Risk factors for serious suicide attempts: Difference between older and younger attempters in the emergency department

Objective: Suicide attempts of the older adults are known to be more serious than that of the younger adults. Despite its major social impact in South Korea, the behavioral mechanism of serious suicide attempt (SSA) in old people remains to be elucidated. Thus, we investigated the risk factors for SSA in older and younger suicide attempters […]

Suicide thoughts and behaviour in later life

The unique factors which contribute to suicide actions in later life are often more difficult to recognise than contributing factors in younger individuals. Suicide thought may be passively expressed and can be triggered by the experience of existential loneliness or a sense of a ‘completed life’. This can give rise to self-neglect, particularly of one’s […]

Spatial analysis of mental health and suicide clustering among older adults in North Carolina: An exploratory analysis

Late-in-life suicide is a major public health issue, with adults over 65 comprising 18% of all suicide deaths. Yet, little research has identified geographic concentrations of older populations at-risk for the psychological conditions in the pathway of suicide. This research identified spatial clustering of suicide, anxiety, depression, and self-injury among older adults in North Carolina […]

Late-life suicide in an aging world

Suicide is an important problem among older adults and in particular older men. Risk factors for suicide in older adults include the loss of a loved one, loneliness and physical illness. Suicide in older adults is often attributed to the development of depression due to bereavement or loss of physical health and independence. However, suicide […]

Physical, mental, and social wellbeing and their association with death by suicide and self-harm in older adults: A community-based cohort study

Objective To assess associations between physical, mental, and social well‐being and suicide and self‐harm in a community‐based sample of older adults. Methods Using a cohort design, questionnaire data from 102,880 individuals aged 65 years or older living in New South Wales, Australia during 2006–2009 were linked to hospital and cause‐of‐death databases until 2017. Poisson regressions […]

Suicide in older people, attitudes and knowledge of emergency nurses: A multi-centre study

Introduction Suicide in older people is a public health concern. Emergency nurses are ideally placed to identify suicide risk. Therefore, the aim of this research was to explore emergency nurses’ knowledge, confidence and attitudes about suicide in older people. Methods This descriptive exploratory study was conducted in four emergency departments in Sydney, Australia. Data were […]

Values, ethics and aging.

This in-depth study of why aging in America is considered a “problem” scrutinizes how our values and ethics have shaped attitudes, behaviors and service provisions to older persons. It is demonstrated that the kinds of lives open to older persons in contemporary society are less determined by biological, psychological and social factors than they are […]

Development and use of health-related technologies in indigenous communities: A critical review.

Older Indigenous adults encounter multiple challenges as their age intersects with health inequities. Research suggests that a majority of older Indigenous adults prefer to age in place, and they will need culturally safe assistive technologies to do so. Objective: The aim of this critical review was to examine literature concerning use, adaptation, and development of […]

Suicide assessment and prevention for older adults: Life saving tools for health care providers.


A longitudinal study of differences in late- and early-onset geriatric depression: depressive symptoms and psychosocial, cognitive, and neurological functioning.

Objectives: Studies suggest early-onset depression (EOD) is associated with a more severe course of the depressive disorder, while late-onset depression (LOD) is associated with more cognitive and neuroimaging changes. This study examined if older adults with EOD, compared with those with LOD, would exhibit more severe symptoms of depression and, consistent with the glucocorticoid cascade […]

Why suicide? Questions & answers about suicide, suicide prevention, and coping with the suicide of someone you know. Rev.ed.

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Age variation in the prevalence of DSM-1V disorders in cases of suicide of middle-aged and older persons in Sydney.

Data concerning 127 persons aged 35 years or older who died by suicide(as determined in consecutive cases by a Sydney coroner) were analyzed.

Elderly suicide in Chinese populations.

Studies on suicide rate in the elderly have shown vast differences in different regions. This review summarizes the literature on the elderly suicide trend in Chinese populations, namely China, Hong Kong, Taiwan and Singapore, comparing these data to those in the USA and the UK.

Development and Psychometric Evaluation of the Reasons for Living-Older Adults Scale: a Suicide Risk Assessment Inventory

This article presents data from two studies on the development & initial evaluation of the psychometric properties of the Reasons for Living Scale-Older Adult version. Study 1 involved instrument development with 106 community-dwelling olders adults, & initial psychometric evaluation with a second sample of 119 community-dwelling older adults. Study 2 evaluated the scale in a […]

Suicide Ideation in Older Adults: Relationship to Mental Health Problems and Service use

Data from the Canadian Community Health Survey was used to estimate the prevalence of suicide ideation & the prevalence of major psychiatric disorder & service use among suicide ideators versus nonideators. Multivariate models considered the sociodemographic, social, & mental health correlates of suicide ideation & mental health care use. More than 2% of the sample […]

Social Work With Older People – Reducing Suicide Risk: a Critical Review of Practice and Prevention

A critical interpretive synthesis review that emphasises practitioner perspectives reveals 3 problems: a scarcity of research that takes a system-wide approach to suicide prevention in later life; a dearth of evidence about the social work contribution to reducing the risk of suicide in later life; & a noticeable absence of reference to social work practice […]

“It Takes a Community” Report on the Summit on Opportunities for Mental Health Promotion and Suicide Prevention in Senior Living Communities

In October 2008, a meeting was held in Gaithersburg, Maryland regarding opportunities for mental health promotion & suicide prevention in senior living communities. This report provides the proceedings from the meeting. The discussions included topics such as the human cost of untreated mental illness, hearing the voices of residents, suicide in older adults, whole-population approaches […]

Particularities of Suicide in the Elderly. A Population-Based Study

A population-based study of elderly suicide was undertaken, including 1008 suicides in Middle Franconia between 2004-2007. Data was analyzed regarding gender, methods, initiating motive, & chronobiological factors at the time of death. Higher rates of suicide were observed in the population at risk over 65 years old, in both genders. There were significant differences regarding […]

Promoting Mental Health and Preventing Suicide: a Toolkit for Senior Living Communities HHS Publication No. SMA(10)4515, CMHS-NSPL-0197

This Toolkit contains resources to help staff in senior living communities promote mental health & prevent suicide among their residents. A comprehensive framework incorporating three essential approaches is used. The approaches are: 1) whole population approach – activities & programs that benefit the mental well-being of all residents; 2) at-risk approach – strategies ensuring that […]

Factors Associated With the Recent Decline in Suicide Rates in the Elderly in England and Wales, 1985-1998

This study examined the association between a trend of decline in age-specific suicide rates in the elderly in England & Wales & changes in various health & social factors for the period, 1985-1998. Changes in the number of general practitioners & hospital medical staff, the hospital psychiatric services, the number of local authority staff, & […]

Suicide in Later Life

In this letter to the editor, the authors discuss the importance of communication with social care services when assessing elderly patients. They are more likely than specialist mental health teams to know the older person well through their provision of services related to disability or long-term conditions. General practitioners also have much to contribute because […]

Reasons for Living, Hopelessness, and Suicide Ideation Among Depressed Adults 50 Years or Older

The authors tested the hypothesis that reasons for living are inversely related to suicide ideation. This report is a secondary analysis of cross-sectional data from a sample of 125 adults 50 years & older receiving treatment for a mood disorder. Patients who reported higher levels of fear of suicide were less likely to report suicide […]

Suicidality and Antidepressants in the Elderly

This article explores known risk correlates of suicide in the elderly, epidemiologic & demographic factors as well as social, physical, & mental health aspects. The article then reviews the relationship between suicidal manifestations & antidepressants & concludes with a practical management strategy for the elderly given the current evidence base. (33 refs.)