kong (HK)
- The University of Melbourne (AU)
- Venue
- Crisis
- Publisher
- Hogrefe Publishing Group
- Published
- 2010-03
- Volume
- 31
- Issue
- 2
- Pages
- 86-92
- ISSN
- 0227-5910 (ISSN-L)
- 2151-2396
- OpenAlex
- W2148621579
- Cited by
- 363
- References
- 15
- Citations by year
- 2026: 4 · 2025: 13 · 2024: 17 · 2023: 25 · 2022: 61 · 2021: 136 · 2020: 100 · 2019: 1 · 2018: 1 · 2014: 4
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Crisis (publishedVersion)
- PubMed (publishedVersion)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- SARS, suicide, older adults, fear of infection, social disengagement, psychological stress, anxiety, family burden, Hong Kong
- MeSH terms
- Age Factors, Aged, Aged, 80 and over, Cause of Death, Cross-Sectional Studies, Disease Outbreaks, Fear, Female, Hong Kong, Humans, Male, Motivation, Social Isolation, Stress, Psychological, Suicide, Cost of Illness, Severe Acute Respiratory Syndrome, Suicidal Ideation
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