%0 Journal Article
%T Epidemiology and temporal trend of suicide mortality in the elderly in Jiading, Shanghai, 2003每2013: a descriptive, observational study
%A Chenghua Zhu
%A Guozheng Shi
%A Hongjie Yu
%A Hui Peng
%A Na Wang
%A Qingwu Jiang
%A Yaqing Jin
%A Yiying Zhang
%A Yue Chen
%A Yueqin Shao
%A Zheng Chen
%J -
%D 2016
%R 10.1136/bmjopen-2016-012227
%X Objectives To investigate and describe the epidemiological characteristics of suicide in the elderly in Jiading, Shanghai, for the period 2003每2013.

Design Retrospective, observational, epidemiological study using routinely collected data.

Setting Jiading District, Shanghai.

Methods Suicide data were retrieved from the Shanghai Vital Registry database for the period 2003每2013. Crude and age-standardised mortality rates were calculated for various groups according to sex and age. Joinpoint regression was performed to estimate the percentage change (PC) and annual percentage change (APC) for suicide mortality.

Result A total of 956 deaths due to suicide occurred among people aged ≡65ˋyears during the study period, accounting for 76.7% (956/1247) of all suicide decedents. Among the 956 people with suicide deaths, 88.7% (848/956) had a history of a psychiatric condition. The age-standardised mortality rates for suicide without and with a psychotic history in people aged ≡65ˋyears were much higher than those for people aged <65ˋyears in both genders. Suicide mortality in the elderly showed a declining trend, with a PC of ˋ51.5% for men and ˋ47.5% for women. The APC was ˋ29.1 in 2003每2005, 4.6 in 2005每2008 and ˋ9.7 in 2008每2013 for aged men, and ˋ12.2 in 2003每2006 and ˋ5.2 in 2006每2013 for aged women, respectively. Women living in Jiading had a higher risk of suicide death than men, especially among the elderly. The mortality rate for suicide increased with age in the elderly, and was more marked for those with a psychiatric history than for those without.

Conclusions Suicide mortality declined in Jiading during the study period 2003每2013 overall, but remained high in the elderly, especially those with a psychiatric history
%U https://bmjopen.bmj.com/content/6/8/e012227