A revisit on older adults suicides and Severe Acute Respiratory Syndrome (SARS) epidemic in Hong Kong
Identifieur interne : 000B82 ( Istex/Corpus ); précédent : 000B81; suivant : 000B83A revisit on older adults suicides and Severe Acute Respiratory Syndrome (SARS) epidemic in Hong Kong
Auteurs : Y. T. Cheung ; P. H. Chau ; Paul S. F. YipSource :
- International Journal of Geriatric Psychiatry [ 0885-6230 ] ; 2008-12.
English descriptors
- Teeft :
- Adult suicide rate, Adults suicide rate, Adults suicides, April, Chan, Copyright, Geriatr, Geriatr psychiatry, Hong kong, Hong kong geriatrics society, John wiley sons, June, Monthly person year, Older adults, Older adults suicide rate, Older adults suicide rates, Older adults suicides, Other years, Outbreak, Overall severity, Poisson, Poisson regression, Poisson regression model, Psychiatric treatment, Respiratory syndrome, Sars, Sars epidemic, Sars outbreak, Statistics department, Suicide, Suicide deaths, Suicide rate, Usual summer peak, World health organization.
Abstract
Background: The Severe Acute Respiratory Syndrome (SARS) outbreak in 2003 had an enormous impact on Hong Kong society and the suicide rate was also at its historical high, 18.6 per 100,000. The most significant increase was found among the older adults aged 65 or above. Methods: Poisson Regression Models were used to examine impact of the SARS epidemic on older adults suicides in Hong Kong. A complete set of the suicide statistics for the period 1993–2004 from the Coroners' Court were made available for the analysis. Chi‐square test was used to compare the profile of the older adult suicide cases in the pre‐SARS, peri‐SARS and post‐SARS periods. Results: It showed an excess of older adults suicides in April 2003, when compared to the month of April of the other years. A trough, instead of the usual summer peak, was observed in June, suggesting some of the older adults suicides might have been brought forward. On a year basis, the annual older adult's suicide rates in 2003 and 2004 were significantly higher than that in 2002, suggesting the suicide rate did not return to the level before the SARS epidemic. Based on the Coroners' suicide death records, overall severity of illness, level of dependency and worrying of having sickness among the older adult suicides were found to be significantly different in the pre‐SARS, peri‐SARS and post‐SARS periods. Conclusion: The SARS epidemic was associated with an increase in older adults' suicide rate in April 2003 and some suicide deaths in June 2003 might have been brought forward. Moreover, an increase in the annual older adults' suicide rate in 2003 was observed and the rate in 2004 did not return to the level of 2002. Loneliness and disconnectedness among the older adults in the community were likely to be associated with the excess older adults' suicides in 2003. Maintaining and enhancing mental well being of the public over the period of epidemic is as important as curbing the spread of the epidemic. Attention and effort should also be made to enhance the community's ability to manage fear and anxiety, especially in vulnerable groups over the period of epidemic to prevent tragic and unnecessary suicide deaths. Copyright © 2008 John Wiley & Sons, Ltd.
