{"id":"https://openalex.org/W7171995263","doi":"https://doi.org/10.1192/j.eurpsy.2026.11589","title":"Social Isolation and Suicidal Risk Among Elderly Psychiatric Outpatients","display_name":"Social Isolation and Suicidal Risk Among Elderly Psychiatric Outpatients","publication_year":2026,"publication_date":"2026-06-01","ids":{"openalex":"https://openalex.org/W7171995263","doi":"https://doi.org/10.1192/j.eurpsy.2026.11589"},"language":"en","primary_location":{"id":"doi:10.1192/j.eurpsy.2026.11589","doi":"https://doi.org/10.1192/j.eurpsy.2026.11589","is_oa":true,"landing_page_url":"https://doi.org/10.1192/j.eurpsy.2026.11589","pdf_url":"https://www.cambridge.org/core/services/aop-cambridge-core/content/view/AF9AFA56FBB32282F6D825EDE8710CE8/S0924933826115892a.pdf/div-class-title-social-isolation-and-suicidal-risk-among-elderly-psychiatric-outpatients-div.pdf","source":{"id":"https://openalex.org/S87202501","display_name":"European Psychiatry","issn_l":"0924-9338","issn":["0924-9338","1778-3585"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-2","ki-jl-2","medline","norway-2","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311721","host_organization_name":"Cambridge University Press","host_organization_lineage":["https://openalex.org/P4310311721","https://openalex.org/P4310311702"],"host_organization_lineage_names":["Cambridge University Press","University of Cambridge"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Psychiatry","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.cambridge.org/core/services/aop-cambridge-core/content/view/AF9AFA56FBB32282F6D825EDE8710CE8/S0924933826115892a.pdf/div-class-title-social-isolation-and-suicidal-risk-among-elderly-psychiatric-outpatients-div.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5085084117","display_name":"Najeh Smaoui","orcid":"https://orcid.org/0000-0002-0111-7150","observed_orcids":["https://orcid.org/0000-0002-0111-7150"]},"institutions":[{"id":"https://openalex.org/I4210110673","display_name":"Hopital Universitaire Hedi Chaker","ror":"https://ror.org/01vqqz948","country_code":"TN","type":"healthcare","lineage":["https://openalex.org/I4210110673"]}],"countries":["TN"],"is_corresponding":false,"raw_author_name":"N. Smaoui","raw_affiliation_strings":["Psychiatry Department \u201cC\u201d, Hedi Chaker Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Psychiatry Department \u201cC\u201d, Hedi Chaker Hospital","institution_ids":["https://openalex.org/I4210110673"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5106757349","display_name":"M. Barkallah","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210110673","display_name":"Hopital Universitaire Hedi Chaker","ror":"https://ror.org/01vqqz948","country_code":"TN","type":"healthcare","lineage":["https://openalex.org/I4210110673"]}],"countries":["TN"],"is_corresponding":true,"raw_author_name":"M. Barkallah","raw_affiliation_strings":["Psychiatry Department \u201cC\u201d, Hedi Chaker Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Psychiatry Department \u201cC\u201d, Hedi Chaker Hospital","institution_ids":["https://openalex.org/I4210110673"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003182341","display_name":"Sana Omri","orcid":"https://orcid.org/0000-0002-3426-7104","observed_orcids":["https://orcid.org/0000-0002-3426-7104"]},"institutions":[{"id":"https://openalex.org/I4210110673","display_name":"Hopital Universitaire Hedi Chaker","ror":"https://ror.org/01vqqz948","country_code":"TN","type":"healthcare","lineage":["https://openalex.org/I4210110673"]}],"countries":["TN"],"is_corresponding":false,"raw_author_name":"S. Omri","raw_affiliation_strings":["Psychiatry Department \u201cC\u201d, Hedi Chaker Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Psychiatry Department \u201cC\u201d, Hedi Chaker Hospital","institution_ids":["https://openalex.org/I4210110673"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111326384","display_name":"Imen Gassara","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210110673","display_name":"Hopital Universitaire Hedi Chaker","ror":"https://ror.org/01vqqz948","country_code":"TN","type":"healthcare","lineage":["https://openalex.org/I4210110673"]}],"countries":["TN"],"is_corresponding":false,"raw_author_name":"I. Gassara","raw_affiliation_strings":["Psychiatry Department \u201cC\u201d, Hedi Chaker Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Psychiatry Department \u201cC\u201d, Hedi Chaker Hospital","institution_ids":["https://openalex.org/I4210110673"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064628556","display_name":"Rim Cherif Feki","orcid":"https://orcid.org/0000-0002-9564-548X","observed_orcids":["https://orcid.org/0000-0002-9564-548X"]},"institutions":[{"id":"https://openalex.org/I4210110673","display_name":"Hopital