Mild cognitive impairment and suicidal ideation among adults aged 65 years or older from low- and middle-income countries.

Smith L., López Sánchez G. F., Soysal P., Veronese N., Jacob L., Kostev K., ...Daha Fazla

The journals of gerontology. Series B, Psychological sciences and social sciences, cilt.79, 2024 (SCI-Expanded, SSCI, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 79
  • Basım Tarihi: 2024
  • Doi Numarası: 10.1093/geronb/gbae129
  • Dergi Adı: The journals of gerontology. Series B, Psychological sciences and social sciences
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, ASSIA, PASCAL, Periodicals Index Online, Abstracts in Social Gerontology, AgeLine, CAB Abstracts, CINAHL, MEDLINE, Psycinfo, Social services abstracts, Sociological abstracts
  • Bezmiâlem Vakıf Üniversitesi Adresli: Evet

Özet

Objectives Mild cognitive impairment (MCI) is a unique indicator of underlying distress that may be strongly associated with suicide risk. Despite this, to date, no study has examined the association between MCI and suicidal ideation. Therefore, the present study aimed to examine the association between MCI and suicidal ideation among adults aged >= 65 years from 6 low- and middle-income countries (LMICs; China, Ghana, India, Mexico, Russia, and South Africa).Methods Cross-sectional, nationally representative data from the World Health Organization's Study on Global Ageing and Adult Health were analyzed. MCI was defined using the National Institute on Aging-Alzheimer's Association criteria. Self-reported information on past 12-month suicidal ideation was collected. Multivariable logistic regression and meta-analysis were conducted to assess associations.Results Data on 13,623 individuals aged >= 65 years were analyzed. The prevalence of suicidal ideation ranged from 0.5% in China to 6.0% in India, whereas the range of the prevalence of MCI was 9.7% (Ghana) to 26.4% (China). After adjustment for potential confounders, MCI was significantly associated with 1.66 (95% confidence interval [95% CI] = 1.12-2.46) times higher odds for suicidal ideation.Discussion Mild cognitive impairment was significantly associated with higher odds for suicidal ideation among older adults in LMICs. Future longitudinal studies from LMICs are necessary to assess whether MCI is a risk factor for suicidal ideation.