To Live or Die: A Look at Elderly Suicide

Glass, J. Conrad; Reed, Susan

doi:10.1080/0360127930190807

Cited by 13 publications

(10 citation statements)

References 15 publications

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“…9 Women attempting suicide generally choose less violent means (for example, poisoning), which may account, in part, for gender disparity in rates of completed suicides. 7,9 Of further note, older adults may be reticent to seek mental health services. 10 The current cohort of older adults is much less likely to turn to suicide prevention centres, crisis telephone lines, or other mental health services.…”

Section: Suicide Risk Factors In Later Lifementioning

confidence: 99%

“…10 The current cohort of older adults is much less likely to turn to suicide prevention centres, crisis telephone lines, or other mental health services. 7 Those who see a physician prior to their suicide tend to report somatic symptoms as opposed to despair (for example, insomnia, loss of appetite, or gastrointestinal difficulties), and generally do not discuss suicide-related ideation unless directly questioned. It is common for older adults to have visited their primary care physician within a month prior to ending their lives.…”

Section: Suicide Risk Factors In Later Lifementioning

confidence: 99%

“…[7][8] Firearms are the most commonly used method of suicide among men of all ages. 9 Women attempting suicide generally choose less violent means (for example, poisoning), which may account, in part, for gender disparity in rates of completed suicides.…”

Section: Suicide Risk Factors In Later Lifementioning

confidence: 99%

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Impulsivity and Hopelessness as Predictors of Suicide-Related Ideation among Older Adults

Neufeld

O’Rourke

2009

Can J Psychiatry

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Objective: Research has demonstrated that impulsivity is strongly associated with suicide-related ideation and behaviour among young adults. However, to date, the potential importance of impulsivity as a predictor of suicide-related ideation in later life has yet to be determined. Our study examined impulsivity, hopelessness, depressive symptomatology, and sociodemographic factors vis-à-vis suicide-related ideation among older adults at risk of self-harm. Method:A sample (n = 117) of older adults was recruited from multiple sources for this study over a 1-year period. Suicide-related ideation was measured with the Geriatric Suicide Ideation Scale, a multidimensional measure of suicide-related ideation developed for use with older adults.Results: Canonical correlation identified 2 pairings of linear composites in which impulsivity emerged along both as significantly associated with facets of suicide-related ideation. Of note, the greater proportion of variance in impulsivity was subsumed along the second set of vectors with somatic depressive symptoms. Conclusion:Our findings suggest that the impulse to self-harm may be even more pronounced among older adults less likely to present as typically depressed. It is further suggested that impulsivity is more broadly associated with suicide-related ideation than hopelessness, and that screening for impulsivity as well as hopelessness may increase clinicians' ability to identify older adults at greatest risk of self-harm.Can J Psychiatry. 2009;54(10):684-692. Clinical Implications· Suicide-related ideation is significantly associated with hopelessness, depressive symptomatology, and impulsivity. · At-risk older adults who are more impulsive may be less likely to appear depressed. · Assessing impulsivity in addition to hopelessness could aid in suicide prevention and intervention. Limitations· A predominantly Caucasian, female, self-selected sample may limit generalizability of findings. · A single recruitment source might have yielded different outcomes as opposed to multiple sources. · Canonical correlation is more exploratory than hypothesis-driven modes of analysis.

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Section: Suicide Risk Factors In Later Lifementioning

confidence: 99%

Section: Suicide Risk Factors In Later Lifementioning

confidence: 99%

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Impulsivity and Hopelessness as Predictors of Suicide-Related Ideation among Older Adults

Neufeld

O’Rourke

2009

Can J Psychiatry

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“…The actual rate of suicide may be higher because reported rates do not include self-neglect, failure to follow prescribed medical regimes, or accidents that were not accidents at all (Butler & Lewis, 1995;Glass & Reed, 1993). These passive suicide behaviors can lead to increased risk of fatal conditions, such as pneumonia or cardiac arrest (Glass & Reed, 1993). In addition, autopsies are less frequently performed on older adults, thus decreasing the likelihood of differentiating the cause of death.…”

mentioning

confidence: 96%

“…On December 27, 1991, the St. Louis Post-Dispatch reported that the elderly suicide rate was up 35% in Missouri (Signor, 1991). The actual rate of suicide may be higher because reported rates do not include self-neglect, failure to follow prescribed medical regimes, or accidents that were not accidents at all (Butler & Lewis, 1995;Glass & Reed, 1993). These passive suicide behaviors can lead to increased risk of fatal conditions, such as pneumonia or cardiac arrest (Glass & Reed, 1993).…”

mentioning

confidence: 96%

Evaluating an Intervention for the Elderly at Increased Risk of Suicide

Morrow‐Howell¹,

Becker-Kemppainen²,

Judy³

1998

Research on Social Work Practice

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This article presents an evaluation of Link-Plus, a social work service provided over the telephone under the auspices of a suicide prevention hot line agency. The program targets the elderly at increased risk of suicide by virtue of depression, social isolation, and unmet needs. A two-group pretest-posttest design with randomization was used to test its effectiveness After receiving standard crisis intervention, 31 participants provided a wait-list control group, whereas 30 participants received immediate treatment. At 4 months, the amount of social contact was improved, and there was a trend toward the reduction of depressive symptomatology. At an 8-month observation, the difference between the clients' pretest scores and posttest scores on unmet needs was marginally significant, with clients having fewer unmet needs after receiving services. This outreach strategy and telephone intervention is moderately effective in treating older adults with depressive symptomatology, social isolation, and unmet needs. Life Crisis, a well-established crisis hot line program in St. Louis, is dedicated to the prevention of suicide. Over the past 5 years, Life Crisis has developed a new program, Link-Plus, which serves the elderly at increased risk of suicide. Link-Plus provides a free clinical social work service over the telephone. Services include a multidimensional assessment, service arrangement, and supportive therapy. The emphasis is on helping clients access mental health services available in the community.

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Suizid

Albrecht¹

2012

Handbuch Soziale Probleme

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To Live or Die: A Look at Elderly Suicide

Cited by 13 publications

References 15 publications

Impulsivity and Hopelessness as Predictors of Suicide-Related Ideation among Older Adults

Impulsivity and Hopelessness as Predictors of Suicide-Related Ideation among Older Adults

Evaluating an Intervention for the Elderly at Increased Risk of Suicide

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