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Suicide et aînés

Mai 2013

Au niveau mondial, les hommes de 75 ans et plus détiennent le plus haut taux de suicide – genre et groupe d’âge confondus. Pour les femmes, ce sont celles de 65 ans et plus qui sont les plus affectées par le suicide (WHO, 2002). Le changement démographique qui s’installe dans les sociétés occidentales pourrait faire craindre une augmentation des taux de suicides chez ce groupe dans les décennies à venir. Cependant, au Québec, dans les 30 dernières années, les aînés ont toujours eu le plus faible taux de suicide de tous les groupes d’âge et en plus, le taux de suicide chez les 65 ans et plus a diminué significativement (Légaré, Gagné, St-Laurent et Perron, 2013).  L’Association québécoise de prévention du suicide (AQPS) tient un peu partout au Québec ses journées régionales sur le suicide et les aînés – et où Brian Mishara a présenté des conférences lors de plusieurs d’entre elles. Pour en savoir plus sur le suicide chez les aînés, vous pouvez également consulter le thème sur notre site Application des connaissances scientifiques en prévention du suicide.



Pour vous abonner à notre liste de nouveautés, visitez notre site web



Mishara, Brian L. (Avril 2013). La réalité du suicide des aînés au Québec: Défis pour la prévention. Présentation faite lors de la Journée régionale sur le suicide et les aînés. Association québécoise de prévention du suicide: Shawinigan
http://www.crise.ca/pdf/mishara-aines-aqps-shawinigan.pdf

 

Association québécoise de prévention du suicide (2013). Synthèse: Journée régionale sur le suicide et les aînés de la Mauricie. Québec: Québec.
Résumé: Document de synthèse publié à l’issue de la rencontre régionale du 9 avril à Shawinigan sur le suicide et les aînés.
http://www.aqps.info/media/documents/AQPS-13127-SyntheseRencontres-Mauricie.pdf


Association québécoise de prévention du suicide (2013). Synthèse: Journée régionale sur le suicide et les aînés de l'Abitibi-Témiscamingue. Québec: Québec.
Résumé: Document de synthèse publié à l’issue de la rencontre régionale du 25 avril à Lorrainville sur le suicide et les aînés.
http://www.aqps.info/media/documents/AQPS-13127-SyntheseRencontres-Abitibi.pdf


Association québécoise de prévention du suicide (2011). La vie des aînés nous tient à coeur. Trois-Rivières, Québec.
Résumé: Document de synthèse publié à l’issue de la rencontre provinciale sur le suicide et les aînés. Il propose des textes rédigés par les conférenciers du jour ou inspirés de leurs exposés, dont la complémentarité permet, sans épuiser la question, d’offrir au lecteur un riche panorama de points de vue.
http://www.aqps.info/media/documents/synthese_suicide_2010.pdf


Bellehumeur, P., Guillemette, A., & Marquis, G. (2013). Les aînés et le suicide dans Lanaudière: que nous disent les chiffres? : Lanaudière: Journée régionale sur le suicide et les aînés.
Résumé:L'objectif de la présentation est de faire ressortir, pour Lanaudière et ses deux territoires de réseau local de services, quelques constats sur: 1) la mortalité par suicide; 2) les hospitalisations; 3) les idées suicidaires sérieuses; 4) les tentatives de suicide et 5) la détresse psychologique.
http://www.aqps.info/media/documents/PresentationdePatrickBellehumeur.pdf


