Elderly Suicide and Homicide Correlated with Ageism in European Countries

来源 :国际预防自杀协会(IASP)第26届世界大会 | 被引量 : 0次 | 上传用户:A123456_gam
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  Background: Older adults in most countries kill themselves at higher rates with evident planning and strong intent.There has been an increasing prevalence of homicide victims among elderly in some countries.Elderly are not only faced with physical, psychological and social role changes that challenge their sense of self and also are inundated by youth-oriented culture with ageism.Aims: To find out how aggregated data on ageism are associated with elderly suicide and homicide mortality in Europe.Methods: Elderly suicide and homicide rates in 28 European countries were obtained from WHO European Mortality Database.Attitude data from European Social Survey (ESS) were used.12 questions in module ageism were selected.Correlation Coefficients (Spearmans rho) were calculated.Stereotypes and prejudice: (0=not at all, 4=very likely.) 1.How likely view those 70+ as friendly? 2.How likely view those 70+ as having high moral standards? 3.How likely view those 70+ with envy? 4.How likely view those 70+ with pity? 5.How likely view those 70+ with admiration? Perceived status and threat: 6.How view status of people 70+ (0=extremely low, 10=extremely high.)? 7.Do people 70+ have good effect on countrys customs and way of life (0=extremely bad, 10=extremely good.)? 8.Do people 70+ contribute very little economically (0=very little, 10=a great deal.)? 9.How acceptable if a suitably qualified 70 year old was appointed as their boss (0=completely unacceptable, 10=completely acceptable.)? Contact with older people: 10.How many friends aged 70+ do you have (1=none; 2=1; 3=2-5; 4=6-9; 5=10 or more.)? 11.Are any members of your family aged 70+ (1 means yes, 2 means no.)? 12.How much time in the last month did you spend working with colleagues or volunteers aged 70+ (1=none of the time, 4=almost all the time.)? Results: Perception of elderly as having higher status is inversely correlated with suicide (r =-0.45, p < 0.05) and homicide (r =-0.64, p < 0.001).Recognition of elderly having economic contributions has strong negative correlation with homicide (r =-0.72, p < 0.001) whereas perception of elderly as having high moral standards is negatively correlated with suicide (r =-0.46, p < 0.05).There is inverse correlation between violent deaths and attitudes of friendliness (r =-0.48, p < 0.05 in suicide; r =-0.44, p < 0.05 in homicide) and admiration (r =-0.63, p < 0.001 in suicide; r =-0.42, p < 0.05 in homicide).Conclusion: Ageism impacts negatively on elderly, not merely through inequitable treatment by society but through self-fulfilling prophecy.Societys attitudes of friendliness, admiration towards elderly and perception of elderly having high moral standards have inverse relationships with elderly suicide mortality and homicide mortality alike, but for suicide the correlation is much stronger.Having a family and frequent interactions with friendsand neighbours enhance elderly peoples subjective well-being whereas social exclusion and marginalization from family and community might increase higher risk for them to be suicide and homicide victims.
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