Url:
DOI: 10.1002/gps.2056
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ISTEX:1D485581F60ABDFAA01DA988551F6975114931D7Le document en format XML
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Yip</name><affiliation><mods:affiliation>The University of Hong Kong</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: sfpyip@hku.hk</mods:affiliation></affiliation><affiliation><mods:affiliation>Correspondence address: Centre for Suicide Research and Prevention, The University of Hong Kong, Hong Kong.</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">International Journal of Geriatric Psychiatry</title><title level="j" type="alt">INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY</title><idno type="ISSN">0885-6230</idno><idno type="eISSN">1099-1166</idno><imprint><biblScope unit="vol">23</biblScope><biblScope unit="issue">12</biblScope><biblScope unit="page" from="1231">1231</biblScope><biblScope unit="page" to="1238">1238</biblScope><biblScope unit="page-count">8</biblScope><publisher>John Wiley & Sons, Ltd.</publisher><pubPlace>Chichester, UK</pubPlace><date type="published" when="2008-12">2008-12</date></imprint><idno type="ISSN">0885-6230</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-6230</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Adult suicide rate</term><term>Adults suicide rate</term><term>Adults suicides</term><term>April</term><term>Chan</term><term>Copyright</term><term>Geriatr</term><term>Geriatr psychiatry</term><term>Hong kong</term><term>Hong kong geriatrics society</term><term>John wiley sons</term><term>June</term><term>Monthly person year</term><term>Older adults</term><term>Older adults suicide rate</term><term>Older adults suicide rates</term><term>Older adults suicides</term><term>Other years</term><term>Outbreak</term><term>Overall severity</term><term>Poisson</term><term>Poisson regression</term><term>Poisson regression model</term><term>Psychiatric treatment</term><term>Respiratory syndrome</term><term>Sars</term><term>Sars epidemic</term><term>Sars outbreak</term><term>Statistics department</term><term>Suicide</term><term>Suicide deaths</term><term>Suicide rate</term><term>Usual summer peak</term><term>World health organization</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: The Severe Acute Respiratory Syndrome (SARS) outbreak in 2003 had an enormous impact on Hong Kong society and the suicide rate was also at its historical high, 18.6 per 100,000. The most significant increase was found among the older adults aged 65 or above. Methods: Poisson Regression Models were used to examine impact of the SARS epidemic on older adults suicides in Hong Kong. A complete set of the suicide statistics for the period 1993–2004 from the Coroners' Court were made available for the analysis. Chi‐square test was used to compare the profile of the older adult suicide cases in the pre‐SARS, peri‐SARS and post‐SARS periods. Results: It showed an excess of older adults suicides in April 2003, when compared to the month of April of the other years. A trough, instead of the usual summer peak, was observed in June, suggesting some of the older adults suicides might have been brought forward. On a year basis, the annual older adult's suicide rates in 2003 and 2004 were significantly higher than that in 2002, suggesting the suicide rate did not return to the level before the SARS epidemic. Based on the Coroners' suicide death records, overall severity of illness, level of dependency and worrying of having sickness among the older adult suicides were found to be significantly different in the pre‐SARS, peri‐SARS and post‐SARS periods. Conclusion: The SARS epidemic was associated with an increase in older adults' suicide rate in April 2003 and some suicide deaths in June 2003 might have been brought forward. Moreover, an increase in the annual older adults' suicide rate in 2003 was observed and the rate in 2004 did not return to the level of 2002. Loneliness and disconnectedness among the older adults in the community were likely to be associated with the excess older adults' suicides in 2003. Maintaining and enhancing mental well being of the public over the period of epidemic is as important as curbing the spread of the epidemic. Attention and effort should also be made to enhance the community's ability to manage fear and anxiety, especially in vulnerable groups over the period of epidemic to prevent tragic and unnecessary suicide deaths. 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Yip</name><affiliations><json:string>The University of Hong Kong</json:string><json:string>E-mail: sfpyip@hku.hk</json:string><json:string>Correspondence address: Centre for Suicide Research and Prevention, The University of Hong Kong, Hong Kong.