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Int. J. Environ. Res. Public Health 2018, 15(3), 447; https://doi.org/10.3390/ijerph15030447

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

1
St Vincent’s Hospital, Darlinghurst, Sydney, NSW 2010, Australia
2
Neurosciences Research Australia, Randwick, Sydney, NSW 2010, Australia
3
Faculty of Medicine, University of New South Wales, Sydney, NSW 2010, Australia
4
School of Public Health, University of Sydney, Sydney, NSW 2010, Australia
*
Authors to whom correspondence should be addressed.
Received: 22 December 2017 / Revised: 20 February 2018 / Accepted: 28 February 2018 / Published: 4 March 2018
(This article belongs to the Special Issue Indigenous Health and Wellbeing)
View Full-Text   |   Download PDF [967 KB, uploaded 4 March 2018]   |  

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. View Full-Text
Keywords: late-life; depression; aboriginal; childhood; mental health; resilience late-life; depression; aboriginal; childhood; mental health; resilience
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Shen, Y.-T.; Radford, K.; Daylight, G.; Cumming, R.; Broe, T.G.A.; Draper, B. Depression, Suicidal Behaviour, and Mental Disorders in Older Aboriginal Australians. Int. J. Environ. Res. Public Health 2018, 15, 447.

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