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Studies examining age-stratified risk factors for suicide among individuals with bipolar disorder in different stages of life are scant, possibly because of the insufficient number of suicide cases.
Aim
This study investigated suicide mortality rates and risk profiles of suicide mortality stratified by five age groups in individuals with bipolar disorder.
Methods
This study identified patients with a diagnosis of bipolar disorder between January 1, 2000, and December 31, 2021, from Taiwan’s National Health Insurance Research Database. The study population comprised 45,211 inpatients diagnosed with bipolar disorder, with 1,370 suicide cases during the study period. We calculated the standardized mortality ratio (SMR) of the bipolar cohort relative to the general population. In the age-stratified nested case–control study, risk set sampling was performed to match 1 suicide case with 10 living controls by age, sex, and the year of first diagnosis. The age-stratified risk associated with demographic characteristics, psychiatric and physical comorbidities was estimated using multivariable conditional logistic regression.
Results
The highest SMR (47.0) for suicide was observed in individuals with bipolar disorder aged <30 years. SMR decreased with age; patients aged >60 years had an SMR of 9.5. Among those younger than 40 years, a higher percentage of unemployment was noted among suicide cases than among controls. A significantly increased risk of the depressive phase of bipolar disorder was noted shortly before suicide mortality among patients with bipolar disorder in all age groups. Drug-induced and alcohol-induced mental disorders were associated with suicide and were highly prevalent in patients aged <30 years. Other forms of heart disease were identified in patients aged <40 years, and pneumonia was detected in the 50–59 years age group.
Conclusions
These findings aid the development of health-care intervention strategies for preventing suicide among patients with bipolar disorder in various stages of life.
In the ‘classic’ sense, health professionals often view the health of individuals from a three-part biopsychosocial model of health. In this case, the ‘psych’ part relates directly to ‘mental health’. However, it is important to resist the temptation to separate this part from the bio and social aspects of the well-established model. Instead, it is best to view all parts of the established model as equally important and inter-related to each other. For instance, it is difficult to maintain good mental health and well-being if we lack either good social or ‘bio’ (physical) health. Traditionally, however, health professionals have tended to focus on the physical health component of the biopsychosocial model, especially those working in acute hospital/clinic environments. From a primary health care perspective, the ‘social’ (community development-focused) aspect is supposed to be the most dominant part of the model.
Chapter 8 employs Welby’s Meaning Triad to examine the boundary separating girlhood and womanhood under the Convention on the Elimination of All Forms of Discrimination against Women (CEDAW), and its repercussions on the protection of the girl child. It examines the definition of ‘woman’ in international law and the English language, and the life-cycle approach. It notes that the CEDAW fails to provide a parameter for the beginning of womanhood, thus it is not clear whether girls of all ages – young girls and adolescent girls – are covered by this treaty. It observes that female human beings located at the intersection of girlhood and womanhood may fall short of the protection of both the CRC and many provisions of the CEDAW. It applies semioethics theory and considers revising the CEDAW to undoubtedly ensure that girls are covered under this treaty, save for provisions allocating ‘adult rights’.
This chapter discusses some of the current trends and promising future directions in the field of cognitive neuroscience of aging. The chapter first discusses recent research investigating the contribution of individual difference factors related to identify, including race, culture, and sex differences. Next, the chapter reviews recent research on neuromodulation, including ways in which noninvasive brain stimulation (e.g., repetitive transcranial magnetic stimulation [rTMS], transcranial direct current stimulation [tDCS], and transcranial alternating current stimulation [tACS]) has been used in an attempt to enhance cognition with age as well as with age-related disorders. This section also considers other approaches to neuromodulation, including deep-brain stimulation and neurofeedback. Finally, discussion of emerging directions considers the importance of investigating aging across the lifespan, studying the intersection of physical health with cognition, exploring the distinction of socioemotional and cognitive domains, and emphasizing the contribution of context with age.
Age estimates from bomb 14C dating conflict with a well-recognized age reading protocol (grinding, polishing and staining in the sagittal plane) for otoliths of European eel (Anguilla anguilla). Proper alignment of calculated hatch years for 14C measurements taken from the earliest otolith growth—among the smallest otolith extractions to date for successful 14C analysis due to the advent of gas-AMS—was not achieved using age estimates from an accepted method. The realignment of otolith 14C values to a tropical bomb 14C reference chronology, which is most applicable to the Sargasso Sea as the natal origin of European eel, led to an increase of the original age estimates by 8 to 32 years. A maximum age of approximately 46 years was determined for the European eel specimen with the most massive otolith, of which mass is a reasonable proxy for age and was instrumental in identifying age estimate discrepancies. By extending the otolith mass-to-age relationships from this study to the most massive otoliths available from archived otoliths of Norway, an increase of up to several decades from the original otolith age estimates was discovered, leading to support for a potential lifespan of 70–100 years in the natural environment.
