Long-Term Effects of a Screening Intervention for Depression on Suicide Rates among Japanese Community-Dwelling Older Adults

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
Hirofumi Oyama, Tomoe Sakashita

Abstract

To explore the long-term impact of a universal screening intervention for depression on suicide rates among older community-dwelling adults, with gender as an effect modifier. Controlled cohort study reporting long-term follow-up of previous research. Two sets of three municipalities in Japan were assigned as intervention and control regions and compared with the surrounding zone and prefecture. Intervention area residents aged 60 years and older (14,291) were invited to participate in a 2-year intervention (2005-2006). Four population-based dynamic cohorts of residents aged 65 years and older (1999-2010) were included as subjects, 6 years before and after the intervention started. At-risk residents within the intervention region (4,918) were invited for a two-step screening program; 2,552 participated in the program linked with care/support services for 2 years. An education program open to the public was held. Changes in suicide from a 6-year baseline to the 2-year intervention and a 4-year follow-up in the intervention region (11,700 adults ≥65 years) were compared with a matched control and two comparison areas using mixed-effects negative binomial regression models. Suicide rates among older adults exposed to screening wer...Continue Reading

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Citations

Mar 14, 2016·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Aartjan T F Beekman
Dec 12, 2017·Aging & Mental Health·Yu Wen KooDiego de Leo
Sep 29, 2018·International Journal of Geriatric Psychiatry·HeungKyu KimSeongho Min
Sep 13, 2018·Journal of Gerontological Nursing·Howard K Butcher, Todd N Ingram
Jun 26, 2020·International Journal of Mental Health Systems·Soo Hyun KimKyungman Cha
Jul 30, 2020·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Anna Azulai, Christine A Walsh

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