Richard-Devantoy, S., & Jollant, F. (2012). Le suicide de la personne âgée: existe-t-il des spécificités liées à l’âge? Santé mentale au Québec, 37(2), 151-174.
Résumé: Le suicide de la personne âgée pose la question de notre relation à la vieillesse et à la mort. Significativement lié à la dépression, il est relativement élevé dans cette tranche d’âge. Les conduites suicidaires de la personne âgée présentent des particularités cliniques : une intentionnalité et une létalité suicidaire élevées, peu d’antécédents personnels de conduites suicidaires et un faible niveau d’impulsivité et d’agressivité. La vulnérabilité suicidaire pourrait reposer sur des mécanismes étiopathogéniques à la fois communs et différents selon l’âge. Par exemple, il y aurait une prépondérance des facteurs développementaux précoces marqués par de l’impulsivité et de l’agressivité chez l’adolescent et le jeune adulte ; chez l’adulte âgé, il y aurait un vieillissement pathologique. Des déficits neurocognitifs similaires conduisent le sujet à ne pas pouvoir répondre adéquatement à son environnement, différent selon l’âge. La comparaison directe des sujets jeunes et âgés est nécessaire pour comprendre la genèse de la vulnérabilité suicidaire. Nous conclurons cet article avec un résumé des principes de reconnaissance et de prise en charge du risque suicidaire.
http://dx.doi.org/10.7202/1014949ar


Lapierre, S., Erlangsen, A., Waern, M., De Leo, D., Oyama, H., Scocco, P., et al.
(2011). A systematic review of elderly suicide prevention programs. Crisis, 32(2), 88-98.
Résumé: Background: Suicide rates are highest among the elderly, yet research on suicide prevention in old age remains a much-neglected area. Aims: We carried out a systematic review to examine the results of interventions aimed at suicidal elderly persons and to identify successful strategies and areas needing further exploration. Methods: Searches through various electronic databases yielded 19 studies with an empirical evaluation of a suicide prevention or intervention program designed especially for adults aged 60 years and older. Results: Most studies were centered on the reduction of risk factors (depression screening and treatment, and decreasing isolation), but when gender was considered, programs were mostly efficient for women. The empirical evaluations of programs attending to the needs of high-risk older adults seemed positive; most studies showed a reduction in the level of suicidal ideation of patients or in the suicide rate of the participating communities. However, not all studies used measures of suicidality to evaluate the outcome of the intervention, and rarely did they aim at improving protective factors. Conclusions: Innovative strategies should improve resilience and positive aging, engage family and community gatekeepers, use telecommunications to reach vulnerable older adult, and evaluate the effects of means restriction and physicians education on elderly suicide.
http://dx.doi.org/10.1027/0227-5910/a000076


Erlangsen, A., Nordentoft, M., Conwell, Y., Waern, M., De Leo, D., Lindner, R., et […], Lapierre,S. (2011).
Key considerations for preventing suicide in older adults. Crisis, 32(2), 106-109.
Résumé: Background: The number of older adults is growing rapidly. This fact, combined with the high rates of suicide in later life, indicates that many more older adults will die by their own hands before rigorous trials can be conducted to fully understand the best approaches to prevent late life suicide. Aims: To disseminate key considerations for interventions addressing senior suicidal behavior. Methods: An international expert panel has reviewed and discussed key considerations for interventions against suicide in older adults based on existing evidence, where available, and expert opinion. Results: A set of new key considerations is divided into: universal, selective, and indicated prevention as well as a section on general considerations. Conclusions: The suggestions span a wide range and are offered for consideration by local groups preparing new interventions, as well as large scale public health care planning.
http://dx.doi.org/10.1027/0227-5910/a000053


