ArticleBMC psychiatry2021
Physical multimorbidity and lifetime suicidal ideation and plans among rural older adults: the mediating role of psychological distress.
Article in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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14 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Epidemiological features of suicidal ideation among the elderly in China based meta-analysis.BMC psychiatry · 2024Pooled it
- Sedentary behavior and psychological distress among Chinese rural older adults: the role of spouse loss and physical exercise.BMC geriatrics · 2025Article
- Psychological distress and suicidal ideation in patients with depressive disorders: the chain mediation of psychological resilience and neuroticism.International journal of nursing studies advances · 2025Article
- Construction and validation of a predictive model for suicidal ideation in non-psychiatric elderly inpatients.BMC geriatrics · 2025Article
- Association between physical multimorbidity in middle adulthood and mortality: findings from two large cohort studies in Japan.BMC public health · 2025Article
- The relationship between chronic pain and health-related quality of life: the mediating roles of frailty and depression in chronic disease patients.Frontiers in public health · 2025Article
- The Chain Mediating Role of Hope and Posttraumatic Growth Between Social Support and Psychological Distress Among Lung Cancer Patients.Cancer management and research · 2025Article
- The mediating effect of sleep quality on solid cooking fuel use and psychological distress among rural older adults: evidence from Shandong, China.BMC geriatrics · 2024Article
- The lived experience of family members of older people who have died by suicide in rural China.Nursing open · 2023Article
- Physical multimorbidity, suicidal ideation, and suicide attempts among adults aged ≥50 years from low- and middle-income countries.International journal of geriatric psychiatry · 2023Article
- Associations between Suicidal Ideation and Relatives' Physical and Mental Health among Community Residents: Differences between Family Members and Lineal Consanguinity.International journal of environmental research and public health · 2022Article
- Article
- The association between sleep quality and psychological distress among older Chinese adults: a moderated mediation model.BMC geriatrics · 2022Article
- Chronic Conditions, Persistent Pain, and Psychological Distress Among the Rural Older Adults: A Path Analysis in Shandong, China.Frontiers in medicine · 2021Article
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9 authors at 1 institution in 1 country.
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Abstract
backgroundPrevious studies have revealed that single physical chronic condition was associated with suicidal ideation/plans, but few studies have examined the relationship between multimorbidity and suicidal ideation/plans, and no studies have explored the underlying potential mechanism on this relationship in China. This study aimed to explore association between physical multimorbidity and suicidal ideation as well as plans, and further examine the mediating role of psychological distress (PD) on this relationship.
methodsThis study was based on the data from a survey about the health service of rural elderly household in Shandong, China. A total of 3242 adults aged 60 years and older were included in this study. PD was measured by Kessler Psychological Distress Scale (K10). Ordinal and binary logistic regression analyses were employed to explore the association between physical multimorbidity, PD and suicide ideation/plans. Bootstrapping analysis was further used to examine the mediation effect of PD on the association of multimorbidity and suicidal ideations/plans.
resultsThe prevalence of multimorbidity, lifetime suicidal ideation, and suicidal plan in rural older adults was 35.2, 10.6 and 2.2%, respectively. Older adults living in rural areas with two or more chronic physical conditions experienced significantly higher risk of suicidal ideation and suicidal plans. The association between multimorbidity and suicidal ideations/plans was partially mediated by PD, of which, the mediating effect of PD accounted for 31.7 and 25.5% of the total effect, respectively.
conclusionThis study demonstrated the associations between physical multimorbidity and suicidal ideation/plans, and the mediating role of PD on this relationship among Chinese rural elderly. Healthcare providers in rural community should provide regular surveillance for the mental health status among the rural elderly with multimorbidity, and carry out various effective intervention measures to improve the mental health status, so as to reduce the risk of suicide.
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