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Four-year associations of wish-to-die trajectories with changes in the frailty of European citizens aged 50 and over

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dc.contributor.authorde Maio Nascimento, Marcelo
dc.contributor.authorMarques, Adilson
dc.contributor.authorFerrari, Gerson
dc.contributor.authorMartins, Francisco
dc.contributor.authorFrança, Cíntia
dc.contributor.authorGouveia, Elvio
dc.contributor.authorIhle, Andreas
dc.date.accessioned2025-06-03T14:23:15Z
dc.date.available2025-06-03T14:23:15Z
dc.date.issued2025
dc.description© 2025 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.pt_PT
dc.description.abstractBackground: A death wish is a passive ideation about thoughts that suggest dying is better than continuing to live. We investigated the associations of different wish-to-die (WTD) trajectories with changes in frailty over a four-year period in European citizens aged 50 and over. Methods: A longitudinal analysis was conducted with 27,350 participants (13,921 women) from 17 European countries, all aged ≥50 years, who responded to waves 6 and 8 of the Survey of Health, Ageing, and Retirement in Europe (SHARE) project. WTD was assessed by asking, 'In the last month, have you felt that you would rather be dead?'. Frailty was measured using the SHARE-Frailty (SHARE-FI) questionnaire. Results: A significant effect of time on frailty was observed, with a medium effect size (p < 0.001, ηp2 = 0.08), as well as a significant time × group interaction with a medium effect size (p < 0.001, ηp2 = 0.12). Post hoc analysis revealed a 54.5 % increase in frailty for the continued non-WTD trajectory group over four years. The non-WTD to WTD trajectory group showed a 186.0 % increase in frailty, while the continued WTD group showed a 27.9 % increase in frailty. On the other hand, the group with a trajectory from WTD to non-WTD indicated a reduction in the index of 28.8 %. Conclusions: Emerging WTD may be associated with increased frailty in older age. Conversely, frailty may be reduced among those who exchanged the passive idealization of dying for living.pt_PT
dc.description.sponsorshipThis paper uses data from SHARE (DOIs: https://doi.org/10.6103/SHARE.w6.900, https://doi.org/10.6103/SHARE.w8.100); see Börsch-Supan et al. (2013) for methodological details. The European Commission has primarily funded the SHARE data collection through FP5 (QLK6-CT-2001-00360), FP6 (SHARE-I3: RII-CT-2006-062193, COMPARE: CIT5 CT2005-028857, SHARELIFE: CIT4-CT-2006-028812) and FP7 (SHARE-PREP: N°211909, SHARE-LEAP: N°227822, SHARE M4: N°261982). Additional funding from the German Ministry of Education and Research, the Max Planck Society for the Advancement of Science, the U.S. National Institute on Aging (U01_AG09740-13S2, P01_AG005842, P01_AG08291, P30_AG12815, R21_AG025169, Y1-AG-4553-01, IAG_BSR06-11, OGHA_04-064, HHSN271201300071C) and from various national funding sources is gratefully acknowledged (see www.share-project.org).pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Affect Disord. 2025 Jun 15:379:624-630pt_PT
dc.identifier.doi10.1016/j.jad.2025.03.012pt_PT
dc.identifier.eissn1573-2517
dc.identifier.issn0165-0327
dc.identifier.urihttp://hdl.handle.net/10400.5/101245
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/journal/journal-of-affective-disorderspt_PT
dc.subjectAgingpt_PT
dc.subjectFrailtypt_PT
dc.subjectLongitudinal studypt_PT
dc.subjectVulnerabilitypt_PT
dc.subjectWish to diept_PT
dc.titleFour-year associations of wish-to-die trajectories with changes in the frailty of European citizens aged 50 and overpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage630pt_PT
oaire.citation.startPage624pt_PT
oaire.citation.titleJournal of Affective Disorderspt_PT
oaire.citation.volume379pt_PT
person.familyNameMarques
person.familyNamePestana Martins
person.familyNameGouveia
person.givenNameAdilson
person.givenNameJoão Francisco
person.givenNameElvio
person.identifier.ciencia-id5F18-F9C3-11CB
person.identifier.ciencia-id361B-84C0-EEDA
person.identifier.ciencia-id3B10-8BDF-0D67
person.identifier.orcid0000-0001-9850-7771
person.identifier.orcid0000-0003-4838-4931
person.identifier.orcid0000-0003-0927-692X
person.identifier.ridK-4529-2014
person.identifier.ridF-9156-2015
person.identifier.scopus-author-id55082567000
person.identifier.scopus-author-id36637395800
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication1971699a-ff03-48f6-92b9-6a3d7bce1111
relation.isAuthorOfPublicatione762cc78-8bfc-4278-ba07-2fe09a1a799b
relation.isAuthorOfPublication54a5bf32-51cd-4e5a-b56a-d242a214a958
relation.isAuthorOfPublication.latestForDiscovery1971699a-ff03-48f6-92b9-6a3d7bce1111

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