Abstract
Objective: To identify the biological, psychological and environmental factors of suicidal behavior among patients with Presbycusis. Study Design: A cross-sectional correlational study. Place and Duration: Department of Psychology, University of Gujrat and in the public hospitals of Lahore, Gujranwala and Gujrat from 1 st September 2017 to 25th February 2018. Methodology: Total 278 elderly from 55 to 80 years were selected conveniently from four hospitals. Biological and environmental factors were measured on a self-developed questionnaire. Suicidal Ideation Attributes scale, RS-Adult questionnaire, Loneliness Scale, Mental Health Inventory were administered to measure suicidal ideation, rejection sensitivity, loneliness and mental health respectively. Results: Suicidal ideation has significant positive relationship with perceived loneliness, rejection sensitivity and presbycusis severity (p<.001). However Psychological well-being appeared to have negative relationship with suicidal ideation (p < .05). For regression analysis, linear regression showed significant role of biological, psychological factors (p<.001) and environmental factors (p<.05) among the patients with presbycusis. Conclusion: Not only hearing loss leads towards suicidal behavior but in interaction with other biological and psycho-social factors, the risk of having suicidal behavior among the patients with presbycusis becomes twofold therefore a Bio-Psycho-Social prevention and intervention plan should be devised.

Bushra Akram, Mehak Batool, Asma Bibi. (2019) Biological, psychological and environmental factors of suicidal ideation among the patients with presbycusis, Isra Medical Journal, Volume 11, Issue 1.
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