Are trajectories of social isolation from childhood to mid‑adulthood associated with adult depression or suicide outcomes

Purpose Social isolation has been shown to have negative effects on mental health outcomes though little is known about trajectories across the life course. We examined the relationship between trajectory groups and selected mental health outcomes in mid-adulthood. Methods We previously created a typology of social isolation based on onset during the life course and […]

Suicide risk help-seeking among middle- to old-age adults: A systematic review

Background and Objectives Suicide has become a major public health concern worldwide and in the United States. Rates of suicide increase during the life course and are highest among middle- to old-age adults. Help-seeking represents a crucial coping mechanism that can mitigate suicide risk. Yet, less is known about suicide risk help-seeking, especially among these […]

Characteristics of suicide decedents with no federally funded mental health service contact in the 12 months before death in a population-based sample of Australians 45 years of age and over

Introduction More than half of suicide decedents have no contact with mental health services 12 months before death. It is uncertain if they have different characteristics than decedents who use mental health services. Methods A case-series design. Participants 45 years and older, who died by suicide (2006–2018). Comparisons were made between those who did and did not […]

Man Therapy: An innovative approach to suicide prevention for working aged men. A White paper

Suicide among Working Aged Men in the United States: Understanding the Problem Junior Seau, Kurt Cobain, Hunter S Thompson, Ernest Hemingway, and Don Cornelius were all famous and influential men whose lives were cut short by suicide. These deaths were widely covered in the media and discussed  publicly, with little understanding of how or why […]

The effect of social network strain on suicidal ideation among middle-aged adults with adverse childhood experiences in the US: A twelve-year nationwide study

Objective: Building on literature that measured the association between social network strain (SNS) and suicidal ideation using conventional regression analyses, we examined the effect of SNS, due to adverse childhood experiences (ACEs), on suicidal ideation using instrumental variables (IV) to eliminate the potential biases that may have occurred in earlier studies due to residual confounding. Methods: This […]

Postmortem blood alcohol content among late-middle aged and older suicide decedents: Associations with suicide precipitating/risk factors, means, and other drug toxicology.

BACKGROUND: This study examined blood alcohol content (BAC) among suicide decedents aged 50+ and its associations with suicide precipitating/risk factors, means, and other drug toxicology. METHODS: The National Violent Death Reporting System, 2005-2015, provided data (N = 56,118 for all suicide decedents and N = 29,115 with alcohol test results). We used logistic regression models, with BAC > 0.0 (BAC positive) […]

Rising suicide among adults aged 40-64 years: The role of job and financial circumstances.

Introduction Suicide rates among middle-aged men and women in the U.S. have been increasing since 1999, with a sharp escalation since 2007. Purpose To examine whether suicides with circumstances related to economic crises increased disproportionately among the middle-aged between 2005 and 2010. Methods This study used the National Violent Death Reporting System (NVDRS) in 2014 […]

Insomnia is associated with suicide attempt in middle-aged and older adults with depression.

BACKGROUND: Insomnia increases in prevalence with age, is strongly associated with depression, and has been identified as a risk factor for suicide in several studies. The aim of this study was to determine whether insomnia severity varies between those who have attempted suicide (n = 72), those who only contemplate suicide (n = 28), and […]

Preventing suicide among men in the middle years: Recommendations for suicide prevention programs.

Although men in the middle years (MIMY)—that is, men 35–64 years of age—represent 19 percent of the population of the United States, they account for 40 percent of the suicides in this country. The number of men in this age group and their relative representation in the U.S. population are both increasing. If the suicide […]

Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century.

Midlife increases in suicides and drug poisonings have been previously noted. However, that these upward trends were persistent and large enough to drive up all-cause midlife mortality has, to our knowledge, been overlooked. If the white mortality rate for ages 45−54 had held at their 1998 value, 96,000 deaths would have been avoided from 1999Ð2013, […]

Acute and chronic risk preceding suicidal crises among middle-aged men without known mental health and/or substance abuse problems: An exploratory mixed-methods analysis.