Fassberg, M. M., van Orden, K. A., Duberstein, P., Erlangsen, A., Lapierre, S., Bodner, E., et al.
(2012). A systematic review of social factors and suicidal behavior in older adulthood. International Journal of Environmental Research and Public Health, 9(3), 722-745.
Résumé: Suicide in later life is a global public health problem. The aim of this review was to conduct a systematic analysis of studies with comparison groups that examined the associations between social factors and suicidal behavior (including ideation, non-fatal suicidal behavior, or deaths) among individuals aged 65 and older. Our search identified only 16 articles (across 14 independent samples) that met inclusion criteria. The limited number of studies points to the need for further research. Included studies were conducted in Canada (n = 2), Germany (n = 1), Hong Kong (n = 1), Japan (n = 1), Singapore (n = 1), Sweden (n = 2), Taiwan (n = 1), the U.K. (n = 2), and the U.S. (n = 3). The majority of the social factors examined in this review can be conceptualized as indices of positive social connectedness-the degree of positive involvement with family, friends, and social groups. Findings indicated that at least in industrialized countries, limited social connectedness is associated with suicidal ideation, non-fatal suicidal behavior, and suicide in later life. Primary prevention programs designed to enhance social connections as well as a sense of community could potentially decrease suicide risk, especially among men.
http://dx.doi.org/10.3390/ijerph9030722


Innamorati, M., Pompili, M., Amore, M., Vittorio, C. D., Serafini, G., Tatarelli, R., et al.
(2011). Suicide prevention in late life: Is there sound evidence for practice? In M. Pompili & R. Tatarelli (Eds.), Evidence-Based Practice in Suicidology: A Source Book (pp. 211-232). Cambridge, MA, US: Hogrefe Publishing.
Résumé:The aim of this chapter is to review the international literature investigating whether there is sufficient evidence for sound-based practice in the prevention of suicidal behaviors in the elderly and to find recommendations and guidelines. Conwell and Duberstein, following Fried, indicated four guidelines for the development of effective preventive strategies of late-life suicide. These are: Guideline 1—The potential benefit of a preventive measure is proportional both to the prevalence of the disease and to the severity of the morbidity associated with it. Guideline 2—The goals of disease prevention must be based on an analysis of what beneficial outcome is most meaningful for the individual and society. Guideline 3—To be effective in older people, preventive care must take into account the multiple dimensions that impact on their health: biological, psychological, and social. Guideline 4—The effectiveness of a prevention measure depends on: (a) the identification of the risk factors characteristic of the individual or group; (b) the strength of the causal relationship between the risk factors and the disease; and (c) the "alterability" of the causal factors. The guidelines for preventive strategies indicate that the effectiveness of an intervention is related in part to the strength of the causal relationship between the risk factor and the outcome, and in part to the alterability of that causal factor. Many factors influence suicide risk among the elderly, the modification of which may help prevent suicide. Grek conducted a systematic literature review to identify the risk factors for suicide in the elderly. The search for risk factors yielded two relevant cohort studies, and 17 relevant case-control studies. Grek concluded that sound risk factors for suicide are: (1) male sex, (2) mental illness (particularly depression), (3) physical illness, and (4) interpersonal discord.
Three of these four risk factors are modifiable.


Demircin, S., Akkoyun, M., Yilmaz, R., & Gokdogan, M. R. (2011). Suicide of elderly persons: towards a framework for prevention. Geriatrics & Gerontology International, 11(1), 107-113.
Résumé: Suicide is an act of intentionally terminating one's own life. Although suicide rates vary across demographic categories, they have increased by approximately 60% in the last 50 years. Many studies of adolescent suicidal behavior have noted impulsivity to be a common feature in the younger age group, while with older people there is evidence of planning and a strong intent to die. In fact, older people are most successful as an age group with approximately one in four attempts resulting in death. While very comprehensive statistics are available on many aspects of this problem for the Turkish population as a whole, this data does not include physical factors like illnesses, legal domiciles like nursing homes, economic standards and history of attempted suicides. This necessary data would add greatly to the available data and accuracy of research in this area. Whereas Turkish national risk factor procedures are available, precaution procedures and suicide attempt data is not. There is no way of knowing how many deceased had a history of repetitions. It is suggested that this could be attributed to routine failure to observe and mitigate risk factors. The size of this problem is being demonstrated with this presented case report about a planned complex suicide with multiple sharp forced injuries and substance intoxication; a completed suicide that was potentially preventable with timely detection and intervention. In accordance, suicidal risk factors in the old age population, precautions, along with the characteristics of this suicidal case, are evaluated within existing published work.
http://dx.doi.org/10.1111/j.1447-0594.2010.00660.x