This article explores intraspeaker malleability in the realisation of the first-person possessive in the North-East of England ([maɪ], versus [mi] and [ma]). The analysis relies on a combination of a trend sample and a novel dynamic panel corpus that covers the entire adult lifespan. While [mi] has been around at least since the 1970s on Tyneside, [ma] appears to have made its way into the system during the 1980s and 1990s. The panel data add intraspeaker information to this ongoing change, revealing a turnover in the proportional usage of possessive variants between two recordings that are on average ten years apart. Regression modelling provides differentiated information about intraspeaker changes across the lifespan, suggesting that, with only a few exceptions, intraspeaker grammars are stable across the lifespan. The analysis supports recent panel research that has argued for the importance of considering the socio-demographic trajectory of the individual: while speakers who are part of the ‘marché scolaire’ (Bourdieu & Boltanski 1975: 7) orient towards the standard, speakers working as professional carers (e.g. nurses) tend to retain high rates of the reduced variants across their lifespans to do local identity work and establish better interpersonal relations with their clients.
Longevity is one of the most variable life history traits among animals, ranging from days (e.g. adult mayflies) to centuries (e.g. the Greenland shark). Based on this variability, claims that some species display exceptional longevity are regularly published. Yet determining whether a species shows exceptional longevity or not is far from an easy task. For instance, longevity is (among other traits) associated with body mass, according to an allometric relationship, and a species displaying exceptional longevity should typically break this relationship. Longevity also corresponds to a biological time measuring the speed of the life cycle (often called pace of life) and should be isometrically linked with other biological times such as developmental time or age at first reproduction. From that perspective, a species displaying exceptional longevity should break these relationships as well. However, how much the observed longevity should differ from the predicted values for a given body mass or a given pace of life to be labelled as exceptional is fuzzy. Similarly, what is the threshold age at which a set of individuals displaying exceptional longevities can be identified? The aim of this chapter is to provide a critical reappraisal of some statistical methods used so far to determine whether a species or an individual shows exceptional longevity and then to provide a clear roadmap to identify such species and individuals. The analyses presented in this chapter are based on demographic databases on mammals and some exceptionally detailed case studies (on medflies, rhesus macaques and mole rats) at the individual level.
For decades, researchers have tried to identify ecological and biological correlates of longevity, often using life expectancy and maximum lifespan as the gold standards. The recent increase in demographic data collected in non-model species has also led researchers to develop alternative metrics of longevity, especially in comparative analyses (e.g. 90% longevity). As a result, studies focused on longevity rely on heterogeneous statistical methodologies and use a variety of longevity metrics that are not always clearly defined. This lack of clarity has led to confusion in the interpretation of results and makes it difficult to compare results across studies. This chapter discusses the statistical interpretation of each metric and highlights potential biases associated with the missus of longevity metrics; conducts a systematic review of the various longevity metrics used across the scientific literature and analyses the content of scientific articles on longevity using topic modelling methodology; and illustrates, using two examples, the importance of selecting the appropriate metric based on the research question. Based on these insights, it provides a list of recommendations aimed at helping researchers to think carefully about the choice of metrics when studying longevity.
The dream of eternal youth and immortality has always fascinated human societies. Even today, this quest is the source of major financial investments, particularly for the development of anti-ageing drugs. To unravel the mysteries of longevity, scientists have long been observing and quantifying the lifespan of animals. These decades of extensive comparative biology research have documented the extreme diversity of lifespan on Earth and identified key ecological and life history factors driving this diversity and, more recently, molecular pathways that might modulate it. However, the maximum lifespan of a species is far from being an accurate representation of a species’ ageing trajectory, both biologically and demographically. For a given species, the changes in mortality risk over the life course can be complex, and the ageing process is much more accurately described by ageing parameters, such as the age of onset of actuarial senescence and the rate of actuarial senescence. This chapter argues that current research in the comparative biology of ageing should now focus on the diversity of actuarial senescence patterns documented across the tree of life, as well as the species-specific causes of death, to identify key genetic and physiological determinants associated with delayed actuarial senescence or low actuarial senescence rate. Just a few years ago, such research projects would have seemed unrealistic, but the recent development of omics tools, coupled with the increased availability of demographic data for a wide range of species with contrasting life histories, lifestyles and habitats make such exciting comparative analyses now achievable and full of promise.
