Cited by 57Suicide and Self-Harm StudiesPsychological and Temporal Perspectives ResearchAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Future orientation moderates the relationship between functional status and suicide ideation in depressed adults

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Hirsch, Jameson K., Duberstein, Paul R., Conner, Kenneth R., Heisel, Marnin J., Beckman, Anthony, Franus, Nathan, Conwell, Yeates·2007·Depression and Anxiety

Abstract

Functional impairment might amplify suicide risk in later life. A positive view of the future may reduce this risk. We tested the hypothesis that hopelessness and positive future orientation moderate the association between functional status and suicide ideation in a sample of 136 patients, 55 years of age or older, in treatment for depression. Future orientation moderated the association between functional status and suicide ideation; hopelessness did not. Although prospective research is needed to test more rigorously the hypothesized protective role of positive future orientation, our data suggest that treatments designed to enhance future orientation might decrease suicide risk.

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  • We chose hopelessness and optimism as key outcome measures due to their established links to suicidality; hopelessness has been associated with completed suicide, independent of severity of mood symptoms.

    “We chose hopelessness and optimism as key outcome measures due to their established links to suicidality [10 -12]. Hopelessness has been associated with completed suicide, independent of severity of mood symptoms [46,47]”
  • Optimism, gratitude and other positive states have been associated with reductions in hopelessness, suicidal ideation and suicide attempts, often independent of depression.

    “Optimism, gratitude and other positive states have been associated with reductions in hopelessness, suicidal ideation and suicide attempts, often independent of depression [10 -16].”

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  1. Edelstein BA, McKee DR, Martin RR. 2000. Development of the Reasons for Living Scale for Older Adults: A suicide assessment instrument. Poster presented at the Harvard Symposium on Future Research Trends and Opportunities in Aging, September 2000. Boston, MA. Depression and Anxiety DOI 10.1002/da 15206394, 2007, 3, Downloaded from https://onlinelibrary.wiley.com/doi/10.1002/da.20224 by Mount Vernon Nazarene University, Wiley Online Library on [04/09/2026]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License · DOI
  2. First MB, Spitzer RL, Gibbon M, Williams JBW. 1997. Structured clinical interview for DSM-IV Axis I Disorders-Patient Edition (SCID-I/P, Version 2.0, 4/97 revision). New York: Biometrics Research Department, New York State Psychiatric Institute.

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Authors
Hirsch, J. K., Duberstein, P. R., Conner, K. R., Heisel, M. J., Beckman, A., Franus, N., & Conwell, Y.
Affiliations
  • Rochester Institute of Technology (US)
  • University of Rochester Medicine (US)
  • Western University (CA)
Corresponding author
Hirsch, Jameson K.
Venue
Depression and Anxiety
Published
2007
Volume
24
Issue
3
Pages
196-201
ISSN
  • 1091-4269 (ISSN-L)
  • 1520-6394
OpenAlex
W2096920030
Cited by
57
References
61
Citations by year
2026: 5 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 3 · 2019: 8 · 2018: 3 · 2017: 3 · 2015: 4 · 2014: 5 · 2013: 4 · 2012: 2
FWCI
2.58
Type
journal article
Language
en
Open access
Locations
  • Depression and Anxiety (publishedVersion, public-domain)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5t32mh020061-25)
  • National Institute of Mental Health (T32 MH20061, T32-MH020061, R01MH064579, R01 MH60285, R01MH060285)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Psychological and Temporal Perspectives Research
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
future orientation, hopelessness, functional status, suicidal ideation, depression, older adults, functional disability, suicide risk, moderation, positive future orientation
MeSH terms
Aged, Major Depressive Disorder, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Suicide, Attempted, Time Factors, Cost of Illness, Diagnostic and Statistical Manual of Mental Disorders

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