De Leo, D., & Arnautovska, U. (2011).
Prevention and treatment of suicidality in old age. In R. C. O'Connor, S. Platt & J. Gordon (Eds.), International Handbook of Suicide Prevention: Research, Policy and Practice (pp. 309-328). Chichester, UK: John Wiley & Sons, Ltd.
Résumé:In spite of frequently under-reported suicide data, suicide rates among the elderly remain globally the highest.  In this particular age group, there are certain peculiarities, for example, age-specific risk and protective factors as well as gender differences, which need to be considered in the prevention and treatment of suicidality.  This chapter provides an overview of existing practices, by examining the specific impact of most common conditions that may be present in late life, such as depression, physical illness, retirement, relocation to a nursing home, etc.  Several different types of prevention approaches have been proposed for the elderly; however, only a few of the derived programmes have been evaluated in the context of controlled studies.  Furthermore, their outcomes may not be universally generalized.  This calls for more evidence-based research and for investigations across different cultures, in order to establish a convincing level of efficacy of preventative interventions for elderly persons at risk for suicide.


Fung, Y. L., & Chan, Z. C. (2011). A systematic review of suicidal behaviour in old age: a gender perspective. Journal of Clinical Nursing, 20(15-16), 2109-2124.
Résumé: Aim. This article presents the findings of a systematic review of the literature on suicidal behaviour in old age, specifically examining gender differences. Background. Numerous studies have reported that older people are at a higher risk for suicide than other age groups in most countries. Rarely do they examine whether there are differences in suicidal behaviour among older males and females. Design. Systematic review. Methods. Electronic databases were systematically searched to identify English language reports of research about suicide and suicide attempts in old age. Studies were assessed for inclusion based on inclusion criteria. Key results concerning suicide in old age were extracted and synthesised. Results. Twenty-two gender-specific studies on suicidal behaviour in old age were identified. All studies were of the quantitative type. Five factors affecting suicide by gender in old age were identified from the selected papers. Conclusions. Most findings concluded that older males had a higher risk of suicide than older females. Some findings nevertheless revealed that the risk factors for one socio-demographic group may be less relevant to others and that people operate differently in different social contexts. Further in-depth exploration on the gender-specific characteristics in old-age suicide is recommended. Relevance to clinical practice. Health professionals are encouraged to increase their knowledge of the risk factors leading to suicide in old age in their local contexts and to be able to identify potential victims and render timely and appropriate intervention. They should also be ready to open up their service boundaries and develop collaborative partnerships with local agencies and the general public.
http://dx.doi.org/10.1111/j.1365-2702.2010.03649.x


Lapierre, S., Boyer, R., Desjardins, S., Dube, M., Lorrain, D., Préville, M., et al.
(2012). Daily hassles, physical illness, and sleep problems in older adults with wishes to die. International Psychogeriatrics, 24(2), 243-252.
Résumé: Background: Factors associated with the wish to die should be investigated in order to gain more opportunities for preventive interventions targeting older adults at risk for suicide. The goal of the research was to study the prevalence and associated factors of wishes to die in older adults living in the community using the data from a survey on the prevalence of mental disorders in this population. Methods: With a representative sample of community living older adults aged 65 years and over (N = 2777), we compared individuals with the wish to die (n = 163) to those without the wish to die on the basis of the presence and severity of daily hassles, physical illness, and sleep quality. Results: Logistic regression revealed that when depression and sociodemographic variables were held constant, self-rated physical health, number of chronic illnesses, number and intensity of daily hassles, as well as sleep problems were significantly associated with the wish to die in older adults. Painful illnesses and daytime dysfunction due to sleep problems were also associated factors with the wish to die. Conclusion: Since desire for death is the first step into the suicidal process, health professionals should seriously consider the important and unique contribution of these variables in order to have more opportunities for detection and intervention.
http://dx.doi.org/10.1017/s1041610211001591


