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Future Directions in Late Life Suicide Prevention

Bibliographic Data

ID13628264
AuthorsAmy Fiske (0000-0002-8718-1064, University of Southern California, corresponding author), Patrick Arbore (Center for Elderly Suicide Prevention and Grief Related Services Goldman Institute on Aging, San Francisco, California)
Year2001
Volume42
Issue1
Pages37-53
Publication date2001-02-01
Open AccessYes
TypeARTICLE
VenueOMEGA - Journal of Death and Dying (JOURNAL)
Journal identifiersISSN: 0030-2228 • E-ISSN: 1541-3764
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.2190/3t4g-t5u2-q724-e0k8
OpenAlexW2121475890
LanguageEN
Citations received2
References cited38

Late life suicide is characterized by less warning, higher lethality, and greater prevalence of depression and physical illness than suicide earlier in the lifespan. Suicidal older adults are more likely to seek help from a physician than through mental health channels, and suicide risk often remains undetected. Hopelessness is a prominent feature in older adult suicide. Traditional suicide hotlines receive few calls from older adults, and staff lack training in working with this age group. Despite the difficulties in preventing older adult suicide, however, opportunities exist. Psychotherapeutic and psychopharmacological treatments for depression may be effective in suicidal older adults, although they have not yet been widely tested. Community agencies with specialized programs for older adults show promise. Results are presented from the evaluation of one such agency, the Center for Elderly Suicide Prevention. After receiving agency services, hopelessness improved among clients but not in a comparison group. There were no significant changes in depressive symptoms or life satisfaction. Recommendations for future preventive efforts include: use of medical contacts to screen for depression and suicide; assessment of suicide risk with even small elevations in depressive symptoms; consideration of physical health status and level of hopelessness in assessing suicide risk; research on effective psychotherapies with suicidal older adults; and support of innovative community outreach and intervention programs

Depression (economics · Injury prevention · Intervention (counseling · Medical emergency · Mental health · Occupational safety and health · Outreach · Poison control · Psychiatry · Suicide prevention · Clinical Psychology · Health disparities and outcomes · Medicine · Mental Health Treatment and Access · Psychology · Suicide and Self-Harm Studies · Gerontology

  • Developing a Hypothetical Model for Suicide Progression in Older Adults With Universal, Selective, and Indicated Prevention Strategies

    Open Access•Tomoe Sakashita, Hirofumi Oyama•Frontiers in Psychiatry•2019

  • Agency and Communion in End-of-Life Decision-Making

    Open Access•Raymond C Hawkins•Illness Crisis & Loss•2017

  • The Short Form of the Geriatric Depression Scale

    Open Access•William J Burke, William H Roccaforte et al.•Journal of Geriatric Psychiatry…•1991

  • The Measurement of Life Satisfaction

    Bernice L Neugarten, R J Havighurst et al.•Journal of Gerontology•1961

  • Geriatric Depression Scale (GDS)

    Jerome A Yesavage, Javaid I Sheikh•Clinical Gerontologist•1986

  • Development and validation of a geriatric depression screening scale

    Open Access•Jerome A Yesavage, T L Brink et al.•Journal of Psychiatric Research•1982

  • Evaluating an Intervention for the Elderly at Increased Risk of Suicide

    Open Access•Nancy Morrow-Howell, Susan Becker-Kemppainen et al.•Research on Social Work Practice•1998

Citations per year0.22
Citation span2017 - 2019 (3)
Highly citedNo

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