Partner loss and suicide among older adults: A nationwide cohort study from Austria

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Abstract

Background

Limited evidence motivated us to examine risk of suicide after partner loss among older adults in Austria.

Methods

All married older adults aged ≥65 years and living in Austria ( N =1,293,557) were followed during 2014-2023. Risk ratios (aRRs) for partner loss were calculated based on adjusted cumulative incidence functions.

Results

A total of 357 suicides occurred among widowed older adults. Incidence rates among widowed and not widowed were 56.9 and 29.4 per 100,000 person-years, respectively. High rates were found among widowed males (170.8/100,000) and widowers aged ≥85 (94.1/100,000). Suicide risk was highest in the first month (aRR, 13.6; 95%-CI: 8.7,22.4) but remained elevated up to five years after partner loss (aRR, 2.5; 95%-CI: 2.1, 2.8).

Conclusion

Recently bereaved older adults had elevated risks of suicide suggesting monitoring and psychosocial support may be beneficial when bereaved.

Keypoints

  • Older adults who had lost a partner had a twofold higher suicide risk than those who had not.

  • Suicide risk peaked during the first month after partner loss but remained elevated for up to five years.

  • Risk of suicide was more pronounced among widowed males than females.

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