</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>elderly</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>epidemic</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Poisson Regression</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>The Severe Acute Respiratory Syndrome (SARS)</value></json:item></subject><articleId><json:string>GPS2056</json:string></articleId><arkIstex>ark:/67375/WNG-1NZTQB7T-5</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Background: The Severe Acute Respiratory Syndrome (SARS) outbreak in 2003 had an enormous impact on Hong Kong society and the suicide rate was also at its historical high, 18.6 per 100,000. The most significant increase was found among the older adults aged 65 or above. Methods: Poisson Regression Models were used to examine impact of the SARS epidemic on older adults suicides in Hong Kong. A complete set of the suicide statistics for the period 1993–2004 from the Coroners' Court were made available for the analysis. Chi‐square test was used to compare the profile of the older adult suicide cases in the pre‐SARS, peri‐SARS and post‐SARS periods. Results: It showed an excess of older adults suicides in April 2003, when compared to the month of April of the other years. A trough, instead of the usual summer peak, was observed in June, suggesting some of the older adults suicides might have been brought forward. On a year basis, the annual older adult's suicide rates in 2003 and 2004 were significantly higher than that in 2002, suggesting the suicide rate did not return to the level before the SARS epidemic. Based on the Coroners' suicide death records, overall severity of illness, level of dependency and worrying of having sickness among the older adult suicides were found to be significantly different in the pre‐SARS, peri‐SARS and post‐SARS periods. Conclusion: The SARS epidemic was associated with an increase in older adults' suicide rate in April 2003 and some suicide deaths in June 2003 might have been brought forward. Moreover, an increase in the annual older adults' suicide rate in 2003 was observed and the rate in 2004 did not return to the level of 2002. Loneliness and disconnectedness among the older adults in the community were likely to be associated with the excess older adults' suicides in 2003. Maintaining and enhancing mental well being of the public over the period of epidemic is as important as curbing the spread of the epidemic. Attention and effort should also be made to enhance the community's ability to manage fear and anxiety, especially in vulnerable groups over the period of epidemic to prevent tragic and unnecessary suicide deaths. 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Yip</json:string><json:string>Paul</json:string></persName><placeName><json:string>Hong Kong</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Cui et al., 2004</json:string><json:string>Chan, 2004</json:string><json:string>Person et al., 2004</json:string><json:string>Chan et al.</json:string><json:string>Chiu et al., 2003</json:string><json:string>The Hong Kong Geriatrics Society, 2003</json:string><json:string>April 2003</json:string><json:string>Statistics Department, Hong Kong Governement, 2004</json:string><json:string>Liu et al., 2004</json:string><json:string>Chan et al., 2006</json:string><json:string>Dunteman and Ho, 2004</json:string><json:string>Yip, 1997</json:string><json:string>Chung, 2003</json:string><json:string>June 2003</json:string><json:string>Donnelly et al., 2003</json:string><json:string>WHO, 2003, 2003b</json:string><json:string>WHO, 2003a</json:string><json:string>Chan et al. (2006)</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-1NZTQB7T-5</json:string></ark><categories><wos><json:string>1 - social science</json:string><json:string>2 - psychiatry</json:string><json:string>2 - gerontology</json:string><json:string>1 - science</json:string><json:string>2 - geriatrics & gerontology</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - geriatrics</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Psychiatry and Mental health</json:string><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Geriatrics and Gerontology</json:string></scopus><inist><json:string>1 - sciences humaines et sociales</json:string></inist></categories><publicationDate>2008</publicationDate><copyrightDate>2008</copyrightDate><doi><json:string>10.1002/gps.2056</json:string></doi><id>1D485581F60ABDFAA01DA988551F6975114931D7</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/ark:/67375/WNG-1NZTQB7T-5/fulltext.pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/ark:/67375/WNG-1NZTQB7T-5/bundle.zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/ark:/67375/WNG-1NZTQB7T-5/fulltext.tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">A revisit on older adults suicides and Severe Acute Respiratory Syndrome (SARS) epidemic in Hong Kong</title><title level="a" type="short" xml:lang="en">OLDER ADULTS SUICIDES AND SARS EPIDEMIC IN HONG KONG</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>John Wiley & Sons, Ltd.</publisher><pubPlace>Chichester, UK</pubPlace><availability><licence>Copyright © 2008 John Wiley & Sons, Ltd.