Journal held in CSP Library.

Man Therapy: Outreach and impact on men’s mental health program 18 months after launch.


Sociodemographic and clinical differences between suicide ideators and attempters: A study of mood disordered patients 50 years and older.

Our study sought to characterize mood disordered suicide ideators and attempters 50 years and older admitted to a psychiatric ward either for a recent suicide attempt or for ongoing suicidal ideation. We enrolled 50 patients with suicide ideation consecutively admitted to an inpatient department and 50 patients admitted for a suicide attempt made in the […]

A controlled study of suicide in middle-aged and older people: Personality traits, age, and psychiatric disorders.

Personality traits were examined using the NEO Five-Factor InventoryÐRevised in an Australian psychological autopsy study involving 259 suicide deaths and 181 sudden death controls aged 35 years and over. Interviews included the Structured Clinical Interview for DSM-IV to determine the presence of psychiatric disorder. Personality traits of suicide deaths differed significantly from those of controls, […]

Rate of suicide increases in middle age: Primary care key to suicide prevention.

The recent suicide death of comedian Robin Williams drew attention to a worrisome public health trend: a rising rate of suicide among middle-aged individuals. An analysis by the US Centers for Disease Control and Prevention found a 28.4% increase in suicides between 1999 and 2010 among people aged 35 to 64 years (Sullivan EM et […]

A changing epidemiology of suicide? The influence of birth cohorts on suicide rates in the United States.

The increases in suicide among middle-aged baby boomers (born between 1946 and 1964) in the United States since 1999 suggest a changing epidemiology of suicide. The results dispute popular claims that boomers exhibit an elevated suicide rate relative to other generations, but boomers do appear to have ushered in new cohort patterns of suicide rates […]

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.

Self-Reported Mental Health and its Gender Differences as a Predictor of Suicide in the Middle-Aged

To study the relation between self-reported mental health & risk of suicide, the authors prospectively followed a population-based cohort of middle-aged Norwegians. Females reported higher levels of mental distress than males. In comparison with persons reporting the fewest mental health symptoms, the adjusted hazard ratio for suicide increased from 1.8 in the moderately depressed group […]

Respiratory Function and Other Biological Risk Factors for Completed Suicide: 40 Years of Follow-Up of European Cohorts of the Seven Countries Study

In the prospective cohort of the Seven Countries Study, 5,321 middle-aged men from Finland, Serbia, Italy, & Greece were tested to assess which biological risk factors independently identified subjects at increased risk of suicide. Completed suicide was assessed during 40 years of follow-up. Biological cardiovascular risk factors (including forced vital capacity & height) were tested […]

Suicide by Burning Barbecue Charcoal: Three Case Reports

The authors report 3 cases of suicide in Scotland where barbecue charcoal was purposely burned in a confined area. This particular method is not common in Europe & is more widely reported in the Far East. (28 refs.)

Suicides Among Older Persons in Finland and Time Since Hospitalization Discharge

This study examined the timing of suicide among elderly & middle-aged persons after their final hospitalization & examined characteristics of suicides in relation to the timing of suicide. Data were examined for 370 Northern Finnish middle-aged (50-64 years) & 194 elderly (65 years or older) suicide victims. Compared with elderly persons whose suicide occurred more […]

Attempted Suicide by Cop: a Case Study of Traumatic Brain Injury and the Insanity Defense


Future Orientation and Suicide Ideation and Attempts in Depressed Adults Ages 50 and Over

The hypothesis that future orientation is associated with lower levels of suicide ideation & lower likelihood of suicide attempt was tested in a sample of 202 patients in treatment for major depression. Hypotheses were tested using multivariate logistic regression & linear regression analyses that accounted for age, gender, hopelessness, & depression. As hypothesized, higher future […]