Use of psychoactive medications and risk of suicide in late life (75+): A total population study

Background: Psychoactive medications play an important role for the mental health and risk of suicidal behaviour in the oldest segment of the population (75+). A better understanding of psychoactive medication use is advocated to prevent suicide in this age group. Purpose: We investigated the risk of suicide associated with the use of psychoactive medications in the total […]

Risk of suicide in patients with cancer aged 75 years or more: Follow-up of over 400,000 individuals

Background: It is well established that older patients with cancer have a significantly higher risk of suicide. However, a comprehensive understanding of the risk factors is lacking. In this study, we aimed to identify groups at an increased risk of suicide among patients aged ≥75 years with a previous cancer diagnosis. Material and methods: All Polish individuals […]

Suicide at very advanced age: The extreme of the gender paradox

Suicide figures are declining globally. Most recent estimates suggest 788,000 deaths in 2015 as representative of the global mortality due to suicide (World Health Organization [WHO], 2017). Despite these changes, older adults continue to represent the segment of population most exposed to the risk of suicide nearly everywhere in the world. The gender paradox in […]

Recent trends and developments in suicide prevention for older adults

KEY POINTS Suicide rates peak in late life yet few suicide prevention interventions have been adequately evaluated and found effective. Training of clinicians and gatekeepers, brief psychotherapies for at-risk older people, and aftercare for those who have self-harmed have best evidence of effect. Strategies to improve social connectedness have shown benefits on measures of social […]

Suicide in older people: Some forgotten avenues

The elderly population size is growing worldwide due to the increased life expectancy of older adults (Oeppen & Vaupel, 2002). This is also affecting the number of the ”oldest” old people (80+ years; Jeune & Skythe, 2001; Shah, 2007a). Suicide rates in many countries increase with aging (Bertolote & De Leo, 2012; Shah, 2007b). Thus, prevention of suicide […]

Shadows from the past: The situated meaning of being suicidal among depressed older people living in the community

Background: Most depressed older people in a suicidal state have mixed feelings, where the wish to live and the wish to die wage a battle. Aims: To explore and describe depressed older people’s experiences of being suicidal and their search for meaning. Method: Data were collected from 29 participants resident in the Rogaland and Vestfold districts of Norway, […]

The emergency telephone conversation in the context of the older person in suicidal crisis: a qualitative study

Background: Suicide in older people is a significant public health issue with a predicted future increase. Contemporary research directs considerable attention toward physical, mental, and social risk factors that contribute to suicidality in older people; still, little is understood about the fundamental meanings that older people in suicidal crisis attribute to these factors. Aims: The aim of […]

Wishes to die in older people: A quantitative study of prevalence and associated factors

Background: Death thoughts and wishes occur frequently among older people. In different European countries estimates of 10%-20% have been found. Aims: To determine the prevalence and associated factors of death thoughts and wishes among older people in The Netherlands. Methods: In The Netherlands 1794 people (58-98 years) were interviewed in 2005/2006 (Longitudinal Aging Study Amsterdam). Results: 81.3% reported never […]

Understanding why older people develop a wish to die: A qualitative interview study

Background: Quantitative studies in several European countries showed that 10-20% of older people have or have had a wish to die. Aims: To improve our understanding of why some older people develop a wish to die. Methods: In-depth interviews with people with a wish to die (n = 31) were carried out. Through open coding and inductive analysis, […]

A systematic review of elderly suicide prevention programs

Background: Suicide rates are highest among the elderly, yet research on suicide prevention in old age remains a much-neglected area. Aims: We carried out a systematic review to examine the results of interventions aimed at suicidal elderly persons and to identify successful strategies and areas needing further exploration. Methods: Searches through various electronic databases yielded 19 studies with […]

Key considerations for preventing suicide in older adults: Consensus opinions of an expert panel

Background: The number of older adults is growing rapidly. This fact, combined with the high rates of suicide in later life, indicates that many more older adults will die by their own hands before rigorous trials can be conducted to fully understand the best approaches to prevent late life suicide. Aims: To disseminate key considerations for interventions […]

The impact of epidemic outbreak: The case of Severe Acute Respiratory Syndrome (SARS) and suicide among older adults in Hong Kong

Background: Previous studies revealed that there was a significant increase in suicide deaths among those aged 65 and over in 2003. The peak coincided with the majority of SARS cases being reported in April 2003. Aims: In this paper we examine the mechanism of how the SARS outbreak resulted in a higher completed suicide rate especially among […]

Association of frailty with risk of suicide attempt in a national cohort of US veterans aged 65 years or older

Objectives  To examine the association between frailty and risk of suicide attempt and how risk differs based on components of frailty. Design, Setting, and Participants  This nationwide cohort study integrated databases from the US Department of Veterans Affairs (VA) inpatient and outpatient health care services, Centers for Medicare & Medicaid Services data, and national suicide data. Participants […]

Prevalence and factors associated with suicidal ideation among older people with visual impairments attending an eye center during the COVID-19 pandemic: A hospital-based cross-sectional study

Purpose: To evaluate the prevalence of suicidal ideation and associated factors among older people with visual impairments attending an eye center during the COVID-19 pandemic. Patients and Methods: A total of 314 older people aged 60 and above with visual impairments who attended an eye center were included in this study. This was a hospital-based […]

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 […]

The lived experience of family members of older people who have died by suicide in rural China

Aim The aim of the study is to provide insight and facilitate a deeper understanding of family members who have experienced their older family member’s suicide. Design Interpretative phenomenological analysis (IPA) study. Methods Semi-structured individual interviews with five family members of older people who died by suicide recruited from a rural area of Shanxi Province, […]

Self-harm in older adults in hospital registry data: A consecutive 2-year study

Background: Self-harm is a high-risk behavior and often escalates to suicide. Among people who deliberately harm themselves, older people are more likely than younger people to die by suicide. Given that older adults are a  particularly high-risk group for suicide and self-harm is a powerful predictor of suicide in later life, understanding self-harm in older […]

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 […]

Association of frailty with risk of suicide attempt in a national cohort of US Veterans aged 65 years or older

Objectives  To examine the association between frailty and risk of suicide attempt and how risk differs based on components of frailty. Design, Setting, and Participants  This nationwide cohort study integrated databases from the US Department of Veterans Affairs (VA) inpatient and outpatient health care services, Centers for Medicare & Medicaid Services data, and national suicide data. Participants […]

The increase in suicide risk in older adults in Taiwan during the COVID-19 outbreak

Background Studies from Western countries indicated that older adults were more resilient than younger ones to deteriorating mental health during the COVID-19 pandemic. As high late-life suicide rates have been reported in East Asia, it is possible that the pandemic impact might differ between East and West. We investigated the pandemic impact on age-specific suicide […]

Determinants of suicidal history before assisted versus self-initiated suicide late in life: an observational study

BACKGROUND: Older adults are at risk of assisted and self-initiated suicide. The links between prior attempts and assisted suicide in the elderly have not been investigated. Hence, we aimed to investigate and describe the occurrence, timing and determinants of suicide attempts prior to assisted and self-initiated suicide. METHODS: We developed a retrospective study of all […]

Trends of completed suicide rates among Malaysian elderly between 1995 and 2020

Background Suicide among the elderly has become a global public health concern. This study was carried out to determine the trend of completed suicide rates according to age, sex, and ethnicity and the suicidal methods among the elderly in Malaysia. Methods All suicide-related deaths in elderly aged 60 years and above from the Year 1995 to […]