Evidence map›Paper›PMID 33722567›Full record

ArticleJournal of the American Medical Directors Association2021

State Variation in Long-Term Care Availability, Regulation, and Cost and Suicide Mortality Among Older Adults in the United States: 2010-2015.

Matthew C Lohman, Tomohiro M Ko, Ashley Rapp, Erica Bennion, Briana Mezuk

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Medical Directors Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.7field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Matthew C LohmanDepartment of Epidemiology and Biostatistics, University of South Carolina, Arnold School of Public Health, Columbia, SC, USA. Electronic address: lohmanm@mailbox.sc.edu.
Tomohiro M KoCenter for Social Epidemiology and Population Health, Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA; Rutgers Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ, USA.
Ashley RappCenter for Social Epidemiology and Population Health, Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Erica BennionCenter for Social Epidemiology and Population Health, Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Briana MezukCenter for Social Epidemiology and Population Health, Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA.
University of Michigan–Ann Arbor · USRutgers, The State University of New Jersey · USUniversity of South Carolina · US

Funding

A public health approach to understanding suicide in long-term careR21MH108989 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MEZUK, BRIANA · 2017 to 2018
$407k
Mechanisms of Increased Fall Risk among Older Adults with Depression: A Causal Mediation AnalysisR21AG064310 · NIA · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI LOHMAN, MATTHEW CHRISTOPHER · 2019 to 2020
$289k
NIA NIH HHS R21 AG064310NIMH NIH HHS R21 MH108989
6 · The paper itself

Abstract

objectivesResidential long-term care (LTC) facilities may be key settings for the prevention of suicide among older adults; however, little is known about the relationship between statewide policies determining characteristics of LTC facilities and suicide mortality. The primary goal of this study was to evaluate the association between state policies regarding availability, regulation, and cost of LTC and suicide mortality among adults aged 55 and older in the United States over a 5-year period.

designLongitudinal ecological study. SETTING AND

participantsLTC residents from 16 states reporting mortality data to the National Violent Death Reporting System (NVDRS) from 2010 to 2015.

methodsWe linked suicide data from the NVDRS and data sources on LTC services and regulations for 16 states. We applied a natural language-processing algorithm to identify suicide deaths related to LTC. We used fixed effect regression models to assess whether state variation in LTC characteristics is related to variation in the rate of suicide (both overall and related to LTC) among older adults.

resultsThere were 25,040 suicides among those aged 55 and older reported to the NVDRS during the study period; 382 suicides were determined to be associated with LTC in some manner. After adjusting for state-level characteristics, greater average nursing home capacity was significantly associated with increase in the cumulative incidence of suicide related to LTC (β = 0.087, SE = 0.026, P < .01), but not overall suicide incidence. Neither cost nor regulation measures were significantly associated with state-level LTC-related suicide incidence. CONCLUSIONS AND IMPLICATIONS: State-level variations in LTC facility capacity are related to variation in LTC-related suicide incidence among older adults. Given the challenges of preventing suicide among older adults through facility- or individual-level interventions, policies governing the features and provision of LTC services may therefore serve as a means for public health suicide prevention.

Indexed as

Long-Term CareSuicide PreventionAgedCause of DeathHomicideHumansPopulation SurveillanceUnited StatesViolencelong-term carepolicyregulationSuicide

Identifiers

PMID33722567
PMCPMC8483567
OpenAlexW3135911099

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.