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Suicide and Aging: International Perspectives

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Abstract

From Durkheim to Kraepelin, suicide has been recognized as a social and psychiatric ill. Among clinical scientists in the United States, interest in suicide grew substantially in the 1980's as rates among older adults increased. However, major advances in the science of mental health seem unlikely to reduce the prevalence of suicide as long as case recognition at the community level continues to be problematic. Public policy promoted to reduce social risk factors coupled with greater attention to psychopathology is the logical outgrowth from the most recent data. Differences in suicide rates by nation add weight to the argument.

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REFERENCES

  1. Hirshfeld RMA, Russle JM (1997) Assessment and treatment of suicidal patients. New England Journal of Medicine 337, 910–915.

    Google Scholar 

  2. Conwell Y, Lyness JM, Duberstein P, Cox C, Seidlitz L, DiGiorgia A, Caine ED: Completed suicide among older patients in primary care practices: A controlled study. Journal of the American Geriatrics Society 48:23–29, 2000.

    Google Scholar 

  3. Mann JJ, Stoff DM: A synthesis of current findings regarding neurobiological correlates and treatment of suicidal behavior New York Academy of Science, 836:352–363, 1997.

    Google Scholar 

  4. Angell M: Prisoners of technology: the case of Nancy Cruzan. New England Journal of Medicine 322:1226–1228, 1990.

    Google Scholar 

  5. Tolchin M: When long life is too much: suicide rates among the elderly. New York Times; July 19, 1989, A1.

  6. Kaplan MS, Adamek ME, Rohades JA: Prevention of elderly suicide. Physicians' assessment of firearm availability. American Journal of Preventive Medicine 15:60–64, 1998.

    Google Scholar 

  7. Marzuk PM, Leon AC, Tardiff K, Morgan EB, Marina S, Mann J. The effect of access to lethal methods of injury on suicide rates. Archives of General Psychiatry 49:451–458, 1992.

    Google Scholar 

  8. Grabbe L, Demi A, Camann MA, Potter L: The health status of elderly persons in the last year of life: a comparison of deaths by suicide, injury, and natural causes. American Journal of Public Health 87:434–437, 1997.

    Google Scholar 

  9. World Health Organization: Prevention of suicide: guidelines for the formulation and implementation of national strategies. Geneva: World Health Organization, 1996.

    Google Scholar 

  10. U.S. Public Health Service: The Surgeon Generals Call to Action to Prevent Suicide Washington DC:1999. Health And Human Services.

    Google Scholar 

  11. Vital Statistics of the United States II: Mortality, Part A, 1992. Hyattsville, Md: National Center for Health Statistics; 1996 U.S. Department of Health and Human Services publication 367.

  12. Whanger AD: Inpatient treatment of the older psychiatric patient, In Geriatric Psychiatry, Ewald Busse and Dan G. Blazer, (Eds.). American Psychiatric Press, Washington D.C., 1989.

    Google Scholar 

  13. Kennedy GJ, Metz H, Lowinger R: Epidemiology and inferences regarding the etiology of late-life suicide. In G. J. Kennedy ed. Suicide and Depression in Late Life, John Wiley &; Sons, New York, pp. 3–22, 1996.

    Google Scholar 

  14. Miller M: Geriatric suicide: the Arizona study. Gerontologist 18:488–495, 1978.

    Google Scholar 

  15. Parkin D, Stengal E: Incidence of suicide attempts in an urban community. British Medical Journal 2:133–139, 1965.

    Google Scholar 

  16. The Gallup Organization: Executive Summary; Attitude and incidence of suicide among the elderly. The Gallup Organization, Inc. Princeton, New Jersey, 1992.

    Google Scholar 

  17. McIntosh JL: Suicide among the elderly: levels and trends. American Journal of Orthopsychiatry 55:288–291, 1985.

    Google Scholar 

  18. Meehan PJ, Saltzberg LE, Sattin RW: Suicides among older United States residents: epidemiologic characteristics and trends. American Journal of Public Health 81:1198–1200, 1991.

