A new study of coronial reports on suicide has shown that many older New Zealanders who take their own lives do so within a month of visiting a GP.
Dr Gary Cheung, a senior lecturer in psychological medicine at Auckland University, said his study highlighted a major opportunity to help older people who might be feeling down, when they visited their general practitioner.
A former Dunedin resident and University of Otago graduate, Dr Cheung discussed his research in a talk at the Royal Australian and New Zealand College of Psychiatrists conference in Dunedin yesterday.
The study also found the average age for older people committing suicide is 76.
Dr Cheung said the fact that about 70% of the patients in his study had taken their own lives within a month, on average, after seeing a GP, highlighted a big opportunity for GPs to learn more about patients' overall wellbeing.
Dr Cheung looked at 225 coroner's reports on closed cases of suicide of those aged 65 and above, between July 2007 and December 2012.
Mental health issues were ''usually not the primary concern'' raised by patients in their final practitioner visit, he said.
''The high rate of presentation to general practitioners can provide an opportunity for suicide prevention by better identifying depression and addressing suicide risk in older people, along with managing their physical problems.
''At least 80% of them did not have a terminal illness,'' he said.
''We don't have a suicide prevention programme for older people [in New Zealand],'' he said.
He would also like to see a screening system, including a short questionnaire for patients, introduced to help better identify depression among older patients during GP visits.
Dr Cheung urged greater awareness of depression and its associated risks, and said both patients and GPs could potentially do more to speak about life challenges linked to ''feeling down'', given that good treatments for depression were available.
About 200 people are attending the three-day conference, which is being held at the Otago Museum, and ends today.
