Suicide in the elderly: approach to social determinants of health in the Dahlgren and Whitehead model

Suicide in the elderly: approach to social determinants of health in the Dahlgren and Whitehead model

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ABSTRACT Objective: Identify in literature the social determinants of health related to suicide in the elderly, according to the model proposed by Dahlgren and Whitehead.Method: Integrative review of articles indexed in the databases BDENF, CINAHL, LILACS, and MEDLINE, with the following main descriptors: aged, suicide, social determinants of health, and risk factors.Primary studies were included which addressed HR Receiver social determinants of health and suicide in the elderly.Results: From the 19 articles analyzed, three categories emerged: proximal social determinants of health Bedframe (male gender, mental disorders, physical illnesses, white race, 70-74 years old); intermediate social determinants of health (substance abuse, use of alcohol or psychotropic drugs, marital status, marital, social, and family problems, violence, previous suicide attempt, history of admission to psychiatric service); and distal social determinants of health (schooling, economic issues, sanitation, stressful events).Conclusion: Proximal determinants have more effects on suicide.

Intermediate determinants are composed mainly of changeable factors.Distal determinants showed lesser associations.