The demography of contemporary hunter-gatherers, farmers and other subsistence populations provides an important lens for studying age patterns of survival and morbidity under non-industrial conditions and lifeways. Although high-quality evidence is sparse, a review suggests robust patterns of human longevity that contradict prior notions of ‘nasty, brutish and short’ lifespans suggested from the palaeodemographic literature. Life expectancy at birth averages about 30 years for hunter-gatherers, and 35 years across all human subsistence groups, a pattern similar to mid-eighteenth-century Europe. Despite short life expectancy, subsistence populations show a modal adult lifespan of about seven decades across a wide range of environments, diets and livelihoods. Over a third of adult life is spent post-reproductive. Infection, violence and accidents are primary causes of death. Post-contact acculturation has mostly improved survivorship, especially in early life, due to access to health care and modern amenities. Loss of land and livelihood, new infections and exploitation, however, have increased mortality and morbidity in some populations. Although the past two centuries have witnessed large gains in lifespan equality and survivorship, the potential for human longevity appears to be a species-typical universal.
This opening chapter provides an overview of the future societal and subsequenl scientific challenges associated with population ageing. More specifically, it emphasizes how the field of biodemography constitutes a relevant framework for future research programmes aiming to address questions of paramount importance regarding both the causes (e.g. evolutionary, mechanistics) and consequences (demographic, medical) of the ageing process. Finally, this chapter details the book contents.
According to International Union for the Conservation of Nature (IUCN) guidelines, all species must be assessed against all criteria during the Red Listing process. For organismal groups that are diverse and understudied, assessors face considerable challenges in assembling evidence due to difficulty in applying definitions of key terms used in the guidelines. Challenges also arise because of uncertainty in population sizes (Criteria A, C, D) and distributions (Criteria A2/3/4c, B). Lichens, which are often small, difficult to identify, or overlooked during biodiversity inventories, are one such group for which specific difficulties arise in applying Red List criteria. Here, we offer approaches and examples that address challenges in completing Red List assessments for lichens in a rapidly changing arena of data availability and analysis strategies. While assessors still contend with far from perfect information about individual species, we propose practical solutions for completing robust assessments given the currently available knowledge of individual lichen life-histories.
The social-sexual environment is well known for its influence on the survival of organisms by modulating their reproductive output. However, whether it affects survival indirectly through a variety of cues without physical contact and its influence relative to direct interaction remain largely unknown. In this study, we investigated both the indirect and direct influences of the social-sexual environment on the survival and reproduction of the mite Tyrophagus curvipenis (Acari: Acaridae). The results demonstrated no apparent influence of conspecific cues on the survival of mites, but the survival and reproduction of mated female mites significantly changed, with the females mated with males having a significantly shortened lifespan and increased lifetime fecundity. For males, no significant difference was observed across treatments in their survival and lifespan. These findings indicate that direct interaction with the opposite sex has a much more profound influence on mites than indirect interaction and highlight the urgent need to expand research on how conspecific cues modulate the performance of organisms with more species to clarify their impacts across taxa.
Statolith growth increments were analysed in the bigfin reef squid, Sepioteuthis lessoniana lineage B, for estimating the age and growth in the Gulf of Mannar Biosphere Reserve (GOM), southeast coast of India. The identification of S. lessoniana lineage B was determined by mitochondrial cytochrome c oxidase I gene sequence. The statolith increment age analysis indicated that the wild-captured squid population of S. lessoniana in the study area undergoes rapid growth. The age of S. lessoniana in males ranged from 61 (95 mm dorsal mantle length (DML)) to 220 d (390 mm DML), while it was 64 (98 mm DML) to 199 d (340 mm DML) in females. The average daily growth rate in males and females was 1.63 and 1.55 mm DML d−1, respectively. The instantaneous growth rate varied from 0.85 (210 d) to 4.1% (110 d) for males and 0.65 (190 d) to 3.7% (110 d) for females. The age at first maturity was 114 and 120 d for males and females, respectively. Back-calculated hatching dates and the attainment of maturity in females suggested that the reproduction of S. lessoniana is year-round, with two distinct spawning peaks during July–August and February months; accordingly, the hatching dates were spread throughout the year, with the presence of two cohorts. Based on the statolith data, it can be concluded that S. lessoniana lineage B in the GOM has a potential lifespan of up to 7 months. This finding contradicts the previous growth estimates based on length-frequency data, which underestimated the true growth potential of this species.