</licence></availability><date type="published" when="2008-12"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">A revisit on older adults suicides and Severe Acute Respiratory Syndrome (SARS) epidemic in Hong Kong</title><title level="a" type="short" xml:lang="en">OLDER ADULTS SUICIDES AND SARS EPIDEMIC IN HONG KONG</title><author xml:id="author-0000"><persName><forename type="first">Y. T.</forename><surname>Cheung</surname></persName><affiliation><orgName type="institution">The University of Hong Kong</orgName></affiliation></author><author xml:id="author-0001"><persName><forename type="first">P. H.</forename><surname>Chau</surname></persName><affiliation><orgName type="institution">The University of Hong Kong</orgName></affiliation></author><author xml:id="author-0002" role="corresp"><persName><forename type="first">Paul S. F.</forename><surname>Yip</surname></persName><email>sfpyip@hku.hk</email><affiliation><orgName type="institution">The University of Hong Kong</orgName></affiliation></author><idno type="istex">1D485581F60ABDFAA01DA988551F6975114931D7</idno><idno type="ark">ark:/67375/WNG-1NZTQB7T-5</idno><idno type="DOI">10.1002/gps.2056</idno><idno type="unit">GPS2056</idno><idno type="toTypesetVersion">file:GPS.GPS2056.pdf</idno></analytic><monogr><title level="j" type="main">International Journal of Geriatric Psychiatry</title><title level="j" type="alt">INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY</title><idno type="pISSN">0885-6230</idno><idno type="eISSN">1099-1166</idno><idno type="book-DOI">10.1002/(ISSN)1099-1166</idno><idno type="book-part-DOI">10.1002/gps.v23:12</idno><idno type="product">GPS</idno><imprint><biblScope unit="vol">23</biblScope><biblScope unit="issue">12</biblScope><biblScope unit="page" from="1231">1231</biblScope><biblScope unit="page" to="1238">1238</biblScope><biblScope unit="page-count">8</biblScope><publisher>John Wiley & Sons, Ltd.</publisher><pubPlace>Chichester, UK</pubPlace><date type="published" when="2008-12"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><encodingDesc><schemaRef type="ODD" url="https://xml-schema.delivery.istex.fr/tei-istex.odd"></schemaRef><appInfo><application ident="pub2tei" version="1.0.10" when="2019-12-20"><label>pub2TEI-ISTEX</label><desc>A set of style sheets for converting XML documents encoded in various scientific publisher formats into a common TEI format.
<ref target="http://www.tei-c.org/">We use TEI</ref></desc></application></appInfo></encodingDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head><head>Background</head><p>The Severe Acute Respiratory Syndrome (SARS) outbreak in 2003 had an enormous impact on Hong Kong society and the suicide rate was also at its historical high, 18.6 per 100,000. The most significant increase was found among the older adults aged 65 or above.</p><head>Methods</head><p>Poisson Regression Models were used to examine impact of the SARS epidemic on older adults suicides in Hong Kong. A complete set of the suicide statistics for the period 1993–2004 from the Coroners' Court were made available for the analysis. Chi‐square test was used to compare the profile of the older adult suicide cases in the pre‐SARS, peri‐SARS and post‐SARS periods.</p><head>Results</head><p>It showed an excess of older adults suicides in April 2003, when compared to the month of April of the other years. A trough, instead of the usual summer peak, was observed in June, suggesting some of the older adults suicides might have been brought forward. On a year basis, the annual older adult's suicide rates in 2003 and 2004 were significantly higher than that in 2002, suggesting the suicide rate did not return to the level before the SARS epidemic. Based on the Coroners' suicide death records, overall severity of illness, level of dependency and worrying of having sickness among the older adult suicides were found to be significantly different in the pre‐SARS, peri‐SARS and post‐SARS periods.</p><head>Conclusion</head><p>The SARS epidemic was associated with an increase in older adults' suicide rate in April 2003 and some suicide deaths in June 2003 might have been brought forward. Moreover, an increase in the annual older adults' suicide rate in 2003 was observed and the rate in 2004 did not return to the level of 2002. Loneliness and disconnectedness among the older adults in the community were likely to be associated with the excess older adults' suicides in 2003. Maintaining and enhancing mental well being of the public over the period of epidemic is as important as curbing the spread of the epidemic. Attention and effort should also be made to enhance the community's ability to manage fear and anxiety, especially in vulnerable groups over the period of epidemic to prevent tragic and unnecessary suicide deaths. Copyright © 2008 John Wiley & Sons, Ltd.