{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T17:08:17Z","timestamp":1783098497138,"version":"3.54.6"},"reference-count":46,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003478","name":"Ministry of Health, Labour and Welfare","doi-asserted-by":"publisher","award":["23GB1003"],"award-info":[{"award-number":["23GB1003"]}],"id":[{"id":"10.13039\/501100003478","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychogeriatrics"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>No previous study has fully described older adults who make a first suicide attempt late in life. We retrospectively reviewed adults \u2265\u200960\u2009years admitted to a university psychiatric ward after an attempt to (1) detail their demographic and clinical features; (2) compare admission and discharge diagnoses to measure diagnostic shifts\u2014especially from major depressive disorder (MDD) to dementia; and (3) determine whether certain dementia subtypes, notably dementia with Lewy bodies (DLB), are over\u2010represented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Medical charts of patients transported to the emergency department and hospitalised between April 2015 and March 2024 were screened. After excluding cases with psychiatric disorders before the age of 60\u2009years, 63 late\u2010onset attempters were analysed. Diagnoses were reassessed with DSM\u20105\u2010TR and standard neurodegenerative criteria; discrepancies were resolved by two senior psychiatrists. Mini\u2010Mental State Examination scores, suicide methods and demographics were compared across final diagnoses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At discharge, psychiatric disorders predominated (65.1%), but dementia was present in 31.7%; DLB was the leading subtype (19.0%), followed by Alzheimer's disease (9.5%). Diagnostic revision was common: 17 patients (27.0%) changed diagnosis during hospitalisation, including 15 who shifted from MDD to dementia; 10 of these reclassifications were to DLB and six met criteria for psychiatric\u2010onset DLB. Mini\u2010Mental State Examination scores did not differ between MDD and DLB, although scores were lower in Alzheimer's disease. Suicide methods\u2014most often drug overdose\u2014showed no relation to diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Almost one\u2010third of older first\u2010time attempters harboured unrecognised dementia, most frequently DLB and over one\u2010quarter of initial MDD diagnoses converted to dementia after full assessment. Brief cognitive screens alone missed these cases. Routine post\u2010attempt care for older adults should therefore include informant history, detailed neuropsychological testing and dementia\u2010specific biomarkers to guide targeted prevention and treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/psyg.70063","type":"journal-article","created":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T02:34:57Z","timestamp":1751423697000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Clinical Characteristics of Older Adults With Late\u2010Onset Suicide Attempts: A Hospital\u2010Based Retrospective Study"],"prefix":"10.1111","volume":"25","author":[{"given":"Daichi","family":"Morioka","sequence":"first","affiliation":[{"name":"Department of Psychiatry Yamagata University School of Medicine  Yamagata 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