    Google Scholar 

  19. Atchley RC: Social Forces in Later Life. California, Wadsworth Publishing Co. 1980.

    Google Scholar 

  20. Cummings E, Henry NE; Growing old: the process of disengagement. New York: Basic Books. 1961.

    Google Scholar 

  21. Barraclough BM: Suicide in the elderly: recent developments in psychogeriatrics. British Journal of Psychiatry 87–97, 1971.

  22. Batchelor IRC, Napier MB: Attempted suicide in old age. British Medical Journal 2:1186–1190, 1953.

    Google Scholar 

  23. Woodbury MA, Manton KG, Blazer DG: Trends in US suicide mortality rates 1968 to 1982: race and sex differences in age, period and cohort components. International Journal of Epidemiology 17:356–362, 1988.

    Google Scholar 

  24. McCall PL: Adolescent and elderly white male suicide trends: evidence of changing well-being? Journals of Gerontology: Social Sciences 46:S43–51, 1991.

    Google Scholar 

  25. Haas AP, Hendin GE: Suicide among older people: projections for the future. Suicide and Life-Threatening Behavior 13:147–154, 1983.

    Google Scholar 

  26. Osgood N (ed). Suicide in the Elderly. Rockville MD, Aspen 1985.

    Google Scholar 

  27. Lindsey J: Trends in self-poisoning in the elderly 1974-1983. International Journal of Geriatric Psychiatry 1:37–43, 1986.

    Google Scholar 

  28. Brown JH: Suicide in Britain: more attempts, fewer deaths, lessons for public policy. Archives of General Psychiatry 36:1119–1124, 1979.

    Google Scholar 

  29. Loebel JP, Loebel JS, Dager SR, Centerwall BS, Reay DT: Anticipation of nursing home placement may be a precipitant of suicide among the elderly. Journal of the American Geriatric Society 39:407–408, 1991.

    Google Scholar 

  30. Anon: The Kevorkian cure: death. Editorial. E17, The New York Times, 12 December 1990.

  31. Quill TE: Death and dignity; a case of individualized decision making. New England Journal of Medicine 324:691–694, 1991.

    Google Scholar 

  32. Quill TE, Cassel CK, Meier DE: Care of the Hopelessly ill; proposed criteria for physician assisted suicide. New England Journal of Medicine 327:1380–1384, 1992.

    Google Scholar 

  33. Brody H: Assisted death-a compassionate response to a medical failure. New England Journal of Medicine 327:1384–1388, 1992.

    Google Scholar 

  34. Emanuel EJ, Battin MP: What are the potential cost savings from legalizing physician assisted suicide? New England Journal of Medicine 339: 1572–1577, 1998.

    Google Scholar 

  35. Shneidman ES: Orientation towards death: A vital aspect of the study of lives. In R. White (Ed.), The Study of Lives. New York: Prentice Hall. 1963.

    Google Scholar 

  36. Merloo J: Hidden suicide. In H.L.P. Resnick (Ed.), Suicidal Behaviors: Diagnosis and Management. Boston: Little, Brown and Co. 1968.

    Google Scholar 

  37. Nelson FL, Farberow NL. Indirect suicide in the elderly chronically ill patient. In K. Achte and J. Lonnqvist (Eds.), Suicides Research. Helsinki: Psychiatry Finnica, 1977, 125–139.

    Google Scholar 

  38. Linehan MM: Behavioral treatments of suicidal behaviors. Definitional obfuscation and treament outcomes. Annals of the New York Academy of Science 836, 302–328, 1997.

    Google Scholar 

  39. Conwell Y, Caine ED, Olsen K: Suicide and cancer in late life. Hospital and Community Psychiatry 41:1334–1339, 1990.

    Google Scholar 

  40. Shaffer D: Suicide: risk factors and the public health. American Journal of Public Health 83:171–172, 1993.

    Google Scholar 

  41. Patient Self-Determination Act [1990], Pub. L. 101-508 §§4206, 4751 (OBRA, 42 U.S.C. 1395 cc(a) et seq. 1990.

  42. Etzersdorfer E, Sonnek G, Nagel-Kuess S. Newspaper reports and suicide. To the Editor, New England Journal of Medicine 327:502–503, 1992.

