Depressive symptoms and suicidal ideation among older adults receiving home delivered meals. Academic Article uri icon

Overview

MeSH

  • Aged, 80 and over
  • Community-Based Participatory Research
  • Disabled Persons
  • Female
  • Humans
  • Male
  • Questionnaires
  • Social Support
  • Socioeconomic Factors

MeSH Major

  • Depressive Disorder
  • Food Services
  • Pain
  • Self-Injurious Behavior
  • Suicide

abstract

  • Homebound older adults may be vulnerable to the deleterious impact of untreated depression. Yet because these elders are difficult to reach, there is little data on the rates of depressive symptoms and suicidal ideation among this group. The objective of this study is to document the rates of depression and correlates among a population of homebound elders. Using a community based participatory research partnership, we implemented a routine screening for depressive symptoms and suicidal ideation among older recipients of Westchester County's home meal program. Older adults enrolled in the home delivered meal program were administered the Physician Health Questionnaire-9 (PHQ-9), and questions to assess pain, falls, alcohol abuse and perceived emotional distress. In our sample of 403 meal recipients, 12.2% of older adults reported clinically significant depression (PHQ-9 > 9) and 13.4% reported suicidal thoughts. One-third of recipients with significant depressive symptoms were currently taking an antidepressant. Almost one-third of older adults who endorsed suicide ideation did not report clinically significant depressive symptoms. Among men, suicidal thoughts were associated with chronic pain and greater depression severity, whereas pain was not a predictor of suicidal thoughts among women. More than one in nine elders suffer from depression; most are untreated with one-third undertreated. Through partnerships between public agencies that provide age related services and academic investigators there is an opportunity for improved detection of unmet mental health needs. Future research should explore innovative models to improve access to mental health services once unmet need is detected. (c) 2008 John Wiley & Sons, Ltd.

publication date

  • December 2008

has subject area

  • Aged, 80 and over
  • Community-Based Participatory Research
  • Depressive Disorder
  • Disabled Persons
  • Female
  • Food Services
  • Humans
  • Male
  • Pain
  • Questionnaires
  • Self-Injurious Behavior
  • Social Support
  • Socioeconomic Factors
  • Suicide

Research

keywords

  • Journal Article

Identity

Language

  • eng

PubMed Central ID

  • PMC3634570

Digital Object Identifier (DOI)

  • 10.1002/gps.2070

PubMed ID

  • 18615448

Additional Document Info

start page

  • 1306

end page

  • 1311

volume

  • 23

number

  • 12