Archive for the ‘Chronic Illness’ Category

Surprising Hike in Suicide Rates Found Among Baby Boomers

Thursday, September 30th, 2010

Suicide rates among middle-aged people are increasing. The trend seems to be driven by the Baby Boomers entering into middle age, when chronic diseases start to appear.

The study, published in the journal Public Health Reports, shows middle-age suicides to be at odds with the overall U.S. suicide rate, which has been decreasing. According to sociologist Ellen Idler of Emory University, people aged 40-59 have had a longtime moderate suicide rate.

Idler said, “The findings are disturbing because they’re a reversal of a long-standing trend.”

Using data from the National Center for Health Statistics and the U.S. Census Bureau, Idler and colleagues tracked suicide rates from 1975 to 2005. By 2000, most people aged 40-59 were Baby Boomers; the suicide rate started climbing steadily for these middle-age ranges. There was an increase of over 2% per year per man, and more than 3% for women from 1999 to 2005.

Data from 2006 and 2007 indicate that the trend toward more middle-age suicides is continuing, according to Idler. The National Center for Health Statistics lists the suicide rate for 45-54-year-old as 17.7 deaths per 1000,000 people in 2007. For the 25-34-year-old age group, the suicide rate is 13 deaths per 100,000 people and 12.6 deaths per 100,000 in the 65-74 age group.

The post 1999 increase in middle-aged suicide has been particularly dramatic for those who are unmarried and less educated. Suicide rates in men aged 40 to 49 who had some college but no degree increased 16.3% between 2000 and 2005, while the suicide rate in men aged 50-59 went up 29.6%. Women showed a 30% increase in the suicide rate for both ages for women with some college but no degree.

Men and women with a high school degree or less also became more likely to commit suicide. Rates in men with a high school diploma increased 11.7% in the 40-49 age group and 27% in the 50-59 age group.  Women saw their suicide rate increase by 15 and 17%.

Middle-participants with a college degree appeared largely protected from the trend.

The Baby Boomers also experienced higher suicide rates during their adolescent and young adulthood, doubling the rate for those age groups at the time. Their suicide rate then declined slightly and stabilized, before beginning to increase again in midlife.

“You might think higher rates in adolescence would lead to lower rates later because the most suicide prone people would be gone, but that doesn’t appear to be the case,” Idler said.

Studies show that knowing someone who committed suicide is a risk factor for people who later kill themselves.

“The high rates in adolescence could actually be contributing to the high rates in middle age,” said Idler, who also credits substance abuse and the onset of chronic diseases as contributing to Baby Boomer suicides.

“As children, the Baby Boomers were the healthiest cohort that had ever lived, due to the availability of antibiotics and vaccines. Chronic conditions could be a rude awakening for them in midlife than they were for earlier generations.”

UofM study shows hope for chronically ill may hinder happiness

Thursday, November 5th, 2009

Ann Arbor, Mich. — Holding on to hope may not make patients happier as they deal with chronic illness or diseases, according to a new study by University of Michigan Health System researchers.

“Hope is an important part of happiness,” said Peter A. Ubel, M.D., director of the U-M Center for Behavioral and Decision Sciences in Medicine and one of the authors of the happily hopeless study, “but there’s a dark side of hope. Sometimes, if hope makes people put off getting on with their life, it can get in the way of happiness.”
 
The results showed that people do not adapt well to situations if they are believed to be short-term. Ubel and his co-authors – both from U-M and Carnegie Mellon University — studied patients who had new colostomies: their colons were removed and they had to have bowel movements in a pouch that lies outside their body.
 
At the time they received their colostomy, some patients were told that the colostomy was reversible — that they would undergo a second operation to reconnect their bowels after several months. Others were told that the colostomy was permanent and that they would never have normal bowel function again. The second group – the one without hope — reported being happier over the next six months than those with reversible colostomies.
 
“We think they were happier because they got on with their lives. They realized the cards they were dealt, and recognized that they had no choice but to play with those cards,” says Ubel, who is also a professor in the  Department of Internal Medicine. 
“The other group was waiting for their colostomy to be reversed,” he added. “They contrasted their current life with the life they hoped to lead, and didn’t make the best of their current situation.”
 
The research was published in this month’s edition of Health Psychology.
 
Ubel was joined in the research by  Dylan M. Smith, Ph.D., a research specialist at the Ann Arbor VA Health Services Research and Development Center and a U-M psychologist; Aleksandra Jankovic, of U-M’s Center for Behavioral and Decision Sciences in Medicine and George Loewenstein, professor in the Department of Social and Decision Sciences at Carnegie Mellon University.
Loewenstein said these results also may explain why people who lose a spouse to death often recover better emotionally over time than those who get divorced.
 
“If your husband or wife dies, you have closure. There aren’t any lingering possibilities for reconciliation,” Loewenstein said.
Ubel said health professionals find it easier to deliver optimistic news to patients even when they believe the prognosis is unfavorable, justifying it by assuming that holding on to hope was better for the patient.
 
Said Loewenstein: “It may be easier for a doctor to deliver a hopeful message to a patient, even when there isn’t much objective reason for hope, but it may not be best for the patient.”
 
“Hopeful messages may not be in the best interests of the patient and may interfere with the patient’s emotional adaptation,” Ubel says. “I don’t think we should take hope away. But I think we have to be careful about building up people’s hope so much that they put off living their lives.”
 
The research was funded by the National Institute on Child Health and Human Development. Smith was supported by a career development award from the Department of Veterans Affairs.

http://www2.med.umich.edu/prmc/media/newsroom/details.cfm?ID=1359

 

Switch to our mobile site