Psychogeriatric Inpatient Suicides in Australia

Shah, Ajit; Ganesvaran, Thirunavakarasu

doi:10.1002/(sici)1099-1166(199701)12:1<15::aid-gps415>3.0.co;2-s

Cited by 24 publications

(11 citation statements)

References 27 publications

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“…Substance misuse has been linked with death by suicide among older adults (Shah & Ganesvaran, 1997). Waern, Runeson, and colleagues (2002) found that substance use increased risk of suicide among older adults independent of other Axis-I disorders.…”

Section: Older Adultsmentioning

confidence: 99%

Suicide Prevention in Older Adults

Heisel¹

2005

Clinical Psychology: Science and Practice

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Older adults have high rates of suicide in the United States and worldwide; rates vary markedly by gender, race, and ethnicity. Geropsychology practice guidelines (e.g., American Psychological Association [APA], 2004) indicate the need for assessment and treatment practices specific to older adults, as the phenomenology of mental disorders and psychotherapeutic change processes may shift across the lifespan. Inadequacies in the available knowledge base and in the education and training of clinicians have slowed progress in suicide research and hindered the development of a healthcare workforce that is deeply dedicated to suicide prevention. Inadequate knowledge stems from inattention to demographic differences, definitional imprecision and conceptual conflation, lack of research focus on older adults, and the exclusion of at-risk patients from clinical trials. The near absence of rigorous training and education in suicidology among clinical psychologists amplifies these problems. This article also reviews the empirical literature on suicide risk, noting in particular the roles of mood disorders, suicidal ideation and behavior, adjustment to life events, lack of social integration, personality traits, and access to lethal means. Suggestions are offered for improving risk assessment, the treatment of at-risk patients, and the development of prevention programs. Implications for training and education in clinical psychology are briefly discussed, and directions for future research are offered.

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Section: Older Adultsmentioning

confidence: 99%

Suicide Prevention in Older Adults

Heisel¹

2005

Clinical Psychology: Science and Practice

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“…Caution should be exercised in attributing causation and the direction of causation from this cross-sectional ecological study because of ecological fallacy. The observed associations between national per capita consumption of alcohol with suicide rates in males across the age-bands are consistent with the well-established relationship between alcoholuse disorders and increased risk of suicide from individual-level studies (Shah and Ganesvaran, 1997;Schneider et al, 2009) and ecological timeseries studies (Corey and Andress, 1977). National public health policies designed to reduce national alcohol consumption may help reduce suicide rates in males and should be considered in countries with high per capita alcohol consumption.…”

Section: National Alcohol Consumption and Suicide Ratesmentioning

confidence: 99%

National alcohol consumption and suicide rates

Shah¹

2009

Int. Psychogeriatr.

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Alcohol-use disorders have been reported to be associated with the risk of suicide in the general population (Schneider et al., 2009) and in the elderly (Shah and Ganesvaran, 1997). This allows identification of individuals potentially at increased risk for suicide and target preventative interventions at an individual level. Moreover, alcohol is often taken during the process of committing suicide (Conwell et al., 1990). Identification of the relationship between the national consumption of alcohol and suicide rates would support generation of public health measures to reduce the national consumption of alcohol to facilitate reduction in suicide rates. Thus, a cross-national ecological study examining the relationship between national per capita consumption of alcohol and suicide rates was undertaken.

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Section: Assessing Risk Factors For Suicide Among Older Adultsmentioning

confidence: 99%

Suicide Prevention in Older Adults.

Heisel¹,

Duberstein²

2005

Clinical Psychology: Science and Practice

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Older adults have high rates of suicide in the United States and worldwide; rates vary markedly by gender, race, and ethnicity. Ceropsychology practice guidelines (e.g., American Psychological Association [APA], 2004) indicate the need for assessment and treatment practices specific to older adults, as the phenomenology of mental disorders and psychotherapeutic change processes may shift across the lifespan. Inadequacies in the available knowledge base and in the education and training of clinicians have slowed progress in suicide research and hindered the development of a healthcare workforce that is deeply dedicated to suicide prevention. Inadequate knowledge stems from inattention to demographic differences, definitional imprecision and conceptual conflation, lack of research focus on older adults, and the exclusion of at‐risk patients from clinical trials. The near absence of rigorous training and education in suicidology among clinical psychologists amplifies these problems. This article also reviews the empirical literature on suicide risk, noting in particular the roles of mood disorders, suicidal ideation and behavior, adjustment to life events, lack of social integration, personality traits, and access to lethal means. Suggestions are offered for improving risk assessment, the treatment of at‐risk patients, and the development of prevention programs. Implications for training and education in clinical psychology are briefly discussed, and directions for future research are offered.

show abstract

Psychogeriatric Inpatient Suicides in Australia

Cited by 24 publications

References 27 publications

Suicide Prevention in Older Adults

Suicide Prevention in Older Adults

National alcohol consumption and suicide rates

Suicide Prevention in Older Adults.

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