Work

Health profiles of older nursing home residents by suicidal ideation: A latent class analysis

Year: 2022

Type: article

Abstract: Objectives Identify the health profiles of older nursing home residents with and without at‐admission self‐reported suicidal ideation (SI) and examine the association between the identified profiles and self‐reported SI at 90 days. Methods Using the Minimum Data Set 3.0 and the ninth Patient Health Questionnaire‐9 (PHQ‐9) item, we identified 15,277 older residents with and 562,184 without self‐reported SI at nursing home admission. Latent class analysis, using frailty, cognitive impairment, palliative care index, pain, and remaining PHQ‐9 items as indicators, identified health profiles by at‐admission SI and the BCH method estimated their association with SI at 90 days. Results Profiles identified for residents without at‐admission SI were: (1) frail and depressedNoSI (prevalence: 33.9%); (2) frail and severe cognitive impairmentNoSI (38.1%); (3) pre‐frailNoSI (28.0%). Residents in the frail and depressedNoSI group had greater odds [adjusted OR: 2.80; 95% Confidence Interval: 2.60–3.00] while those in the frail and severe cognitive impairmentNoSI group had lower odds [aOR: 0.79; 95% CI: 0.71–0.86] of 90‐day SI than those in the pre‐frailNoSI group. Profiles identified for residents with at‐admission SI were: (1) frail and all depressive symptomsSI (22.8%); (2) frail and some depressive symptomsSI (32.2%); (3) frail and severe cognitive impairmentSI (22.9%); (4) pre‐frailSI (22.0%). Compared to those in the pre‐frailSI group, residents in the frail and all depressive symptomsSI group had greater odds of continuing reporting SI at 90 days [aOR: 1.22; 95% CI:1.09–1.35]. Conclusions Findings indicated unique health profiles of nursing home residents at higher risk of new onset of or continued SI.

Source: International Journal of Geriatric Psychiatry

DOI: 10.1002/gps.5829

Authors: Yiyang Yuan, Adrita Barooah, Kate L. Lapane, Deborah Mack, Anthony J. Rothschild, Christine M. Ulbricht

Institutions: University of Massachusetts Chan Medical School, University of Massachusetts Boston, UMass Memorial Health Care, UMass Memorial Medical Center

Language: English

Topic: Suicide and Self-Harm Studies

Subfield: Clinical Psychology

Field: Psychology

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: green

Funders: National Institutes of Health, National Institute of Mental Health, National Center for Advancing Translational Sciences