7Other possible explanations included: 1, 3, 4legislation requiring general practitioners to offer annual physical and mental examination to those aged over 75 years the Defeat Depression Campaign organized by the Royal College of Psychiatrist the National Confidential Enquiry into Suicides and Homicides the governmental “Our Healthier Nation” suicide reduction targets the National Service Frameworks for Mental Health and for Older People and the National Suicide Prevention Strategy. 4This decline was associated with increased prescribing of antidepressants in the category of selective serotonin reuptake inhibitors, 5and with measures of improved healthcare for the elderly 6, 7including an increase in the number of general practitioners, hospital medical staff, out-patient appointments for mental illness, and field social workers and day centre staff. For example, in England and Wales the decline between 19 was as follows: in males 65+-74 years from 16.3 to 8.6 per 100,000 population in males 75+ from 24.9 to 10.6 per 100,000 population in females 65+-74 years from 12.0 to 3.1 per 100,000 population and in females 75+ from 8.9 to 4.4 per 100,000 population. Suicide rates in older people have declined in both sexes over the 12-year period (1985-1996) and 24-year period (1979-2002) in England and Wales 1, 2and in United Kingdom (UK) in general 3, 4respectively.
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