Suicide in older adults: How do we detect risk and what can we do about it?

Psychiatric Times

Volumn 23, Issue 13, 2006, Pages

  Duberstein, Paul ^a   Heisel, Marnin J ^b  

^a UNIVERSITY OF ROCHESTER MEDICAL CENTER   (United States)

^b UNIVERSITY OF WESTERN ONTARIO   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 33845409770     PISSN: 08932905     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (73)

1. Bertolote JM. Suicide in the world: an epidemiological overview 1959-2000. In: Wasserman D, ed. Suicide: An Unnecessary Death. London: Martin Dunitz; 2001:3-10.
2. Krug EG, Dahlberg LL, Mercy JA, et al, eds. World Report on Violence and Health. Geneva: World Health Organization; 2002. Available at: http://www.who.int/violence_injury_prevention/violence/world_report/en/full_en. pdf. Accessed October 5, 2006.
3. Kessler RC, Borges G, Walters EE. Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry. 1999;56:617-626.
4. Tsoh J, Chiu HF, Duberstein PR, et al. Attempted suicide in elderly Chinese persons: a multi-group, controlled study. Am J Geriatr Psychiatry. 2005;13:562-571.
5. Useda JD, Duberstein PR, Beckman A, et al. Differences in attempted versus completed suicide: informant report of personality traits in adults 50 years of age and older. J Consult Clin Psychol. In press.
6. Duberstein PR, Conwell Y. Personality disorders and completed suicide: A methodological and conceptual review. Clin Psychol Sci Pract. 1997;4:359-376.
7. Desai RA, Dausey DJ, Rosenheck RA. Mental health service delivery and suicide risk: the role of individual patient and facility factors. Am J Psychiatry. 2005;162:311-318.
8. Norstrom T. Alcohol and suicide: a comparative analysis of France and Sweden. Addiction. 1995;90:1463-1469.
9. Durkheim E. Suicide: A Study in Sociology. New York: Free Press; 1962.
10. Luoma JB, Pearson JL. Suicide and marital status in the United States, 1991-1996: is widowhood a risk factor? Am J Public Health. 2002;92:1518-1522.
11. Cohler BJ, Jenuwine MJ. Suicide, life course, and life story. Int Psychogeriatr. 1995;7:199-219.
12. Rubenowitz E, Waern M, Wilhelmson K, Allebeck P. Life events and psychosocial factors in elderly suicides: a case-control study. Psychol Med. 2001;31:1193-1202.
13. Beautrais AL. A case control study of suicide and attempted suicide in older adults. Suicide Life Threat Behav. 2002;32:1-9.
14. Duberstein PR, Conwell Y, Conner KR, et al. Poor social integration and suicide: fact or artifact? A case-control study. Psychol Med. 2004;34:1331-1337.
15. Conwell Y, Lyness JM, Duberstein P, et al. Completed suicide among older patients in primary care practices: a controlled study. J Am Geriatr Soc. 2000;48:23-29.
16. Duberstein PR, Conwell Y, Conner KR, et al. Suicide at 50 years of age and older: perceived physical illness, family discord and financial strain. Psychol Med. 2004;34:137-146.
17. Link BG, Phelan J. Social conditions as fundamental causes of disease. J Health Soc Behav. 1995;special no.:80-94.
18. Van Ryn M, Fu SS. Paved with good intentions: do public health and human service providers contribute to racial/ethnic disparities in health? Am J Public Health. 2003;93:248-255.
19. Cohen A, Houck PR, Szanto K, et al. Social inequalities in response to antidepressant treatment in older adults. Arch Gen Psychiatry. 2006;63:50-56.
20. Kubzansky LD, Subramanian SV, Kawachi I, et al. Neighborhood contextual influences on depressive symptoms in the elderly. Am J Epidemiol. 2005;162:253-260.
21. Neeleman J, Persaud R. Why do psychiatrists neglect religion? Br J Med Psychol. 1995;68:169-178.
22. Smith DP, Orlinsky DE. Religious and spiritual experience among psychotherapists. Psychotherapy: Theory, Research, Practice, Training. 2004;41:144-151.
23. Kehoe NC, Gutheil TG. Neglect of religious issues in scale-based assessments of suicidal patients. Hosp Community Psychiatry. 1994;45:366-369.
