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Depression, Suicidal Behaviour, and Mental Disorders in Older Aboriginal Australians

Author

Listed:
  • Yu-Tang Shen

    (St Vincent’s Hospital, Darlinghurst, Sydney, NSW 2010, Australia)

  • Kylie Radford

    (Neurosciences Research Australia, Randwick, Sydney, NSW 2010, Australia
    Faculty of Medicine, University of New South Wales, Sydney, NSW 2010, Australia)

  • Gail Daylight

    (Neurosciences Research Australia, Randwick, Sydney, NSW 2010, Australia)

  • Robert Cumming

    (School of Public Health, University of Sydney, Sydney, NSW 2010, Australia)

  • Tony G. A. Broe

    (Neurosciences Research Australia, Randwick, Sydney, NSW 2010, Australia
    Faculty of Medicine, University of New South Wales, Sydney, NSW 2010, Australia)

  • Brian Draper

    (Neurosciences Research Australia, Randwick, Sydney, NSW 2010, Australia
    Faculty of Medicine, University of New South Wales, Sydney, NSW 2010, Australia)

Abstract

Aboriginal Australians experience higher levels of psychological distress, which may develop from the long-term sequelae of social determinants and adversities in early and mid-life. There is little evidence available on the impact of these on the mental health of older Aboriginal Australians. This study enrolled 336 Aboriginal Australian participants over 60 years from 5 major urban and regional areas in NSW, utilizing a structured interview on social determinants, and life-time history of physical and mental conditions; current psychosocial determinants and mental health. Univariate and multivariate analyses were utilized to examine the link between these determinants and current depressive scores and suicidality. There was a high rate of life-time depression (33.3%), current late-life depression (18.1%), and suicidal ideation (11.1%). Risk factors strongly associated with late-life depression included sleep disturbances, a history of suicidal behaviour, suicidal ideation in late-life and living in a regional location. This study supports certain historical and psychosocial factors predicting later depression in old age, and highlights areas to target for prevention strategies.

Suggested Citation

  • Yu-Tang Shen & Kylie Radford & Gail Daylight & Robert Cumming & Tony G. A. Broe & Brian Draper, 2018. "Depression, Suicidal Behaviour, and Mental Disorders in Older Aboriginal Australians," IJERPH, MDPI, vol. 15(3), pages 1-14, March.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:3:p:447-:d:134622
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    References listed on IDEAS

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    1. Mackelprang, J.L. & Bombardier, C.H. & Fann, J.R. & Temkin, N.R. & Barber, J.K. & Dikmen, S.S., 2014. "Rates and predictors of suicidal ideation during the first year after traumatic brain injury," American Journal of Public Health, American Public Health Association, vol. 104(7), pages 100-107.
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    Cited by:

    1. Neha A. Pandeya & Philip J. Schluter & Geoffrey K. Spurling & Claudette Tyson & Noel E. Hayman & Deborah A. Askew, 2021. "Factors Associated with Thoughts of Self-Harm or Suicide among Aboriginal and Torres Strait Islander People Presenting to Urban Primary Care: An Analysis of De-Identified Clinical Data," IJERPH, MDPI, vol. 19(1), pages 1-14, December.
    2. Pedro Henrique Ribeiro Santiago & Gustavo Hermes Soares & Lisa Gaye Smithers & Rachel Roberts & Lisa Jamieson, 2022. "Psychological Network of Stress, Coping and Social Support in an Aboriginal Population," IJERPH, MDPI, vol. 19(22), pages 1-22, November.

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