Sensory loss and suicide ideation in older adults: findings from the Three-City cohort study. (25th May 2018) - Cosh, S.
ABSTRACT: Objectives: To examine the longitudinal risk of vision loss (VL) or hearing loss (HL) for experiencing suicidal ideation in older adults. Design: The Three-City study, examining data from three waves of follow-up (2006–2008, 2008–2010, and 2010–2012). Setting: Community-dwelling older French adults. Participants: N = 5, 438 adults aged 73 years and over. Measurements: Suicidality was assessed by the Mini-International Neuropsychiatric Interview, Major Depressive Disorder module. Mild VL was defined as Parinaud of 3 or 4 and severe VL as Parinaud >4. Mild HL was self-reported as difficulty understanding a conversation and severe HL as inability to understand a conversation. Results: Severe VL was associated with an increased risk of suicidal ideation at baseline (OR = 1.59, 95% CIs = 1.06–2.38) and over five years (OR = 1.65, 95% CIs = 1.05–2.59). Mild and severe HL were associated with an increased risk of suicidal ideation, both at baseline (OR = 1.29, 95% CIs = 1.03–1.63; OR = 1.78, 95% CIs = 1.32–2.40) and over five years (OR = 1.47, 95% CIs = 1.17–1.85; OR = 1.97, 95% CIs = 1.44–2.70). Conclusion: Sensory losses in late life pose a risk for suicidal ideation. Suicidality requires better assessment and intervention in this population.