Physical multimorbidity and wish to die among adults aged ≥65 years: a cross-sectional analysis of the Irish Longitudinal Study on Ageing

Smith, Lee, Shin, Jae Il, Haro, Josep M., Jacob, Louis, López-Sánchez, Guillermo F., Tully, Mark A., Oh, Hans, Carvalho, Andre F., Barnett, Yvonne A., Butler, Laurie T. and Koyanagi, Ai (2022) Physical multimorbidity and wish to die among adults aged ≥65 years: a cross-sectional analysis of the Irish Longitudinal Study on Ageing. Journal of Affective Disorders, 313. pp. 263-269. ISSN 1573-2517

[img]
Preview
Text
Published Version
Available under the following license: Creative Commons Attribution.

Download (484kB) | Preview
[img] Text
Accepted Version
Restricted to Repository staff only
Available under the following license: Creative Commons Attribution.

Download (113kB)
Official URL: https://doi.org/10.1016/j.jad.2022.06.063

Abstract

Background- Physical multimorbidity (i.e., ≥2 chronic conditions) may induce feelings of wish to die (WTD), but there is limited literature on this topic, while the mediators in this association are largely unknown. Thus, the aim of the present study was to investigate this association and its mediators among older Irish adults. Methods- Cross-sectional, nationally representative data from Wave 1 of the Irish Longitudinal Study on Ageing 2009–2011 were analyzed. Information on self-reported lifetime diagnosis of 14 chronic physical conditions were obtained. WTD was defined as answering affirmatively to the question “In the last month, have you felt that you would rather be dead?” Multivariable logistic regression and mediation analyses were conducted. Results- Data on 2941 adults aged ≥65 years [mean (SD) age 73.2 (5.2) years; 45.0 % males] were analyzed. Physical multimorbidity was associated with 3.39 (95%CI 1.58, 7.28) times higher odds for WTD. This association was largely explained by pain (% mediated 28.1 %), followed by depression (19.4 %), sleep problems (18.4 %), perceived stress (13.0 %), loneliness (10.4 %), anxiety (8.1 %), and disability (7.2 %). Conclusions- Multimorbidity was associated with increased odds for WTD among Irish older adults. Addressing the identified mediators may contribute to reducing feelings of WTD among older adults with multimorbidity.

Item Type: Journal Article
Keywords: Wish to die, Multimorbidity, LMICs, Older adults, Chronic conditions, Ireland, Epidemiology
Faculty: Faculty of Science & Engineering
SWORD Depositor: Symplectic User
Depositing User: Symplectic User
Date Deposited: 30 Jun 2022 12:12
Last Modified: 08 Jul 2022 11:40
URI: https://arro.anglia.ac.uk/id/eprint/707703

Actions (login required)

Edit Item Edit Item