Vasiliadis, H. M., Gagne, S., & Preville, M. (2012).
Gender differences in determinants of suicidal ideation in French-speaking community living elderly in Canada. International Psychogeriatrics,24(12), 2019-2026.
Résumé: Background: To inform public health suicide prevention and mental health promotion campaigns, this study will carry out gender-specific analyses to ascertain the determinants of suicidal ideation or death thoughts in a large representative sample of community dwelling older adults. Methods: Data used in this study were from the ESA survey (Enquete sur la Sante des Aines - Survey on the Health of the Elderly) on a large representative sample of community dwelling older adults (n = 2,494). Multivariate logistic regression analysis was used to study the association between suicidal ideation, mental health service, and antidepressant use and a number of clinical and socio-demographic factors. Results: The prevalence of suicidal ideation reached 6.3%. The findings of this study show that the presence of suicidal ideation in females is associated with younger age, single or widowed status, the reporting of daily life stressors, and chronic conditions as well as the presence of major or minor depression in the past year. In males, suicidal ideation is associated with older age, single or widowed status, and depression. Furthermore, suicidal ideation is significantly associated with antidepressant use in females but not males and this after controlling for a number of clinical factors. Conclusion: Although no gender differences are observed between suicidal ideation and mental health service use, females with suicidal ideation are more likely to be dispensed antidepressants than males with suicidal ideation. Future research should focus on gender-specific determinants of antidepressant and mental health service use associated with suicidal ideation.
http://dx.doi.org/10.1017/s1041610212001251


Kjolseth, I., & Ekeberg, O. (2012). When elderly people give warning of suicide.
International Psychogeriatrics, 24(9), 1393-1401.
Résumé: Background: The study has a dual objective: (1) to investigate the extent to which, and how and to whom, elderly people gave warning (according to the definition of the term given by the American Association of Suicidology) prior to suicide; (2) to investigate how these warnings were perceived by the recipients of them, and what reactions the recipients had to the warnings. Methods: This is a psychological autopsy study based on qualitative interviews. Sixty-three informants were interviewed about 23 suicides by individuals aged over 65 in Norway. The informants comprised relatives, general practitioners (GPs) and home-based care nurses. In general, the analysis of the interviews follows the systematic text condensation method. Results: The interviews contained four main themes regarding reactions to the warnings: "not taken seriously," "helplessness," "exhaustion," and "acceptance." A total of 14 of the 23 elderly people gave warning before the suicides occurred. The warnings were given to relatives (11), home-based care nurses (5), and GPs (2). Conclusions: Even though more than half of the elderly people had given warning (most frequently to relatives) before the suicide, the warnings did not initiate preventive measures. Together with passive attitudes, the lack of recognition of both the risk of suicide and the opportunities for treatment prevented possible measures being implemented. The paper discusses the grounds for the reactions as well as how suicide warnings given by elderly people can be taken seriously.
http://dx.doi.org/10.1017/s1041610212000312


Conwell, Y., & Heisel, M. J. (2012). The elderly. In R. I. Simon & R. Hales, E. (Eds.), The American Psychiatric Publishing Textbook of Suicide Assessment and Management:  Second Edition (2nd ed., pp. 367-388). Washington, DC: American Psychiatric Publishing.
Résumé:The needs of older adults tend to be less apparent than those of younger adults in the United States, where the predominant cultural values are youth, beauty, and a vigorous lifestyle.  It often goes unrecognized, therfore, that older adults have among the highest suicide rates of any segment of the population and so warrant special focus in the development and implementation of effective prevention strategies.  In this chapter, we use the case history of an influential older Americans to illustrate the characteristics of, and risk factors for, suicide in this age group.  We then review the evidence base for management of acutely suicidal older adults and recommendations for approaches to suicide prevention in this rapidly growing segment of the population.
[Tiré du chapitre]


