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Cited by 180Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseMental Health Treatment and Access

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. +1 more·2004·Acta Psychiatrica Scandinavica
DOI 10.1046/j.1600-0447.2003.00263.x
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Abstract

Objective: To examine some of the risk factors for late life suicide in Hong Kong Chinese using a case‐controlled psychological autopsy approach. Method: Informants of 70 subjects aged 60 or above who had committed suicide as well as a community sample of 100 elderly controls were interviewed. Subjects and controls were assessed for the presence of mental illness, history of suicide attempt and data on health care utilization. Results: Eighty‐six per cent of suicide subjects suffered from a psychiatric problem before committing suicide, compared with 9% of control subjects. Among the psychiatric problems, major depression was the commonest diagnosis. Seventy‐seven per cent of suicide subjects had consulted a doctor within 1 month of suicide. One‐third of suicide subjects had a history of suicide attempt. Rates of current psychiatric diagnosis, rates of medical consultation and history of suicide attempt are all significantly higher in suicide subjects than controls. Conclusion: Our findings support the view that depressive disorders and a past history of suicide attempt are risk factors of late‐life suicide in the Chinese population of Hong Kong, similar to findings in western studies.

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  • Psychological autopsy case-control studies provide remarkably consistent findings.

    “a variety of investigators have applied it in case control studies that provide remarkably consistent findings (7-21).”

    From Suicide in older adults (2011) · cites this paper as [9]

  • Rates of problem drinking differ markedly between East and West.

    “Rates of problem drinking, for example differ markedly in the East (9) and West (21).”

    From Suicide in older adults (2011) · cites this paper as [9]

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Authors
Chiu, H. F. K., Yip, P. S. F., Chi, I., Chan, S., Tsoh, J., Kwan, C. W., Li, S. F., Conwell, Y., & Caine, E.
Affiliations
  • Chinese University of Hong Kong (HK)
  • University of Hong Kong (HK)
  • University of Rochester Medicine (US)
Corresponding author
  • Chiu, H. F. K.
  • Chi, I.
ORCID
Venue
Acta Psychiatrica Scandinavica
Publisher
Wiley
Published
2004-03-03
Volume
109
Issue
4
Pages
299-305
ISSN
  • 0001-690X (ISSN-L)
  • 1600-0447
DOI
10.1046/j.1600-0447.2003.00263.x
OpenAlex
W2096654221
Cited by
180
References
23
Citations by year
2025: 2 · 2024: 2 · 2023: 2 · 2022: 6 · 2021: 7 · 2020: 5 · 2019: 4 · 2018: 6 · 2017: 8 · 2016: 11 · 2015: 12 · 2014: 7 · 2013: 13 · 2012: 13
FWCI
12.56
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Acta Psychiatrica Scandinavica (publishedVersion)
  • PubMed (publishedVersion)
  • The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
Funders
  • University of Hong Kong
  • Chinese University of Hong Kong
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
elderly suicide, late-life suicide, risk factors, major depressive disorder, suicide attempt history, mental illness, medical consultation, Hong Kong Chinese, psychological autopsy
MeSH terms
Age Factors, Aged, Autopsy, Female, Hong Kong, Humans, Male, Middle Aged, Risk Factors, Suicide, Case-Control Studies

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