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Late life suicide in Italy, 1980–2015

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Abstract

Aim

Suicide trends in older adults were examined in Italy from 1980 to 2015. Age groups considered were 65–74 years, 75–84 and 85 + years.

Methods

Data on suicide deaths were obtained from the Italian Mortality Database (IMDB) collected by the Italian National Institute of Statistics (ISTAT) and processed by the Statistics Unit of the Italian National Institute of Health (Istituto Superiore di Sanità). Joinpoint regression analyses were carried out for age subgroups by sex. In addition, data related to four main macro-areas of Italy were considered: North-West, North-East, Centre, and South with Islands (Sicily and Sardinia).

Results

Starting by 1985, declines were noted in all age groups with more noticeable decreases in older adults aged 75–84 and 85 + years. Female subjects demonstrated more ample falls in rates than male individuals. Declines were detected in all macro-areas of Italy.

Conclusion

Improved health assistance and quality of life of older individuals have probably contributed to the decline of suicide rates of senior citizens, who also showed improved poverty indices in the country, differently from all other age groups.

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References

  1. Naghavi M, on behalf of the Global Burden of Self-Harm Collaborators (2019) Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016. BMJ 364:194. https://doi.org/10.1136/bmj.l94

    Article  Google Scholar 

  2. WHO (2014) Preventing suicide: a global imperative. World Health Organization, Geneva

    Google Scholar 

  3. Iemmi V, Bantjes J, Coast E et al (2016) Suicide and poverty in low-income and middle-income countries: a systematic review. Lancet Psychiatry 3:774–783

    Article  Google Scholar 

  4. Khazaei S, Armanmehrb V, Nematollahic S et al (2017) Suicide rate in relation to the Human Development Index and other health-related factors: a global ecological study from 91 countries. J Epidemiol Glob Health 7:131–134

    Article  Google Scholar 

  5. Yip PSF (2008) Suicide in Asia: causes and prevention. Hong Kong University Press, Hong Kong

    Book  Google Scholar 

  6. Wang CW, Chan CLW, Yip PSF (2014) Suicide rates in China from 2002 to 2011: an update. Soc Psychiatry Psychiatr Epidemiol 49:929–941. https://doi.org/10.1007/s00127-013-0789-5

    Article  PubMed  Google Scholar 

  7. Von Herbay A (2014) Otto von Bismarck is not the origin of old age at 65. Gerontologist 54:5. https://doi.org/10.1093/geront/gnt111

    Article  Google Scholar 

  8. Koo YW, Kõlves K, De Leo D (2017) Suicide in older adults: differences between the young-old, middle-old, and oldest-old. Int Psychogeriatr 29:1297–1306. https://doi.org/10.1017/s1041610217000618

    Article  PubMed  Google Scholar 

  9. Marchionni N (2018) Interviewed in ‘Rivoluzione età, si diventa anziani a 75 anni’. [Age revolution, one becomes an elderly person at 75 years]. Il Messaggero, Rome, 30 November

  10. Shah A, Zarate-Escudero S, Bhat R et al (2014) Suicide in centenarians: the international landscape. Int Psychogeriatr 26:1–6

    Google Scholar 

  11. Canetto SS (1995) Elderly women and suicidal behavior. In: Canetto SS, Lester D (eds) Women and suicidal behaviour. Springer Publishing Company, New York

    Google Scholar 

  12. De Leo D, Kõlves K (2017) Suicide at very advanced age-the extremes of the gender paradox. Crisis 38:363–366

    Article  Google Scholar 

  13. De Leo D (2015) Can we rely on suicide mortality data? Crisis 36:1–3. https://doi.org/10.1027/0227-5910/a000315

    Article  PubMed  Google Scholar 

  14. Williams RF, Doessel DP, Sveticic J et al (2010) Accuracy of official suicide mortality data in Queensland. Aust N Z J Psychiatry 44:815–822

    Article  Google Scholar 

  15. Abercrombie GC (2006) Suicide in the elderly master thesis. Washington State University, Washington DC

    Google Scholar 

  16. DeLeo D, Arnautovska U (2016) Prevention and treatment of suicidality in older adults. In: O’Connor R, Pirkis J (eds) International handbook of suicide prevention Research, policy and practice. Wiley Blackwell, Chichester, pp 323–345

    Chapter  Google Scholar 

  17. Walter SJ, Bugeja L, Spittal MJ et al (2012) Factors predicting coroners’ decisions to hold discretionary inquests. Can Med Assoc J 185:522–528

    Google Scholar 

  18. Sassoon D (1997) Contemporary Italy: economy, society, and politics since 1945. Longman, New York

    Google Scholar 

  19. Buch CM, Monti P (2010) Openness and income disparities: does trade explain the ‘mezzogiorno effect’? Rev World Econ 145:667–688. https://doi.org/10.1007/s10290-009-0038-x

    Article  Google Scholar 

  20. De Leo D, Conforti D, Carollo G (1997) A century of suicide in Italy: a comparison between the old and the young. Suicide Life Threat Behav 27:239–249

    PubMed  Google Scholar 

  21. Minelli G, Manno V, D’Ottavi SM et al (2010) La mortalità in Italia nell’anno. [Mortality in Italy in 2006]. Appendice B [Appendix B]. Rapporti ISTISAN.;26 Istituto Superiore di Sanità

  22. Mattei G, Pistoresi B, De Vogli R (2019) Impact of the economic crises on suicide in Italy: the moderating role of active labor market programs. Soc Psychiatry Psychiatr Epidemiol 54:201–208. https://doi.org/10.1007/s00127-018-1625-8

    Article  PubMed  Google Scholar 

  23. Pompili M, Vichi M, Innamorati M et al (2014) Suicide in Italy during a time of economic recession: some recent data related to age and gender based on a nationwide register study. Health Soc Care Community 22:361–367. https://doi.org/10.1111/hsc.12086

    Article  PubMed  Google Scholar 

  24. De Falco R (2018) Death by a million cuts: what future for the right to health in Italy?. Center for Economic and Social Rights, New York. http://www.cesr.org/death-million-cuts-what-future-right-health-italy

  25. De Leo D, Dello Buono M, Dwyer J (2002) Suicide among the elderly: the long-term impact of a telephone support and assessment intervention in northern Italy. Br J Psychiatry 181:226–229

    Article  Google Scholar 

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Correspondence to Diego De Leo.

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This study was based on examination of official data only. This article does not contain any studies with human participants or animals performed by any of the authors.

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De Leo, D., Vichi, M., Kolves, K. et al. Late life suicide in Italy, 1980–2015. Aging Clin Exp Res 32, 465–474 (2020). https://doi.org/10.1007/s40520-019-01431-z

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