The DOI matches its Crossref record, with a small difference in title or year; 15 of the 15 references it cites were found in a registry or an index.
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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In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
Citations
Cites
Suicide: A study in sociology.
Durkheim, É. (2004) · American Psychological Association eBooks · doi:10.1037/10406-003 · Cited by 3,944
Donnelly, C. A., Ghani, A. C., Leung, G. M., Hedley, A. J., Fraser, C., Riley, S., Abu-Raddad, L. J., Ho, L.-M., Thach, T.-Q., Chau, P., et al. (2003) · The Lancet · doi:10.1016/s0140-6736(03)13410-1 · Cited by 940
Self-citationFear and Stigma: The Epidemic within the SARS Outbreak
Person, B., Sy, F., Holton, K., Govert, B., Liang, A., the, N. C. I. D., SARS Community Outreach Team (listed in alphabetical order), Garza, B., Gould, D., Hickson, M., et al. (2004) · Emerging Infectious Diseases · doi:10.3201/eid1002.030750 · Cited by 790
F., C. B. (1952) · American Journal of Psychiatry · doi:10.1176/ajp.109.2.156 · Cited by 498
Cheung, Y. T., Chau, P. H., & Yip, P. S. F. (2008) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.2056 · Cited by 385
Self-citationElderly suicide and the 2003 SARS epidemic in Hong Kong
Chan, S. S. M., Chiu, F. K. H., Lam, C. W. L., Leung, P. Y. V., & Conwell, Y. (2006) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.1432 · Cited by 223
Elderly suicide in Hong Kong—a case-controlled psychological autopsy study
Chiu, H. F. K., Yip, P. S. F., Chi, I., Chan, S., Tsoh, J., Kwan, C. W., Li, S. F., Conwell, Y., & Caine, E. (2004) · Acta Psychiatrica Scandinavica · doi:10.1046/j.1600-0447.2003.00263.x · Cited by 180
Self-citationSuicides in Hong Kong, Taiwan and Beijing
Yip, P. S. F. (1996) · The British Journal of Psychiatry · doi:10.1192/bjp.169.4.495 · Cited by 73
Self-citationCheng, C. (2004) · Asian perspective · doi:10.1353/apr.2004.0034 · Cited by 71
Social and Economic Burden of Suicides in Hong Kong SAR
Yip, P. S. F., Liu, K., Law, C. K., & Law, Y. W. (2005) · Crisis · doi:10.1027/0227-5910.26.4.156 · Cited by 40
Self-citation
Research works printed but not linked: 1
- The Hong Kong Geriatrics Society, 2003, Position statement, severe acute respiratory syndrome (SARS) in elders
Cited by
Sorted by citations
Holmes, E. A., O'Connor, R. C., Perry, V. H., Tracey, I., Wessely, S., Arseneault, L., Ballard, C., Christensen, H., Cohen Silver, R., Everall, I., et al. (2020) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30168-1 · Cited by 5,715
Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety
Lee, S. A. (2020) · Death Studies · doi:10.1080/07481187.2020.1748481 · Cited by 1,649
The impact of the COVID-19 pandemic on suicide rates
Sher, L. (2020) · QJM: An International Journal of Medicine · doi:10.1093/qjmed/hcaa202 · Cited by 1,047
O'Connor, R. C., Wetherall, K., Cleare, S., McClelland, H., Melson, A. J., Niedzwiedz, C. L., O'Carroll, R. E., O'Connor, D. B., Platt, S., Scowcroft, E., et al. (2021) · The British Journal of Psychiatry · doi:10.1192/bjp.2020.212 · Cited by 1,042
Sepúlveda-Loyola, W., Rodríguez-Sánchez, I., Pérez-Rodríguez, P., Ganz, F., Torralba, R., Oliveira, D. V., & Rodríguez-Mañas, L. (2020) · The Journal of nutrition, health and aging · doi:10.1007/s12603-020-1500-7 · Cited by 1,081
Metadata
- 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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