Solitude is unique to each person but there are patterns we have observed that we believe shed some light on what kinds of changes we should be aware of and what those mean for well-being in that space during different phases of our lives. Across the lifespan, we tend to seek and tolerate time alone in a nonlinear way throughout our mortal journey from childhood to older adulthood. How we spend that time seems to matter quite a bit in terms of our contentment in solitude, as do the nature of our relationships beyond solitude. Solitude is like a garden in different seasons, what we sow and what we reap changes over time, and we have to be certain to plant what’s most likely to grow and thrive.
How fast or slow does the process of dysregulating the stress response system go before a disease emerges? This chapter builds a model for how this process works over the lifespan. The apparently sudden onset of diabetes or heart disease in our fifties or sixties can often be traced to dysregulations that began years or decades before, invisible to the unsuspecting and asymptomatic. Toxic stress accelerates illness and speeds up aging. How do we know if we’re on a fast track to future illness and early death? And when is the best time to intervene? That depends on how we measure stress. Consider Teresa Langford’s pathways from genes to stress to illness over 53 years.
The current Special Issue marks a major milestone in the history of developmental psychopathology; as the final issue edited by Cicchetti, we have an opportunity to reflect on the remarkable progress of the discipline across the last four decades, as well as challenges and future directions for the field. With contemporary issues in mind, including rising rates of psychopathology, health disparities, and international conflict, as well as rapid growth and accessibility of digital and mobile technologies, the discipline of developmental psychopathology is poised to advance multidisciplinary, developmentally- and contextually- informed research, and to make substantial progress in supporting the healthy development of individuals around the world. We highlight key future directions and challenges for the next generation of developmental psychopathology research including further investigation of culture at multiple levels of analysis, incorporation of macro-level influences into developmental psychopathology research, methods advances to address heterogeneity in translational research, precision mental health, and the extension of developmental psychopathology research across the lifespan.
Galls function as provide shelter for gall inducers, guarding them against their natural enemies. Previous research has illuminated the interactions between galls, gall inducers, and their corresponding parasitoids within various caltrop plants. However, less is known about these relationships within Nitraria sibirica, particularly regarding the efficacy of parasitism. Therefore, this study aimed to identify the morphometric relationships among the swollen galls, gall inducers, and their parasitoids. Two species of gall inducers and three species of parasitoids were obtained from the swollen galls of N. sibirica. The correlations of the parasitization indexes, the lifespan of gall inhabitants, and temperature and the morphometric relationships between the galls and their inhabitants were analyzed. The dominant gall inducer identified was Contarinia sp. (Diptera: Cecidomyiidae). Furthermore, it was observed that three solitary parasitoids attacked Contarinia sp. in the swollen galls, with only Eupelmus gelechiphagus acting as an idiobiont ectoparasitoid. The dominant parasitoids were Platygaster sp. and Cheiloneurus elegans at sites 1 and 2, respectively, with Platygaster sp. displaying greater abundance than C. elegans in the swollen galls. The lifespan of the gall inhabitants shortened gradually as the temperature increased. Moreover, the optimal number of gall chambers ranged from two to four per swollen gall with maximized fitness, which can be considered the optimal population density for the gall inducer Contarinia sp. Morphometric analysis exhibited a strong linear correlation between gall size and chamber number or the number of gall inhabitants, as well as a weak correlation between gall size and body size of the primary inhabitants of swollen galls. Our results highlight the importance of the biological investigation of parasitoids and gall inducers living in closed galls with multiple chambers and may pave the way for potential application in biological control.
In this chapter, we review existing literature on the development of prosociality throughout the lifespan by highlighting the different factors/motives underlying individuals’ prosocial actions and their beneficial effects across time. First, we define the concept of prosociality and discuss the main theoretical issues related to its study from a lifespan perspective. Next, we review key empirical findings on prosociality by considering three main developmental phases (infancy and childhood, adolescence and young adulthood, adulthood and older adults) and we underline how an analysis of the main motives/factors operating in each phase can help explain the variability in prosocial development. Based on our review, we also offer some guidelines for the design of intervention actions that are developmentally appropriate and meaningful for the targeted age groups. Finally, we conclude by identifying potential gaps in the literature and we indicate promising directions for future studies.