Social Support and Suicidal Ideation in Older Adults Using Home Healthcare Services

Rowe, Jennifer L.; Conwell, Yeates; Schulberg, Herbert C.; Bruce, Martha L.

doi:10.1097/01.jgp.0000218324.78202.25

Cited by 140 publications

(113 citation statements)

References 45 publications

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“…Indeed, only weak correlations were found between the PDDS and all TAP scales, indicating that the constructs measured by the TAP are not strongly related to an individual's perceptions of stigma toward mental illness, again suggesting that the TAP may be uniquely tapping important attitudes that influence patients' attendance at psychotherapy appointments. Support for the convergent validity of the Subjective Norm subscale was however found in the comparison to the measure of perceived social support (MSPSS), which is consistent with considerable evidence of the role of such support in making positive healthcare choices [55][56][57].…”

Section: Discussionmentioning

confidence: 58%

The Therapy Attitudes and Process Questionnaire: A Brief Measure of Factors Related to Psychotherapy Appointment Attendance

Clough

Nazareth

Casey

2016

Patient

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Objectives: Patient non-attendance and dropout remains problematic in mental health settings [1,2]. The Theory of Planned Behaviour (TPB) has proved useful in understanding such challenges in a variety of healthcare settings, but the absence of an adequate measure has hampered research in mental health. The aim of the current study was to develop and conduct an initial psychometric investigation of a brief measure, the Therapy Attitudes and Process (TAP) Questionnaire, utilising the TPB to understand factors associated with attendance in mental health settings.Design: A quantitative survey based design was utilised. Methods:The TAP was administered to 178 adult participants, who were engaged in individual or group psychotherapy. A subsample also provided data to assess validity and reliability.Results: A four-factor solution was revealed through Exploratory Factor Analysis and accounted for approximately 75% of the variance in scores. Factors corresponded to those predicted by the TPB. Analyses supported the reliability, validity, and internal consistency of the measure. Conclusions:Results suggest that the TAP may provide a useful measure for examining patients' attitudes and beliefs about attending psychotherapy appointments. The TAP can be used to better understand patients' intentions, attitudes, perceptions of behavioural control, and subjective norms relating to psychotherapy attendance. This understanding may facilitate improved outcomes for patients and clinicians. Key Points for Decision Makers:DEVELOPMENT OF THE TAP 3  Non-attendance and dropout is a substantial problem in psychotherapy settings. There is a need to better understand and tailor interventions in accordance with the individual patient barriers. The TAP was developed based on the Theory of Planned Behaviour, and is designed to assess attitudes, subjective norms, perceived behavioural control, and behavioural intentions regarding appointment attendance. Initial investigation of the TAP indicates it has sound psychometric properties and can be used to increase the delivery of patient centered services

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Section: Discussionmentioning

confidence: 58%

The Therapy Attitudes and Process Questionnaire: A Brief Measure of Factors Related to Psychotherapy Appointment Attendance

Clough

Nazareth

Casey

2016

Patient

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“…Furthermore, structural changes in society involving the elderly population, such as reduced working hours among the elderly, consistent increase in the employment rate of the elderly, increased divorce and decreased remarriage among the elderly, increased population of elderly citizens, increased number of households with elderly couples, increased number of adult children living with their parents in major cities, and increased health care costs related to depression and similar mental disorders, have been observed 1,2) . Previous studies have reported variability of suicide patterns, according to changes in the region, population, economical state, and social support [17][18][19] . In this study, we investigated the clinical characteristics of elderly suicide attempters through a comparison with adult suicide attempters.…”

Section: Introductionmentioning

confidence: 99%

The Characteristics of Elderly Patients With Suicide Attempts: A Comparative Study With Non-elderly Patients

Kim

Jeong

Lee

et al. 2016

Ann Geriatr Med Res

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Background: Social changes related to the elderly in regard to factors such as population, region, cohabitant status and depression incidence, have recently been observed. The aim of our study was to investigate the characteristics of elderly suicide attempters according to these changes. Methods: We retrospectively reviewed the medical records of suicide attempters who visited an Emergency Department between January 2013 and March 2016. Patients were classified into an elderly or non-elderly group. Data included demographic, socioeconomic, and clinical characteristics. The Risk-Rescue Rating Scale (RRRS) and Suicide Intent Scale (SIS) scores were calculated. Results: Of 340 patients, 78 were elderly. Male sex, lower educational and financial status, chronic disease, and depression were more common in the elderly group, while previous history of suicide attempt was more frequent in the non-elderly group. RRRS was higher in the elderly group, while SIS was not significantly different between the 2 groups. Unlike the non-elderly group, no correlation between suicide lethality and intention was found in the elderly group. Multiple logistic regression analysis identified that chronic disease, depression, unemployment, cohabitation, and high lethality were risk factors of suicidal attempts in the elderly. Similar results were observed in the study classified by suicide method. Conclusion: Chronic disease, depression, unemployment, and lethality were found to be risk factors of suicidal attempts in the elderly. However, unlike previous reports, several risk factors, including male sex, cohabitation, and suicide intention took on a different aspect in our study. The differences in these characteristics can be an important guide aiming to develop specific elderly suicide precautions.

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“…Perceived social support appears to lessen or to protect against SI (52; 95). Satisfaction in personal relationships and sense of usefulness to one's family and friends are also associated with lower SI risk (159). A sense of belonging and perceived social support are reported to weaken the relationship between depression and SI in men (132).…”

Section: Protective Factors For Suicidementioning

confidence: 99%

A Retrospective Chart Review Examination of Demographic, Military, and Psychiatric Differences among Psychiatric Inpatients Admitted for Suicide-Ideation versus Suicide Attempt with an Emphasis on Gender

George¹

2014

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Social Support and Suicidal Ideation in Older Adults Using Home Healthcare Services

Cited by 140 publications

References 45 publications

The Therapy Attitudes and Process Questionnaire: A Brief Measure of Factors Related to Psychotherapy Appointment Attendance

The Therapy Attitudes and Process Questionnaire: A Brief Measure of Factors Related to Psychotherapy Appointment Attendance

The Characteristics of Elderly Patients With Suicide Attempts: A Comparative Study With Non-elderly Patients

A Retrospective Chart Review Examination of Demographic, Military, and Psychiatric Differences among Psychiatric Inpatients Admitted for Suicide-Ideation versus Suicide Attempt with an Emphasis on Gender

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