Universitaire Hedi Chaker","ror":"https://ror.org/01vqqz948","country_code":"TN","type":"healthcare","lineage":["https://openalex.org/I4210110673"]}],"countries":["TN"],"is_corresponding":false,"raw_author_name":"R. Feki","raw_affiliation_strings":["Psychiatry Department \u201cC\u201d, Hedi Chaker Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Psychiatry Department \u201cC\u201d, Hedi Chaker Hospital","institution_ids":["https://openalex.org/I4210110673"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5144172031","display_name":"N. Charfi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210110673","display_name":"Hopital Universitaire Hedi Chaker","ror":"https://ror.org/01vqqz948","country_code":"TN","type":"healthcare","lineage":["https://openalex.org/I4210110673"]}],"countries":["TN"],"is_corresponding":false,"raw_author_name":"N. Charfi","raw_affiliation_strings":["Psychiatry Department \u201cC\u201d, Hedi Chaker Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Psychiatry Department \u201cC\u201d, Hedi Chaker Hospital","institution_ids":["https://openalex.org/I4210110673"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5144122680","display_name":"M. Maalej","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210110673","display_name":"Hopital Universitaire Hedi Chaker","ror":"https://ror.org/01vqqz948","country_code":"TN","type":"healthcare","lineage":["https://openalex.org/I4210110673"]}],"countries":["TN"],"is_corresponding":false,"raw_author_name":"M. Maalej","raw_affiliation_strings":["Psychiatry Department \u201cC\u201d, Hedi Chaker Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Psychiatry Department \u201cC\u201d, Hedi Chaker Hospital","institution_ids":["https://openalex.org/I4210110673"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5066364918","display_name":"L. Zouari","orcid":"https://orcid.org/0000-0001-6709-533X","observed_orcids":["https://orcid.org/0000-0001-6709-533X"]},"institutions":[{"id":"https://openalex.org/I4210110673","display_name":"Hopital Universitaire Hedi Chaker","ror":"https://ror.org/01vqqz948","country_code":"TN","type":"healthcare","lineage":["https://openalex.org/I4210110673"]}],"countries":["TN"],"is_corresponding":false,"raw_author_name":"L. Zouari","raw_affiliation_strings":["Psychiatry Department \u201cC\u201d, Hedi Chaker Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Psychiatry Department \u201cC\u201d, Hedi Chaker Hospital","institution_ids":["https://openalex.org/I4210110673"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5106757349"],"corresponding_institution_ids":["https://openalex.org/I4210110673"],"apc_list":{"value":3300,"currency":"USD","value_usd":3300},"apc_paid":{"value":3300,"currency":"USD","value_usd":3300},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"69","issue":"S1","first_page":"S757","last_page":"S758"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10376","display_name":"Suicide and Self-Harm Studies","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10376","display_name":"Suicide and Self-Harm Studies","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.001500000013038516,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12811","display_name":"Aging, Health, and Disability","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/social-isolation","display_name":"social isolation","score":0.9169999957084656},{"id":"https://openalex.org/keywords/loneliness","display_name":"loneliness","score":0.9670000076293945},{"id":"https://openalex.org/keywords/suicide-risk","display_name":"suicide risk","score":0.9779999852180481},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.7509999871253967},{"id":"https://openalex.org/keywords/suicidal-ideation","display_name":"suicidal ideation","score":0.9639999866485596},{"id":"https://openalex.org/keywords/close-relationships","display_name":"close relationships","score":0.781000018119812},{"id":"https://openalex.org/keywords/suicide-risk-screening","display_name":"suicide risk screening","score":0.5989999771118164}],"concepts":[{"id":"https://openalex.org/C2779998236","wikidata":"https://www.wikidata.org/wiki/Q223270","display_name":"Loneliness","level":2,"score":0.974399983882904},{"id":"https://openalex.org/C2776893239","wikidata":"https://www.wikidata.org/wiki/Q1778765","display_name":"Social isolation","level":2,"score":0.763700008392334},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.5863000154495239},{"id":"https://openalex.org/C122980154","wikidata":"https://www.wikidata.org/wiki/Q205555","display_name":"Feeling","level":2,"score":0.5703999996185303},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5613999962806702},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.51419997215271},{"id":"https://openalex.org/C2779522443","wikidata":"https://www.wikidata.org/wiki/Q17118151","display_name":"UCLA