    Google Scholar 

  43. Rosenberg ML, Eddy DM, Wolpert RC, Broumas EP: Developing strategies to prevent youth suicide in Suicide Among Youth: Perspectives on Risk and Prevention. Ed CR Pfeffer, American Psychiatric Press, Inc. 203–225, 1989.

  44. Mackensie TB, Popkin MK: Suicide in the medical patient. International Journal of Psychiatry in Medicine 17:3–22, 1987.

    Google Scholar 

  45. Murphy GE, Wetzel RD, Robins E, McEvoy L: Multiple risk actors predict suicide in alcoholism. Archives of General Psychiatry 49:459–463, 1992.

    Google Scholar 

  46. Clark DC: In remarks at the ''Too Young to Die'' Conference on the National Suicide Survey conducted by Empire Blue Cross and Blue Shield and the Gallup Organization, Inc., December 10, 1992, New York New York.

  47. Uncapher H, Gallager-Thompson D, Osgood NJ, Bongar B: Hopelessness and suicidal ideation in older adults. Gerontologist 38, 62–70, 1998.

    Google Scholar 

  48. Hemenway D, Solnick SJ, Colditz GA. Smoking and suicide among nurses. American Journal of Public Health 83:249–251, 1993.

    Google Scholar 

  49. Holden C: A new discipline probes suicide's multiple causes. Science 256:1761–1762, 1992.

    Google Scholar 

  50. Clayton PJ: Suicide. Psychiatric Clinics of North America 8:203–214, 1985.

    Google Scholar 

  51. Weissman MR, Klerman GL, Markowitz JS, Ouellette R: Suicidal ideation and suicide attempts in panic disorder and attacks. New England Journal of Medicine 321:1209–1214, 1989.

    Google Scholar 

  52. Costa PT, McCrae: Depression as an enduring disposition, in Diagnosis and Treatment of Depression in Late Life. L Schneider, CF Reynolds, BD Lebowitz, AJ Friedman, (Eds.). (American Psychiatric Press, Inc. 1994, pp, 155–168.

  53. Jamison, K., Baldessarini, RJ, Editors. Effects of Medical Interventions on Suicidal Behavior Journal of Clinical Psychiatry 60(suppl 2):117–122, 1999.

  54. Weishaar ME, Beck AT: Cognitive approaches to understanding and treating suicidal behavior. In: Blumnethal SJ, Kupfer DJ, (Eds). Suicide overthe life cycle: risk factor assessment, and treatment of suicidal patients. Washington DC, American Psychiatric Press, 469–498, 1990.

    Google Scholar 

  55. Duberstein PR, Conwell Y, Seidlitz L, Lyness JM, Cox C, Caine ED. Age and suicidal ideation in older depressed inpatients. American Journal of Geriatric Psychiatry 7:289–296, 1999.

    Google Scholar 

  56. National Institute of Mental Health (1997) Prevention of suicidal behavior in older primary care patients, NIH Guide vol. 26, no. 38.

  57. van der Sande R, van Rooijen L, Buskens E, Allart E, Hawton, K, van der Graff Y, van Engeland H. (1997) Intensive in-patient and community intervention versus routine care after attempted suicide. A randomized controlled intervention study. British Journal of Psychiatry 171:35–41, 1997.

    Google Scholar 

  58. Goldstein M, Colenda CC, Kennedy GJ, Van Dooren H, Van Stone W, Hay DP, Sadavoy J; Models of Geropsychiatric Practice, American Psychiatric Press, Inc. 1993.

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Authors and Affiliations

  1. Psychiatry and Behavioral Science, Albert Einstein College of Medicine, USA

    Gary J. Kennedy (Professor)

  2. Division of Geriatric Psychiatry, Montefiore Medical Center and Bronx Psychiatric Center, USA

    Gary J. Kennedy (Professor)

  3. Department of Psychiatry and Behavioral Science, Albert Einstein College of Medicine, Montefiore Medical Center, USA

    Stacey Tanenbaum (Resident Physician)

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  1. Gary J. Kennedy
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  2. Stacey Tanenbaum
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Kennedy, G.J., Tanenbaum, S. Suicide and Aging: International Perspectives. Psychiatr Q 71, 345–362 (2000). https://doi.org/10.1023/A:1004636307592

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