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Published Online:https://doi.org/10.1027/0227-5910.19.1.35

Hong Kong has one of the highest rates of suicide among the elderly in the world. Most of the existing suicide prevention programs have had very little effect on the elderly, who rarely utilize these programs. This study aims to help in understanding the problem, so that effective prevention can be provided to this high-risk group of suicidal people. Specifically, the study (1) describes the characteristics of the suicidal elderly, (2) investigates the reason(s) why the elderly are in distress and become suicidal, and (3) formulates a policy and service model to reach the elderly high-risk group.This research project involves secondary data analysis. Police records on elderly suicide cases in 1992 were scrutinized to find out the major reason(s) for fatal death in the elderly. Our study points out those districts that are more crowded and have fewer medical and social facilities tended to have higher suicide rates. Most of the deaths occurred at home or nearby, and the suicidal elderly were alone before their death. The majority of elderly suicide victims suffered from chronic diseases. Very few of them, however, were totally dependent: About 40% of the cases had consulted medical practitioners, and 27% had consulted psychiatrists within one month before their deaths. Close to 70% of the cases had indicated to family members or others their suicidal thoughts, and many of them had revealed numerous suicidal indications. Both policy and practice issues are discussed in light of the findings.

References

  • Cattell, H, Jolley, DJOne hundred cases of suicide in elderly people. British Journal of Psychiatry, (1995). 166, 451–457 Crossref MedlineGoogle Scholar

  • Census and Statistics Department1995 population and household statistics. Hong Kong: Census and Statistics Department (1995). Google Scholar

  • Census and Statistics Department1996 by-census summary report. Hong Kong: Census and Statistics Department (1996). Google Scholar

  • Chi, IFamily structure and family support of the old-old in Hong Kong. In International Conference on Family and Community Care (pp. 313-318) (1994). Google Scholar

  • Chi, I, Boey, KWA mental health and social support study of the old-old in Hong Kong. Hong Kong: Department of Social Work and Social Administration, The University of Hong Kong (1994). Google Scholar

  • Chi, ISocial work training needs in clinical practice with the elderly. Hong Kong Journal of Gerontology, (1995). 9(2), 15–19 Google Scholar

  • Chi, I, Yip, PSF, Yu, KKElderly suicides in Hong Kong. Hong Kong: Befrienders International (1997). Google Scholar

  • Chow, N, Chi, IAging in Hong Kong. In Lam SK (Ed) The health of the elderly in Hong Kong (pp. 175-194). Hong Kong: Hong Kong University Press (1997). Google Scholar

  • Devons, CAJSuicide in the elderly: How to identify and treat patients at risk. Geriatrics, (1996). 51(3), 67–72 Google Scholar

  • Diekstra, RFWSuicide and attempted suicide: An international perspective. Acta Psychiatrica Scandinavica, (1992). 354 (suppl), 1–24 Google Scholar

  • Fisher, CSThe urban experience. New York: Harcourt Brace Jovanovich (1984). Google Scholar

  • Hau, KTSuicide in Hong Kong 1971—1990: Age trend, sex ratio and method of suicide. Social Psychiatry and Psychiatric Epidemiology, (1993). 28, 23–27 Crossref MedlineGoogle Scholar

  • Health and Welfare BranchWorking group report on the care for the elderly. Hong Kong: Hong Kong Government, Hong Kong Government Printer (1994). Google Scholar

  • Ho, TP, Hung, SF, Lee, CC, Chung, KF, Chung, SYCharacteristics of youth suicide in Hong Kong. Social Psychiatry and Psychiatric Epidemiology, (1995). 30, 107–112 Crossref MedlineGoogle Scholar

  • Ho, TPChanging patterns of suicide in Hong Kong. Social Psychiatry and Psychiatric Epidemiology, (1996). 31, 235–240 Crossref MedlineGoogle Scholar

  • Hong Kong Census Report. Hong Kong Annual Digest of Statistics. Hong Kong: Hong Kong Census and Statistics Department, Hong Kong Government (1991). Google Scholar

  • Hong Kong Annual Digest of Statistics. Hong Kong: Hong Kong Census and Statistics Department, Hong Kong Government (1992). Google Scholar

  • Kennedy, GJ Ed Suicide and depression in late life: Critical issues in treatment, research, and public policy. New York: Wiley (1996). Google Scholar

  • Lo, WH, Leung, TMSuicide in Hong Kong. Aust N Z J Psychiatry, (1985). 19, 287–292 Crossref MedlineGoogle Scholar

  • Mcintosh, JLSuicide of the elderly. In Bonger B (Ed) Suicide: Guidelines for assessment, management and treatment. New York: Oxford University Press (1992). Google Scholar

  • Mercer, SOSuicide and the elderly: A practitioner's guide to diagnosis and mental health intervention. Rockville, MD: Aspen (1992). Google Scholar

  • Pearson, JL, Conwell, Y Eds Suicide and aging: International perspectives. New York: Springer Publishing Company (1996). Google Scholar

  • Phillips, M, Pearson, VCoping in Chinese communities: The need for a new research agenda. In Bond M (Ed) The psychology of the Chinese people. Hong Kong: Oxford University Press (1995). Google Scholar

  • Stokols, D, Altman, IHandbook of environmental psychology. New York: Wiley (1986). Google Scholar

  • Yap, PMSuicide in Hong Kong. Hong Kong: Hong Kong University Press (1958). CrossrefGoogle Scholar

  • Yip, PA statistical profile of suicides in Hong Kong. Bulletin of Hong Kong Statistical Society, (1996a). 20, 6–13 Google Scholar

  • Yip, PSuicide in Hong Kong, Taiwan and Beijing 1981-1994. British Journal of Psychiatry, (1996b). 169, 495–500 Crossref MedlineGoogle Scholar

  • Yip, PStatistical analysis of suicides and attempted suicide of school children in Hong Kong. Educational Research, (1996c). 11, 32–37 Google Scholar

  • Yip, PSuicide in Hong Kong 1981-1994. Social Psychiatry and Psychiatric Epidemiology, (1997a). 32, 243–250 Crossref MedlineGoogle Scholar

  • Yip, PAge, sex, marital status and suicide - an empirical study between East and West. Submitted to Psychological Report (1997b). Google Scholar