Vannoy, S. D., Tai-Seale, M., Duberstein, P., Eaton, L. J., & Cook, M. A. (2011). Now what should I do? Primary care physicians' responses to older adults expressing thoughts of suicide. Journal of General Internal Medicine, 26(9), 1005-1011.
Résumé: BACKGROUND: Many older adults who die by suicide have had recent contact with a primary care physician. As the risk-assessment and referral process for suicide is not readily comparable to procedures for other high-risk behaviors, it is important to identify areas in need of quality improvement (QI). OBJECTIVE: Identify patterns in physician-patient communication regarding suicide to inform QI interventions. DESIGN: Qualitative thematic analysis of video-taped clinical encounters in which suicide was discussed. PARTICIPANTS: Adult primary care patients (n = 385) 65 years and older and their primary care physicians. RESULTS: Mental health was discussed in 22% of encounters (n = 85), with suicide content found in less than 2% (n = 6). Three patterns of conversation were characterized: (1) Arguing that "Life's Not That Bad." In this scenario, the physician strives to convince the patient that suicide is unwarranted, which results in mutual fatigue and discouragement. (2) "Engaging in Chitchat." Here the physician addresses psychosocial matters in a seemingly aimless manner with no clear therapeutic goal. This results in a superficial and misleading connection that buries meaningful risk assessment amidst small talk. (3) "Identify, assess, and...?" This pattern is characterized by acknowledging distress, communicating concern, eliciting information, and making treatment suggestions, but lacks clearly articulated treatment planning or structured follow-up. CONCLUSIONS: The physicians in this sample recognized and implicitly acknowledged suicide risk in their older patients, but all seemed unable to go beyond mere assessment. The absence of clearly articulated treatment plans may reflect a lack of a coherent framework for managing suicide risk, insufficient clinical skills, and availability of mental health specialty support required to address suicide risk effectively. To respond to suicide's numerous challenges to the primary care delivery system, QI strategies will require changes to physician education and may require enhancing practice support.
http://dx.doi.org/10.1007/s11606-011-1726-5


Manthorpe, J., & Iliffe, S. (2011). Social work with older people—Reducing suicide risk: A critical review of practice and prevention. British Journal of Social Work, 41(1), 131-147.
Résumé: Although suicide remains an uncommon event among older people in most developed countries, suicide rates do increase with age, mainly accounted for by the higher incidence among older men. A critical interpretive synthesis review that emphasises practitioner perspectives reveals three problems: (i) a scarcity of research that takes a system-wide approach to suicide prevention in later life; (ii) a dearth of evidence about the social work contribution to reducing the risk of suicide in later life; and (iii) a noticeable absence of reference to social work practice in national guidelines for mental health practitioners. This absence of social work services from studies about later life suicide arises partly from concentration on medical, nursing and psychological literature and partly from the use of a hierarchy of evidence that grades research by quality of the science and stands to miss accounts of practice, let alone the experiences of older people. This article suggests that emphasis should be given to guideline development, and to improving sub-optimal care and support. These actions would use social work skills in opening channels of communication between other professionals; communicating with carers; advocating on behalf of individuals with mental health problems; and offering acceptable and accessible support.
http://dx.doi.org/10.1093/bjsw/bcq117


Bouche, C., Bouldoires, T., & Bordage, C. (2011). Le suicide du sujet âgé, un phénomène de santé publique sous-estimé. Soins Gérontologie, 16(91), 28-30.
Résumé: Les personnes âgées sont, en proportion, plus concernées par le suicide que les adolescents, dont on parle davantage. La prévention des passages à l’acte et la sensibilisation de l’entourage sont une priorité pour nos pratiques soignantes.
http://www.em-premium.com/article/668860


