ArticleSocial psychiatry and psychiatric epidemiology2012
Depressive symptoms and suicide in 56,000 older Chinese: a Hong Kong cohort study.
Article in Social psychiatry and psychiatric epidemiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05995587 (Mindfulness-Based Cognitive Therapy in Managing Depressive Symptoms in Older People), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Mindfulness-Based Cognitive Therapy in Managing Depressive Symptoms in Older People: A Non-Randomised Controlled Trial
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Efficacy of web-based self-management interventions for depressive symptoms: a meta-analysis of randomized controlled trials.BMC psychiatry · 2021Pooled it
- Trial
- Associations between household solid fuel use, kitchen ventilation, and depressive symptoms among older adults in China: a national cross-sectional study.Frontiers in public health · 2026Article
- Association of changes in the number of teeth on psychological distress among community-dwelling older adults in Taiwan.Journal of the American Geriatrics Society · 2025Article
- Childhood socio-economic disadvantages versus adverse care experiences: Mediation and moderation impacts on late-life depressive symptoms.European psychiatry : the journal of the Association of European Psychiatrists · 2024Article
- Effect of computerized cognitive training on mood, cognition, and serum brain-derived neurotrophic factor level in late-life depression - a pilot randomized controlled trial.Frontiers in psychiatry · 2023Article
- "Participation Is Fun and Empowering": A Participatory Approach to Co-Design a Cultural Art Program for Older Chinese at Risk of Depression in Hong Kong.Innovation in aging · 2023Article
- Article
- The Development of a Suicidal Ideation Predictive Model for Community-Dwelling Elderly Aged >55 Years.Neuropsychiatric disease and treatment · 2022Article
- Factors associated with suicide risk among Chinese adults: A prospective cohort study of 0.5 million individuals.PLoS medicine · 2021Article
- Health and social care service utilisation and associated expenditure among community-dwelling older adults with depressive symptoms.Epidemiology and psychiatric sciences · 2021Article
- Mediating effects of depressive symptoms on social support and quality of life among rural older Chinese.Health and quality of life outcomes · 2020Article
- How urban densification shapes walking behaviours in older community dwellers: a cross-sectional analysis of potential pathways of influence.International journal of health geographics · 2020Article
- Association between health behaviors and mood disorders among the elderly: a community-based cohort study.BMC geriatrics · 2019Article
- The prediction model of suicidal thoughts in Korean adults using Decision Tree Analysis: A nationwide cross-sectional study.PloS one · 2019Article
- Observational
- The epidemiology of current depression in Macau, China: towards a plan for mental health action.Social psychiatry and psychiatric epidemiology · 2017Article
- Frequent Exacerbator: The Phenotype at Risk of Depressive Symptoms in Geriatric COPD Patients.Lung · 2016Article
- Depressive Symptoms on the Geriatric Depression Scale and Suicide Deaths in Older Middle-aged Men: A Prospective Cohort Study.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2016Article
- Associations between the neighbourhood environment characteristics and physical activity in older adults with specific types of chronic conditions: the ALECS cross-sectional study.The international journal of behavioral nutrition and physical activity · 2016Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine dose-response associations between depressive symptoms and suicide and modification effects of sex, age and health status in older Chinese.
methodsWe used the Chinese version of the 15-item Geriatric Depression Scale (GDS) to measure depressive symptoms (GDS score ≥ 8) and Cox regression to examine association with suicide mortality in a population-based cohort of 55,946 individuals, aged 65 years or above, enrolled from July 1998 to December 2000 at one of 18 Elderly Health Centres of Hong Kong Department of Health. The cohort was followed up for suicide mortality till 31 March 2009 (mean follow-up 8.7 years).
resultsDepressive symptoms were associated with suicide in men [hazard ratio (HR) 2.03, 95% confidence interval (CI) 0.96-4.29] and women (HR = 2.36, 95% CI 1.31-4.24) after adjusting for age, education, monthly expenditure, smoking, alcohol drinking, physical activity, body mass index, health status, and self-rated health. There was no threshold for GDS score and suicide in either sex. Age, sex and health status did not modify the association.
conclusionsDepressive symptoms predict higher suicide risk in older Chinese in a dose-response pattern. These associations were not attenuated by adjustment for health status, suggesting that depressive symptoms in older people are likely to be an independent causal factor for suicide. The GDS score showed no threshold in predicting suicide risk, suggesting that older people with low GDS scores deserve further attention and those with very high scores need urgent intervention.
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