Social service directors’ roles and self-efficacy in suicide risk management in US nursing homes

Nursing home (NH) residents have many risk factors for suicide in later life and transitions into and out of NHs are periods of increased suicide risk. The purpose of this study was to describe NH social service directors (SSDs) roles in managing suicide risk and to identify factors that influence self-efficacy in this area. This […]

Dying by suicide in nursing homes: A preventable end of life outcome for older residents

Suicide research and suicide prevention have given comparatively little attention to the older adult residents of nursing homes. This population is characterized by advanced age, significant infirmity, limited autonomy and social connections, and other factors associated with high suicide risk such as self-neglect. However, little is known of the actual incidence and prevalence of suicide […]

Health and care related risk factors for suicide among nursing home residents: A data linkage study

This study aimed to examine associations between health status and care needs of nursing home residents and risk of death from suicide compared to other causes through a retrospective data linkage cohort study examining nursing home resident deaths in Australia between 2000 and 2013. Data linkage was performed between aged care assessment tools—Resident Classification System […]

Challenges associated with managing suicide risk in long-term care facilities

Little information about suicidal ideation and behavior in long-term care (LTC) facilities is available. Nonetheless, the implementation of the Minimum Data Set 3.0 requires that LTC facilities screen their residents for suicide risk and have protocols in place to effectively manage residents’ responses. In this article, the authors briefly discuss the risk factors of suicide […]

Barriers to the prevention of suicide in nursing homes: A qualitative study of the social representations of caregivers.

Background: The suicide rate in older people is high. Gatekeeper training is recommended for at-risk populations in the detection and management of suicidal residents in nursing homes. Aims: This study focuses on how caregivers in nursing homes consider suicide in older people from a social perspective, and to what extent these social representations are an obstacle to the […]

Suicide mortality following nursing home discharge in the department of Veterans Affairs Health System.


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 […]

“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 […]

Suicide Prevention for Older Adults in Residential Communities: Implications for Policy and Practice

Whether by choice or necessity, more older adults in America are now living in congregate residential settings. About 23 percent of the 36 million adults over age 65 experience relocation. The underlying reasons for relocation as well as the ensuing adjustment process is often stressful. These adjustments coupled with an array of risk factors commonly […]

Death Ideas, Suicidal Thoughts, and Plans Among Nursing Home Residents

This study evaluated the prevalence of death- &/or suicidal feelings, thoughts, plans, & any suicide attempts in a random, unselected sample of 228 Italian individuals, aged 65 years & older. 172 participants were surveyed using 5 sample questions to investigate the presence of death- & suicidal thoughts, plans, & behaviours in different time periods. 30.8% […]

Types of Nursing Home Residents With Self-Destructive Behaviours: Analysis of the Harmful Behaviours Scale

This study investigated the types of self-destructive behaviours identified by the Harmful Behaviours Scale & the variables associated with them. A cross sectional survey involving 647 residents in 11 nursing homes in Sydney, Australia was conducted. Latent class analysis of the Harmful Behaviours Scale identified 4 groups, described as aggressive-resistant, food refusal, behaviourally disturbed, & […]

Suicidal Behaviour in Nursing Homes: a Survey in a Region of North-East Italy


Case Study: Denying Admission of a Suicidal Patient to a Nursing Home


Palliative Care & Euthanasia in The Netherlands: Observations of a Dutch Physician (IN: The Case Against Assisted Suicide, ed. by K Foley & H Hendin)

The author describes working in palliative care in The Netherlands, where its development has been severely hampered by the easy availability of euthanasia. He profiles the different types of patients requesting euthanasia, which fall into 5 categories: Afraid, Burned-out, Control Oriented, Depressed, & Extreme. The doctor’s own hospice care is discussed, & the social cost […]

Suicidal Ideation and Depression Among Institutionalized Elderly: the Influence of Residency Duration

An exploratory study of 83 randomly selected elderly persons relocated to a nursing home was conducted in the north of Israel. The aim was to examine the relationship between duration of residency & suicidal ideation. Elderly people in 4 different periods of residency were compared on 3 scales. Participants at all 4 stages of relocation […]

Nursing Home Suicides – a Psychological Autopsy Study


Suicide: Aged Adults (IN: Encyclopedia of Death, ed. by R Kastenbaum and B Kastenbaum)

This encyclopedia entry explores the problem of suicide among the elderly population, paying close attention to fluctuating rates of suicide among this group. Elderly high-risk groups are identified & risk indicators are reviewed. Precipitating factors & warning signs for suicide in elderly individuals are also examined. (11 refs)

Using a Differential Reinforcement of Incompatible Behavior (DRI) Schedule to Reduce Maladaptive Behaviors in a Nursing Home Resident

The case of Donna, a nursing home resident, is presented. Donna engaged in seemingly intractable behaviors, including compulsive theft & prostitution. Her history of suicide attempt & ideation is described. After a series of interventions failed to reduce these behaviors, a differential reinforcement of incompatible responding (DRI) procedure was implemented following functional assessment. Treatment resulted […]

Suicidality in Residents of a Nursing Home

Published in “Suicide Risk & Protective Factors in the New Millennium,” ed. by O T Grad

Assessing the Arguments for and Against Euthanasia and Assisted Suicide: Part two

This article emphasizes external factors that may contribute to people’s attitudes toward euthanasia & assisted suicide. Moral elements of intention, mercy, compassion, self-interest, pragmatism, foresight & sacrifice are discussed. The author notes that if quality of life judgments & social utility judgments are constantly held in check by both a public philosophy of examining intentionality […]

The Extended Effects of the Life Review in Nursing Home Residents

This analysis followed 52 of 256 subjects who lived for at least three years in a nursing home, who took part in four repeated testings to determine the lasting effects of a life review at two & three years. Measures of integrity & despair were used as pretest, posttest, & retest. Results showed a trend […]

Elderly People and Suicide in Turkey (IN: Suicide and Euthanasia in Older Adults: a Transcultural Journey, edited by D De Leo)

Suicidal Ideation and Self-Determination in Institutionalized Elderly

The right to self-determination is central to the current debate on rational suicide in old age. This exploratory study assessed the presence of self-determination in suicidal institutionalized elderly persons. 11 elderly persons with serious suicidal ideation were matched with 11 nonsuicidal persons. Results indicated suicidal persons did not differ from nonsuicidal persons in level of […]