Kjølseth, I., Ekeberg, Ø., & Steihaug, S. (2010). Elderly people who committed suicide - their contact with the health service. What did they expect, and what did they get? Aging and Mental Health, 14(8), 938-946.
Résumé: Objective: Contact between elderly patients and healthcare professionals may be crucial for suicide prevention if suicidal tendencies are revealed and help is to be provided. The objective of the study was to investigate how elderly suicide cases had perceived the health service and what characterised their contact with it. Method: This is a psychological autopsy study based on qualitative interviews with people who had known 1 of the total of 23 suicide cases aged over 65. The 63 informants were relatives, general practitioners (GPs) and home-based care workers. The systematic text condensation method was applied to analyse interviews. Results: Many of the elderly expressed distrust of health service once their functional decline began. They feared losing their autonomy if they became dependent on help, and many therefore refused health service provisions. Communication between them and helpers failed. As they gradually became more dependent on medical care, many experienced that they were not given the desired help, which confirmed their distrust. Conclusion: Contact between these people and the health service must inspire confidence for it to prevent suicide. Elderly people at risk of suicide are vulnerable: they feel degraded if their autonomy is threatened by health personnel. The structure and organisation of the health service, and each worker’s contact with the elderly, must preserve their dignity. Dignity must be evinced through the healthcare professionals’ treatment of elderly people and a system that meets their needs.
http://dx.doi.org/10.1080/13607863.2010.501056


Bhar, S. S., Wiltsey-Stirman, S., Zembroski, D., McCray, L., Oslin, D. W., Brown, G. K., et al. (2013). Recruiting older men for geriatric suicide research. International Psychogeriatrics, 25(1), 88-95.
Résumé: Background: Clinical research is required to develop and evaluate suicide prevention interventions in the elderly. However, there is insufficient information available about how to best recruit suicidal older adults for such research. This study evaluated the success and efficiency of five recruitment strategies for a clinical trial on the efficacy of cognitive therapy for suicidal older men. Methods: For each strategy, the numbers of individuals approached, screened, and enrolled were calculated, and the expenses and time associated with each enrollment estimated. Men who were 60 years or older and who had a desire for suicide over the past month were eligible for the trial. Results: Of 955 individuals considered for trial, 33 were enrolled. Most enrollments were sourced from the Veterans Affairs Behavioral Health Laboratory. Recruiting form this source was also the most time and cost efficient recruitment strategy in the study. Conclusions: Recruitment strategies are effective when they are based on collaborative relationships between researchers and providers, and utilize an existing infrastructure for involving patients in ongoing research opportunities. http://dx.doi.org/10.1017/S104161021200138X

 

Mertens, B., & Sorenson, S. B. (2012). Current considerations about the elderly and firearms. American Journal of Public Health, 102(3), 396-400.
Résumé: In the United States, more than 17 million people aged 65 years or older own a firearm. They have the highest rate of suicide by a firearm, and recent data suggest that a disproportionate number apply to carry a concealed weapon. At least one new handgun has been designed and marketed for older people. Memory, thinking, and judgment as well as physical and behavioral competence issues related to an elderly person’s safe operation of a motor vehicle apply to firearms, too. Gun availability can pose a particular risk to those with dementia and to their caretakers. The elderly constitute a substantial and rapidly growing population and market segment for whom the public health implications of firearm production, promotion, access, ownership, and use merit consideration.
http://dx.doi.org/10.2105/AJPH.2011.300404


Les opinions exprimées dans ces documents sont celles des auteurs et elles ne représentent pas nécessairement celles des membres du CRISE. Ces titres sont fournis à titre informatif seulement. Le CRISE ne se tient aucunement responsable de l'utilisation de l'information contenue à l'intérieur de ces documents.| Opinions expressed in these documents are those of the authors and do not necessarily reflect opinions of CRISE members. These titles are provided for information only and CRISE is not responsible for the use of information therewithin.

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UQAM - Université du Québec à Montréal  ›  Mise à jour : Mai 2013