24. Duberstein PR, Heisel MJ, Conwell Y. Suicide. In: Agronin ME, Maletta GJ, eds. Principles and Practice of Geriatric Psychiatry. Philadelphia: Lippincott Williams & Wilkins; 2005:393-405.
25. Heisel MJ, Duberstein PR. Suicide prevention in older adults. Clin Psychol: Science and Practice. 2005;12:242-259.
26. Beck AT, Kovacs M, Weissman A. Assessment of suicidal intention: the Scale for Suicide Ideation. J Consult Clin Psychol. 1979;47:343-352.
27. Latham AE, Prigerson HG. Suicidality and bereavement: complicated grief as psychiatric disorder presenting greatest risk for suicidality. Suicide Life Threat Behav. 2004;34:350-362.
28. Heisel MJ, Flett GL. The development and initial validation of the geriatric suicide ideation scale. Am J Geriatr Psychiatry. 2006;14:742-751.
29. Heisel MJ, Flett GL, Duberstein PR, Lyness JM. Does the geriatric depression scale (GDS) distinguish between older adults with high versus low levels of suicidal ideation? Am J Geriatr Psychiatry. 2005;13:876-883.
30. Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982-1983;17:37-49.
31. Maltsberger JT, Buie DH. Countertransference hate in the treatment of suicidal patients. Arch Gen Psychiatry. 1974;30:625-633.
32. Eaton WW, Neufeld K, Chen LS, Cai G. A comparison of self-report and clinical diagnostic interviews for depression: diagnostic interview schedule and schedules for clinical assessment in neuropsychiatry in the Baltimore epidemiologic catchment area follow-up. Arch Gen Psychiatry. 2000;57:217-222.
33. Brown GK, Bruce ML, Pearson JL. High-risk management guidelines for elderly suicidal patients in primary care settings. Int J Geriatr Psychiatry. 2001;16:593-601.
34. Qin P, Agerbo E, Mortensen PB. Suicide risk in relation to socioeconomic, demographic, psychiatric, and familial factors: a national register-based study of all suicides in Denmark, 1981-1997. Am J Psychiatry. 2003;160:765-772.
35. Meehan J, Kapur, Hunt IM, et al. Suicide in mental health in-patients and within 3 months of discharge. Br J Psychiatry. 2006;188:129-134.
36. Hawton K, Harriss L. Deliberate self-harm in people aged 60 years and over: characteristics and outcome of a 20-year cohort. Int J Geriatr Psychiatry. 2006;21:572-581.
37. Erlangsen A, Mortensen PB, Vach W, Jeune B. Psychiatric hospitalization and suicide among the very old in Denmark: population-based register study. Br J Psychiatry. 2005;187:43-48.
38. Hawton K, Harriss L. Deliberate self-harm in people aged 60 years and over: characteristics and outcome of a 20-year cohort. Int J Geriatr Psychiatry. 2006;21:572-581.
39. Hendin H, Haas AP, Maltsberger JT, et al. Problems in psychotherapy with suicidal patients. Am J Psychiatry. 2006;163:67-72.
40. King EA, Baldwin DS, Sinclair JM, et al. The Wessex Recent In-Patient Suicide Study, 1: case-control study of 234 recently discharged psychiatric patient suicides. Br J Psychiatry. 2001;178:531-536.
41. Tew JD Jr. Post-hospitalization transitional care needs of depressed elderly patients: models for improvement. Curr Opin Psychiatry. 2005;18:673-677.
42. Owens C, Lambert H, Donovan J, Lloyd KR. A qualitative study of help-seeking and primary care consultation prior to suicide. Br J Gen Pract. 2005;55:503-509.
43. Waern M, Beskow J, Runeson B, Skoog I. Suicidal feelings in the last year of life in elderly people who commit suicide. Lancet. 1999;354:917-918.
44. Conwell Y, Duberstein PR, Conner KR, et al. Case control study of illness burden and service utilization priorto suicide in adults over 49 years of age. Submitted to Am J Geriatr Psychiatry. 2006.
45. Allen-Burge R, Storandt M, Kinscherf DA, Rubin EH. Sex differences in the sensitivity of two self-report depression scales in olderdepressed inpatients. Psychol Aging. 1994;9:443-445.
46. O'Connor DW, Rosewarne R, Bruce A. Depression in primary care, 1: elderly patients' disclosure of depressive symptoms to their doctors. Int Psychogeriatr. 2001;13:359-365.
