Physical multimorbidity and lifetime suicidal ideation and plans among rural older adults: the mediating role of psychological distress
BACKGROUND: Previous studies have revealed that single physical chronic condition was associated with suicidal ideation/plans, but few studies have examined the relationship between multimorbidity and suicidal ideation/plans, and no studies have explored the underlying potential mechanism on this re...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7866476/ https://www.ncbi.nlm.nih.gov/pubmed/33549084 http://dx.doi.org/10.1186/s12888-021-03087-4 |
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author | Jing, Zhengyue Li, Jie Fu, Pei Pei Wang, Yi Yuan, Yemin Zhao, Dan Hao, Wenting Yu, Caiting Zhou, Chengchao |
author_facet | Jing, Zhengyue Li, Jie Fu, Pei Pei Wang, Yi Yuan, Yemin Zhao, Dan Hao, Wenting Yu, Caiting Zhou, Chengchao |
author_sort | Jing, Zhengyue |
collection | PubMed |
description | BACKGROUND: Previous studies have revealed that single physical chronic condition was associated with suicidal ideation/plans, but few studies have examined the relationship between multimorbidity and suicidal ideation/plans, and no studies have explored the underlying potential mechanism on this relationship in China. This study aimed to explore association between physical multimorbidity and suicidal ideation as well as plans, and further examine the mediating role of psychological distress (PD) on this relationship. METHODS: This study was based on the data from a survey about the health service of rural elderly household in Shandong, China. A total of 3242 adults aged 60 years and older were included in this study. PD was measured by Kessler Psychological Distress Scale (K10). Ordinal and binary logistic regression analyses were employed to explore the association between physical multimorbidity, PD and suicide ideation/plans. Bootstrapping analysis was further used to examine the mediation effect of PD on the association of multimorbidity and suicidal ideations/plans. RESULTS: The prevalence of multimorbidity, lifetime suicidal ideation, and suicidal plan in rural older adults was 35.2, 10.6 and 2.2%, respectively. Older adults living in rural areas with two or more chronic physical conditions experienced significantly higher risk of suicidal ideation and suicidal plans. The association between multimorbidity and suicidal ideations/plans was partially mediated by PD, of which, the mediating effect of PD accounted for 31.7 and 25.5% of the total effect, respectively. CONCLUSION: This study demonstrated the associations between physical multimorbidity and suicidal ideation/plans, and the mediating role of PD on this relationship among Chinese rural elderly. Healthcare providers in rural community should provide regular surveillance for the mental health status among the rural elderly with multimorbidity, and carry out various effective intervention measures to improve the mental health status, so as to reduce the risk of suicide. |
format | Online Article Text |
id | pubmed-7866476 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-78664762021-02-08 Physical multimorbidity and lifetime suicidal ideation and plans among rural older adults: the mediating role of psychological distress Jing, Zhengyue Li, Jie Fu, Pei Pei Wang, Yi Yuan, Yemin Zhao, Dan Hao, Wenting Yu, Caiting Zhou, Chengchao BMC Psychiatry Research Article BACKGROUND: Previous studies have revealed that single physical chronic condition was associated with suicidal ideation/plans, but few studies have examined the relationship between multimorbidity and suicidal ideation/plans, and no studies have explored the underlying potential mechanism on this relationship in China. This study aimed to explore association between physical multimorbidity and suicidal ideation as well as plans, and further examine the mediating role of psychological distress (PD) on this relationship. METHODS: This study was based on the data from a survey about the health service of rural elderly household in Shandong, China. A total of 3242 adults aged 60 years and older were included in this study. PD was measured by Kessler Psychological Distress Scale (K10). Ordinal and binary logistic regression analyses were employed to explore the association between physical multimorbidity, PD and suicide ideation/plans. Bootstrapping analysis was further used to examine the mediation effect of PD on the association of multimorbidity and suicidal ideations/plans. RESULTS: The prevalence of multimorbidity, lifetime suicidal ideation, and suicidal plan in rural older adults was 35.2, 10.6 and 2.2%, respectively. Older adults living in rural areas with two or more chronic physical conditions experienced significantly higher risk of suicidal ideation and suicidal plans. The association between multimorbidity and suicidal ideations/plans was partially mediated by PD, of which, the mediating effect of PD accounted for 31.7 and 25.5% of the total effect, respectively. CONCLUSION: This study demonstrated the associations between physical multimorbidity and suicidal ideation/plans, and the mediating role of PD on this relationship among Chinese rural elderly. Healthcare providers in rural community should provide regular surveillance for the mental health status among the rural elderly with multimorbidity, and carry out various effective intervention measures to improve the mental health status, so as to reduce the risk of suicide. BioMed Central 2021-02-06 /pmc/articles/PMC7866476/ /pubmed/33549084 http://dx.doi.org/10.1186/s12888-021-03087-4 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Jing, Zhengyue Li, Jie Fu, Pei Pei Wang, Yi Yuan, Yemin Zhao, Dan Hao, Wenting Yu, Caiting Zhou, Chengchao Physical multimorbidity and lifetime suicidal ideation and plans among rural older adults: the mediating role of psychological distress |
title | Physical multimorbidity and lifetime suicidal ideation and plans among rural older adults: the mediating role of psychological distress |
title_full | Physical multimorbidity and lifetime suicidal ideation and plans among rural older adults: the mediating role of psychological distress |
title_fullStr | Physical multimorbidity and lifetime suicidal ideation and plans among rural older adults: the mediating role of psychological distress |
title_full_unstemmed | Physical multimorbidity and lifetime suicidal ideation and plans among rural older adults: the mediating role of psychological distress |
title_short | Physical multimorbidity and lifetime suicidal ideation and plans among rural older adults: the mediating role of psychological distress |
title_sort | physical multimorbidity and lifetime suicidal ideation and plans among rural older adults: the mediating role of psychological distress |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7866476/ https://www.ncbi.nlm.nih.gov/pubmed/33549084 http://dx.doi.org/10.1186/s12888-021-03087-4 |
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