Loneliness Scale","level":3,"score":0.43059998750686646},{"id":"https://openalex.org/C526869908","wikidata":"https://www.wikidata.org/wiki/Q3298118","display_name":"Suicide prevention","level":3,"score":0.39250001311302185},{"id":"https://openalex.org/C2776641880","wikidata":"https://www.wikidata.org/wiki/Q944142","display_name":"Suicidal ideation","level":4,"score":0.37599998712539673},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.3562000095844269},{"id":"https://openalex.org/C3020110884","wikidata":"https://www.wikidata.org/wiki/Q695416","display_name":"Outpatient clinic","level":2,"score":0.3499999940395355},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3481999933719635},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.3467000126838684},{"id":"https://openalex.org/C91034043","wikidata":"https://www.wikidata.org/wiki/Q223642","display_name":"Interpersonal relationship","level":2,"score":0.3425999879837036},{"id":"https://openalex.org/C2775941552","wikidata":"https://www.wikidata.org/wiki/Q25212305","display_name":"Isolation (microbiology)","level":2,"score":0.3407999873161316},{"id":"https://openalex.org/C2776476923","wikidata":"https://www.wikidata.org/wiki/Q7725","display_name":"Evening","level":2,"score":0.33309999108314514},{"id":"https://openalex.org/C190385971","wikidata":"https://www.wikidata.org/wiki/Q373494","display_name":"Injury prevention","level":3,"score":0.3138999938964844},{"id":"https://openalex.org/C2779508988","wikidata":"https://www.wikidata.org/wiki/Q24037396","display_name":"Suicide Risk","level":4,"score":0.3109999895095825},{"id":"https://openalex.org/C2778755073","wikidata":"https://www.wikidata.org/wiki/Q10858537","display_name":"Scale (ratio)","level":2,"score":0.30790001153945923},{"id":"https://openalex.org/C164850336","wikidata":"https://www.wikidata.org/wiki/Q3685487","display_name":"Interpersonal communication","level":2,"score":0.30489999055862427},{"id":"https://openalex.org/C187155963","wikidata":"https://www.wikidata.org/wiki/Q629029","display_name":"Occupational safety and health","level":2,"score":0.304500013589859},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.3043000102043152},{"id":"https://openalex.org/C2780842732","wikidata":"https://www.wikidata.org/wiki/Q3518184","display_name":"Suicide attempt","level":4,"score":0.28630000352859497},{"id":"https://openalex.org/C53001019","wikidata":"https://www.wikidata.org/wiki/Q1920219","display_name":"Social issues","level":2,"score":0.2583000063896179},{"id":"https://openalex.org/C2778701351","wikidata":"https://www.wikidata.org/wiki/Q4878601","display_name":"Beck Hopelessness Scale","level":4,"score":0.25429999828338623},{"id":"https://openalex.org/C166735990","wikidata":"https://www.wikidata.org/wiki/Q1750812","display_name":"Human factors and ergonomics","level":3,"score":0.2540000081062317}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1192/j.eurpsy.2026.11589","doi":"https://doi.org/10.1192/j.eurpsy.2026.11589","is_oa":true,"landing_page_url":"https://doi.org/10.1192/j.eurpsy.2026.11589","pdf_url":"https://www.cambridge.org/core/services/aop-cambridge-core/content/view/AF9AFA56FBB32282F6D825EDE8710CE8/S0924933826115892a.pdf/div-class-title-social-isolation-and-suicidal-risk-among-elderly-psychiatric-outpatients-div.pdf","source":{"id":"https://openalex.org/S87202501","display_name":"European Psychiatry","issn_l":"0924-9338","issn":["0924-9338","1778-3585"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-2","ki-jl-2","medline","norway-2","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311721","host_organization_name":"Cambridge University Press","host_organization_lineage":["https://openalex.org/P4310311721","https://openalex.org/P4310311702"],"host_organization_lineage_names":["Cambridge University Press","University of Cambridge"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Psychiatry","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13445390","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13445390/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Eur Psychiatry","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1192/j.eurpsy.2026.11589","doi":"https://doi.org/10.1192/j.eurpsy.2026.11589","is_oa":true,"landing_page_url":"https://doi.org/10.1192/j.eurpsy.2026.11589","pdf_url":"https://www.cambridge.org/core/services/aop-cambridge-core/content/view/AF9AFA56FBB32282F6D825EDE8710CE8/S0924933826115892a.pdf/div-class-title-social-isolation-and-suicidal-risk-among-elderly-psychiatric-outpatients-div.pdf","source":{"id":"https://openalex.org/S87202501","display_name":"European Psychiatry","issn_l":"0924-9338","issn":["0924-9338","1778-3585"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-2","ki-jl-2","medline","norway-2","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311721","host_organization_name":"Cambridge University Press","host_organization_lineage":["https://openalex.org/P4310311721","https://openalex.org/P4310311702"],"host_organization_lineage_names":["Cambridge University Press","University of Cambridge"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Psychiatry","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7171995263.pdf","grobid_xml":"https://content.openalex.org/works/W7171995263.