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="kwd1">elderly</term><term xml:id="kwd2">epidemic</term><term xml:id="kwd3">Poisson Regression</term><term xml:id="kwd4">The Severe Acute Respiratory Syndrome (SARS)</term></keywords><keywords rend="articleCategory"><term>Research Article</term></keywords><keywords rend="tocHeading1"><term>Research Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc><revisionDesc><change when="2019-12-20" who="#istex" xml:id="pub2tei">formatting</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/WNG-1NZTQB7T-5/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>John Wiley & Sons, Ltd.</publisherName><publisherLoc>Chichester, UK</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1099-1166</doi><issn type="print">0885-6230</issn><issn type="electronic">1099-1166</issn><idGroup><id type="product" value="GPS"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY">International Journal of Geriatric Psychiatry</title><title type="subtitle">A journal of the psychiatry of late life and allied sciences</title><title type="short">Int. J. Geriat. Psychiatry</title></titleGroup></publicationMeta><publicationMeta level="part" position="120"><doi origin="wiley" registered="yes">10.1002/gps.v23:12</doi><numberingGroup><numbering type="journalVolume" number="23">23</numbering><numbering type="journalIssue">12</numbering></numberingGroup><coverDate startDate="2008-12">December 2008</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="30" status="forIssue"><doi origin="wiley" registered="yes">10.1002/gps.2056</doi><idGroup><id type="unit" value="GPS2056"></id></idGroup><countGroup><count type="pageTotal" number="8"></count></countGroup><titleGroup><title type="articleCategory">Research Article</title><title type="tocHeading1">Research Articles</title></titleGroup><copyright ownership="publisher">Copyright © 2008 John Wiley & Sons, Ltd.</copyright><eventGroup><event type="manuscriptReceived" date="2007-11-09"></event><event type="manuscriptAccepted" date="2008-04-10"></event><event type="publishedOnlineEarlyUnpaginated" date="2008-05-23"></event><event type="firstOnline" date="2008-05-23"></event><event type="publishedOnlineFinalForm" date="2008-11-19"></event><event type="xmlConverted" agent="Converter:JWSART34_TO_WML3G version:2.3.6 mode:FullText source:HeaderRef result:HeaderRef" date="2010-05-18"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-26"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-23"></event></eventGroup><numberingGroup><numbering type="pageFirst">1231</numbering><numbering type="pageLast">1238</numbering></numberingGroup><correspondenceTo>Centre for Suicide Research and Prevention, The University of Hong Kong, Hong Kong.</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:GPS.GPS2056.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="2"></count><count type="tableTotal" number="4"></count><count type="referenceTotal" number="16"></count></countGroup><titleGroup><title type="main" xml:lang="en">A revisit on older adults suicides and Severe Acute Respiratory Syndrome (SARS) epidemic in Hong Kong</title><title type="short" xml:lang="en">OLDER ADULTS SUICIDES AND SARS EPIDEMIC IN HONG KONG</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Y. T.</givenNames><familyName>Cheung</familyName></personName></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af1"><personName><givenNames>P. H.</givenNames><familyName>Chau</familyName></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><givenNames>Paul S. F.</givenNames><familyName>Yip</familyName></personName><contactDetails><email>sfpyip@hku.hk</email></contactDetails></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="HK" type="organization"><unparsedAffiliation>The University of Hong Kong</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">elderly</keyword><keyword xml:id="kwd2">epidemic</keyword><keyword xml:id="kwd3">Poisson Regression</keyword><keyword xml:id="kwd4">The Severe Acute Respiratory Syndrome (SARS)</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><section xml:id="abs1-1"><title type="main">Background</title><p>The Severe Acute Respiratory Syndrome (SARS) outbreak in 2003 had an enormous impact on Hong Kong society and the suicide rate was also at its historical high, 18.6 per 100,000. The most significant increase was found among the older adults aged 65 or above.</p></section><section xml:id="abs1-2"><title type="main">Methods</title><p>Poisson Regression Models were used to examine impact of the SARS epidemic on older adults suicides in Hong Kong. A complete set of the suicide statistics for the period 1993–2004 from the Coroners' Court were made available for the analysis. Chi‐square test was used to compare the profile of the older adult suicide cases in the pre‐SARS, peri‐SARS and post‐SARS periods.