{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T14:33:28Z","timestamp":1773326008726,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychogeriatrics"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Suicidal ideation and attempts among people who reach old age are a priority public health issue, yet are understudied in Latin America. Geriatric syndromes such as depression and sarcopenia, along with psychosocial adversities and chronic diseases, may shape suicide risk over the life course.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To estimate the prevalence of lifetime suicidal ideation and attempts among older Mexican adults and to identify their association with depression, sarcopenia, sexual trauma, and chronic cardiometabolic disease using national data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a secondary analysis of the 2023 ENSANUT Continua survey database. Lifetime suicidal ideation and attempts were assessed through structured questionnaires. Variables included depressive symptoms (CES\u2010D\u20107), risk of sarcopenia (SARC\u2010F), history of sexual abuse, and a composite count of chronic cardiometabolic and other diseases. Logistic regression models were applied to estimate adjusted odds ratios (AOR) with 95% confidence intervals. Models for suicidal ideation and suicide attempts were adjusted for sociodemographic, clinical and psychosocial covariates, including depressive symptoms, multimorbidity, sarcopenia risk and history of sexual abuse; functional status was analysed only in bivariate comparisons because it was assessed in a subsample.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 1570 adults aged 60 or older were included, of whom 1569 had complete data for multivariable analyses. Overall, 5.0% (95% CI: 4.0\u20136.2) reported lifetime suicidal ideation, and 2.4% (95% CI: 1.7\u20133.3) reported lifetime suicide attempts. Lifetime suicidal ideation was independently associated with younger age, metropolitan (vs. rural) residence, higher depressive symptom scores, a greater number of comorbidities and a history of sexual abuse. Lifetime suicide attempts were independently associated with previous suicidal ideation, a higher number of chronic diseases and responding \u2018does not remember\u2019 to the question on childhood sexual abuse. In bivariate comparisons, hypertension, myocardial infarction and chronic kidney disease were more frequent among participants with suicide attempts. Associations of SARC\u2010F with suicidality attenuated after adjustment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Among older Mexican adults, lifetime suicidality is closely linked to depressive symptoms, sexual trauma, and cardiometabolic disease. These findings describe patterns of co\u2010occurrence between lifetime suicidal behaviour and late\u2010life health profiles, underscoring the need for integrated mental and physical health assessment in geriatric care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/psyg.70145","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T04:47:47Z","timestamp":1771303667000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lifetime Suicidality Among Older Mexican Adults: Depression, Sexual Trauma and Cardiometabolic Disease in a Secondary Analysis of the\n                    <scp>ENSANUT<\/scp>\n                    Continua 2023 Survey"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8567-2206","authenticated-orcid":false,"given":"Enrique","family":"D\u00edaz de Le\u00f3n\u2010Gonz\u00e1lez","sequence":"first","affiliation":[{"name":"Unidad Medica de Alta Especialidad Hospital de Traumatologia y Ortopedia No. 21 Instituto Mexicano del Seguro Social  Monterrey M\u00e9xico"},{"name":"C\u00e1tedra de Psicogeriatr\u00eda Universidad Autonoma de Barcelona  Barcelona Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6736-3848","authenticated-orcid":false,"given":"Hugo","family":"Gutierrez Hermosillo","sequence":"additional","affiliation":[{"name":"Escuela Nacional de Estudios Superiores Unidad Leon Universidad Nacional Aut\u00f3noma de M\u00e9xico  Leon de los Aldama M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1675-2303","authenticated-orcid":false,"given":"Hector Eduardo","family":"Garcia Cavazos","sequence":"additional","affiliation":[{"name":"Unidad Medica de Alta Especialidad Hospital de Traumatologia y Ortopedia No. 21 Instituto Mexicano del Seguro Social  Monterrey M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7569-9701","authenticated-orcid":false,"given":"Ana Celia","family":"Ibarra Hernandez","sequence":"additional","affiliation":[{"name":"Unidad Medica de Alta Especialidad Hospital de Traumatologia y Ortopedia No. 21 Instituto Mexicano del Seguro Social  Monterrey M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8725-8172","authenticated-orcid":false,"given":"Abraham David","family":"Culebro Perez","sequence":"additional","affiliation":[{"name":"Unidad Medica de Alta Especialidad Hospital de Traumatologia y Ortopedia No. 21 Instituto Mexicano del Seguro Social  Monterrey M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1421-1057","authenticated-orcid":false,"given":"Marcela Naycot","family":"Guevara Alcala","sequence":"additional","affiliation":[{"name":"Unidad 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