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2898817912","https://openalex.org/W4387647981","https://openalex.org/W4390712683","https://openalex.org/W7024361617","https://openalex.org/W2028731671","https://openalex.org/W4406849451","https://openalex.org/W7165480040","https://openalex.org/W2899893803","https://openalex.org/W2383933121","https://openalex.org/W2910785580"],"abstract_inverted_index":{"Introduction":[0],"Social":[1,71,77],"isolation":[2,67,267,312],"and":[3,28,49,65,84,99,105,154,170,271,289,300,313],"feelings":[4],"of":[5,59,94,125,131,150,162,192,219,232,274,298,310,321],"loneliness":[6,27,126,158,251],"are":[7],"recognized":[8],"as":[9,196],"major":[10],"contributors":[11],"to":[12,21,200,212,238],"suicidal":[13,29,233,244,294,302],"behavior":[14],"among":[15,44,285],"the":[16,23,61,70,91,108,151,163,167,179,201,213,226,258,272,305],"elderly.":[17],"Objectives":[18],"We":[19],"aimed":[20],"explore":[22],"relationship":[24],"between":[25],"perceived":[26],"risk":[30,245],"in":[31,35,103,166,316],"older":[32,50],"adults":[33],"followed":[34],"outpatient":[36],"psychiatry.":[37],"Methods":[38],"A":[39,122,241],"cross-sectional":[40],"study":[41],"was":[42,127,183,246,282],"conducted":[43],"patients":[45,115,220],"aged":[46],"65":[47],"years":[48],"attending":[51],"psychiatric":[52,287],"consultations.":[53],"Data":[54],"collection":[55],"included":[56,117],"self-reported":[57],"measures":[58],"loneliness,":[60],"3-point":[62,180,259],"Loneliness":[63,181,260,281],"Scale":[64,182,261],"social":[66,82,189,266,311],"assessed":[68],"through":[69],"Isolation":[72],"Scale,":[73,217],"which":[74],"comprises":[75],"a":[76,85],"Link":[78],"Index":[79,88],"(ILS)":[80],"quantifying":[81],"connections":[83],"Close":[86],"Relationship":[87],"(IRE)":[89],"evaluating":[90],"qualitative":[92],"dimension":[93],"interpersonal":[95],"bonds.":[96],"Suicidal":[97],"history":[98],"characteristics":[100],"were":[101,116,194],"explored":[102],"detail":[104],"complemented":[106],"by":[107],"Ducher":[109,214],"Suicide":[110,215],"Risk":[111,216],"Scale.":[112],"Results":[113],"Seventy-three":[114],"(male/female":[118],"ratio":[119],"=":[120,186],"1.08).":[121],"high":[123],"prevalence":[124],"observed,":[128],"with":[129,248,293],"72%":[130],"participants":[132,193],"reporting":[133],"feeling":[134],"lonely":[135,147],"\u201coften\u201d":[136],"or":[137],"\u201csometimes.\u201d":[138],"More":[139],"than":[140],"half":[141],"(51%)":[142],"stated":[143],"they":[144],"had":[145],"felt":[146],"during":[148,159,171],"most":[149],"past":[152],"week,":[153],"58%":[155],"reported":[156,206],"intensified":[157],"specific":[160],"periods":[161],"year,":[164],"particularly":[165],"evening":[168],"(44%)":[169],"summer":[172],"holidays":[173],"(23%).":[174],"The":[175,296],"median":[176],"score":[177],"on":[178,257],"5":[184],"(IQR":[185],"3\u20137).":[187],"Regarding":[188],"isolation,":[190],"33%":[191],"classified":[195],"socially":[197],"isolated":[198],"according":[199],"ILS,":[202],"while":[203],"only":[204],"34%":[205],"having":[207],"close":[208,275],"relationships":[209,276],"(IRE).":[210],"According":[211],"40%":[218],"expressed":[221],"no":[222],"death-related":[223],"thoughts,":[224],"whereas":[225],"remaining":[227],"60%":[228],"showed":[229],"varying":[230],"degrees":[231],"ideation,":[234],"from":[235],"transient":[236],"thoughts":[237],"active":[239],"intent.":[240],"significantly":[242],"higher":[243,255],"correlated":[247],"greater":[249],"subjective":[250],"(p":[252,262,268,277],"<":[253,263,269,278],"0.0001),":[254,264,270],"scores":[256],"increased":[265],"absence":[273],"0.0001).":[279],"Conclusions":[280],"highly":[283],"prevalent":[284],"elderly":[286],"outpatients":[288],"appeared":[290],"closely":[291],"intertwined":[292],"risk.":[295],"predominance":[297],"impulsive":[299],"reactive":[301],"behaviors":[303],"underscores":[304],"need":[306],"for":[307],"systematic":[308],"screening":[309],"emotional":[314],"distress":[315],"this":[317],"vulnerable":[318],"population.":[319],"Disclosure":[320],"Interest":[322],"None":[323],"Declared":[324]},"counts_by_year":[],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2026-08-01T00:00:00"}