</p></section><section xml:id="abs1-3"><title type="main">Results</title><p>It showed an excess of older adults suicides in April 2003, when compared to the month of April of the other years. A trough, instead of the usual summer peak, was observed in June, suggesting some of the older adults suicides might have been brought forward. On a year basis, the annual older adult's suicide rates in 2003 and 2004 were significantly higher than that in 2002, suggesting the suicide rate did not return to the level before the SARS epidemic. Based on the Coroners' suicide death records, overall severity of illness, level of dependency and worrying of having sickness among the older adult suicides were found to be significantly different in the pre‐SARS, peri‐SARS and post‐SARS periods.</p></section><section xml:id="abs1-4"><title type="main">Conclusion</title><p>The SARS epidemic was associated with an increase in older adults' suicide rate in April 2003 and some suicide deaths in June 2003 might have been brought forward. Moreover, an increase in the annual older adults' suicide rate in 2003 was observed and the rate in 2004 did not return to the level of 2002. Loneliness and disconnectedness among the older adults in the community were likely to be associated with the excess older adults' suicides in 2003. Maintaining and enhancing mental well being of the public over the period of epidemic is as important as curbing the spread of the epidemic. Attention and effort should also be made to enhance the community's ability to manage fear and anxiety, especially in vulnerable groups over the period of epidemic to prevent tragic and unnecessary suicide deaths. Copyright © 2008 John Wiley & Sons, Ltd.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>A revisit on older adults suicides and Severe Acute Respiratory Syndrome (SARS) epidemic in Hong Kong</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>OLDER ADULTS SUICIDES AND SARS EPIDEMIC IN HONG KONG</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>A revisit on older adults suicides and Severe Acute Respiratory Syndrome (SARS) epidemic in Hong Kong</title></titleInfo><name type="personal"><namePart type="given">Y. T.</namePart><namePart type="family">Cheung</namePart><affiliation>The University of Hong Kong</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">P. H.</namePart><namePart type="family">Chau</namePart><affiliation>The University of Hong Kong</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Paul S. F.</namePart><namePart type="family">Yip</namePart><affiliation>The University of Hong Kong</affiliation><affiliation>E-mail: sfpyip@hku.hk</affiliation><affiliation>Correspondence address: Centre for Suicide Research and Prevention, The University of Hong Kong, Hong Kong.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>John Wiley & Sons, Ltd.</publisher><place><placeTerm type="text">Chichester, UK</placeTerm></place><dateIssued encoding="w3cdtf">2008-12</dateIssued><dateCaptured encoding="w3cdtf">2007-11-09</dateCaptured><dateValid encoding="w3cdtf">2008-04-10</dateValid><copyrightDate encoding="w3cdtf">2008</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">2</extent><extent unit="tables">4</extent><extent unit="references">16</extent></physicalDescription><abstract lang="en">Background: The Severe Acute Respiratory Syndrome (SARS) outbreak in 2003 had an enormous impact on Hong Kong society and the suicide rate was also at its historical high, 18.6 per 100,000. The most significant increase was found among the older adults aged 65 or above. Methods: Poisson Regression Models were used to examine impact of the SARS epidemic on older adults suicides in Hong Kong. A complete set of the suicide statistics for the period 1993–2004 from the Coroners' Court were made available for the analysis. Chi‐square test was used to compare the profile of the older adult suicide cases in the pre‐SARS, peri‐SARS and post‐SARS periods. Results: It showed an excess of older adults suicides in April 2003, when compared to the month of April of the other years. A trough, instead of the usual summer peak, was observed in June, suggesting some of the older adults suicides might have been brought forward. On a year basis, the annual older adult's suicide rates in 2003 and 2004 were significantly higher than that in 2002, suggesting the suicide rate did not return to the level before the SARS epidemic. Based on the Coroners' suicide death records, overall severity of illness, level of dependency and worrying of having sickness among the older adult suicides were found to be significantly different in the pre‐SARS, peri‐SARS and post‐SARS periods. Conclusion: The SARS epidemic was associated with an increase in older adults' suicide rate in April 2003 and some suicide deaths in June 2003 might have been brought forward. Moreover, an increase in the annual older adults' suicide rate in 2003 was observed and the rate in 2004 did not return to the level of 2002. Loneliness and disconnectedness among the older adults in the community were likely to be associated with the excess older adults' suicides in 2003. Maintaining and enhancing mental well being of the public over the period of epidemic is as important as curbing the spread of the epidemic. 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