General Thoughts of Death and Mortality: Findings from the Komo-Ise Cohort, Japan

Overview

Journal Epidemiol Psychiatr Sci

Publisher Cambridge University Press

Specialties Psychiatry
Public Health

Date 2018 Aug 15

PMID 30103836

Citations 1

Authors

A Stickley

C F S Ng

C Watanabe

Y Inoue

A Koyanagi

S Konishi

Affiliations

Soon will be listed here.

Abstract

Aims: Death ideation (thinking about/wishing for one's own death, thinking that one would be better off dead) is linked to an increased mortality risk. However, comparatively little is known about more general thoughts of death (GTOD) where no wish to die or life value is expressed. This study examined whether GTOD predicted mortality in a community-based cohort of older adults.

Methods: Data came from the Komo-Ise cohort study in Gunma prefecture, Japan. The analytic sample comprised 8208 individuals (average age 61.3 (range 47-77)) who were asked in wave 2 of the study in 2000 if they had 'Thought about death more than usual, either your own, someone else's or death in general?' in the past 2 weeks. Death data were obtained from the municipal resident registration file. Cox proportional hazards regression analysis was used to examine associations.

Results: During the follow-up period (2000-2008), there were 672 deaths. In a model adjusted for baseline covariates, GTOD were significantly associated with all-cause mortality (hazards ratio 1.66, 95% confidence interval 1.20-2.29). Stratified analyses showed an association between GTOD and mortality in men, older subjects (⩾70 years), married individuals and those with higher social support.

Conclusions: GTOD are associated with an increased mortality risk among older citizens in Japan. Research is now needed to determine the factors underlying this association and assess the clinical relevance of screening for GTOD in older individuals.

Citing Articles

Self-Reported Hearing/Visual Loss and Mortality in Middle-Aged and Older Adults: Findings From the Komo-Ise Cohort, Japan.

Miyawaki A, Kobayashi Y, Kawachi I J Epidemiol. 2019; 30(2):67-73.

PMID: 30662042 PMC: 6949181. DOI: 10.2188/jea.JE20180198.

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