47. Gallo JJ, Rabins PV, Anthony JC. Sadness in older persons: a 13-year follow-up of a community sample in Baltimore, Maryland. Psychol Med. 1999;29:341-350.
48. Lyness JM, Cox C, Curry J, et al. Older age and the underreporting of depressive symptoms. J Am Geriatr Soc. 1995;43:216-221.
49. McAvay GJ, Raue PJ, Brown EL, Bruce ML. Symptoms of depression in older home-care patients: patient and informant reports. Psychol Aging 2005;20:507-518.
50. Callahan EJ, Bertakis KD, Azari R, et al. Depression in primary care: patient factors that influence recognition. Fam Med. 1997;29:172-176.
51. Stoppe G, Sandholzer H, Huppertz C, et al. Gender differences in the recognition of depression in old age. Maturitas. 1999;32:205-212.
52. Johnson RL, Roter D, Powe NR, Cooper LA. Patient race/ethnicity and quality of patient-physician communication during medical visits. Am J Public Health. 2004;94:2084-2090.
53. Comino EJ, Silove D, Manicavasagar V, et al. Agreement in symptoms of anxiety and depression between patients and GPs: the influence of ethnicity. Fam Pract. 2001;18:71-77.
54. Bruce ML, Ten Have TR, Reynolds CF III, et al. Reducing suicidal ideation and depressive symptoms in depressed older primary care patients: a randomized controlled trial. JAMA. 2004;291:1081-1091.
55. Unützer J, Tang L, Oishi S, et al. Reducing suicidal ideation in depressed older primary care patients. J Am Geriatr Soc. In press.
56. Pyne JM, Rost KM, Farahati F, et al. One size fits some: the impact of patient treatment attitudes on the cost-effectiveness of a depression primary-care intervention. Psychol Med. 2004;35:839-854.
57. Kaplan RM. Two pathways to prevention. Am Psychol. 2000;55:382-396.
58. Knox KL, Conwell Y, Caine ED. If suicide is a public health problem, what are we doing to prevent it? Am J Public Health. 2004;94:37-45.
59. Levine M. Prevention and community. Am J Community Psychol. 1998;26:189-206.
60. Neeleman J. Beyond risk theory: suicidal behavior in its social and epidemiological context. Crisis. 2002;23:114-120.
61. Harwood D, Hawton K, Hope T, Jacoby R. Psychiatric disorder and personality factors associated with suicide in older people: a descriptive and case-control study. Int J Geriatr Psychiatry. 2001;16:155-165.
62. Waern M, Runeson BS, Allebeck P, et al. Mental disorder in elderly suicides: a case-control study. Am J Psychiatry. 2002;159:450-455.
63. Rubio A, Vestner AL, Stewart JM, et al. Suicide and Alzheimer's pathology in the elderly: a case-control study. Biol Psychiatry. 2001;49:137-145.
64. Waern M, Rubenowitz E, Wilhelmson K. Predictors of suicide in the old elderly. Gerontology. 2003;49:328-334.
65. Conner KR, Duberstein PR, Conwell Y, et al. After the drinking stops: completed suicide in individuals with remitted alcohol use disorders. J Psychoactive Drugs. 2000;32:333-337.
66. Juurlink DN, Herrmann N, Szalai JP, et al. Medical illness and the risk of suicide in the elderly. Arch Intern Med. 2004;164:1179-1184.
67. Horton-Deutsch SL, Clark DC, Farran CJ. Chronic dyspnea and suicide in elderly men. Hosp Community Psychiatry. 1992;43:1198-1203.
68. Waern M, Rubenowitz E, Runeson B, et al. Burden of illness and suicide in elderly people: case-control study. BMJ. 2002;324:1355.
69. Quan H; Arboleda-Flórez J, Fick GH, et al. Association between physical illness and suicide among the elderly. Soc Psychiatry Psychiatr Epidemiol. 2002;37:190-197.
70. Malphurs JE, Cohen D. A statewide case-control study of spousal homicide-suicide in older persons. Am J Geriatr Psychiatry. 2005;13:211-217.
71. Conwell Y, Duberstein PR, Connor K, et al. Access to firearms and risk for suicide in middle-aged and older adults. Am J Geriatr Psychiatry. 2002;10:407-416.
72. Duberstein PR, Heisel MJ, Conwell Y. Suicide. In: Agronin ME, Maletta GJ, eds. Principles and Practice of Geriatric Psychiatry. Philadelphia: Lippincott Williams & Wilkins; 2005:393-405.
73. Mann JJ, Apter A, Bertolote J, et al. Suicide prevention strategies: a systematic review. JAMA. 2005;294:2064-2074.