Suicidal ideation among elderly homecare patients
Abstract
Objectives: To identify the prevalence, correlates, and one‐year naturalistic course of suicidal ideation in a representative sample of elderly adults newly admitted to visiting nurse homecare. Method: Five hundred and thirty‐nine participants (aged ≥65), newly initiating homecare for skilled nursing services, were interviewed with the Structured Clinical Interview for DSM‐IV (SCID‐IV) and measures of depression severity, medical comorbidity, functional status, and social support. Participants were classified as having no suicidal ideation in the past month, passive ideation, active ideation, or active ideation with poor impulse control or suicide plan. Results: Fifty‐seven participants (10.6%) reported passive and six (1.2%) reported active suicidal ideation. Higher depression severity, greater medical comorbidity, and lower subjective social support were independently associated with the presence of any level of suicidal ideation. At one year, suicidal ideation persisted for 36.7% of those with ideation at baseline, and the incidence of suicide ideation was 5.4% Conclusions: The high prevalence, persistence, and incidence of suicidal ideation in medically ill home healthcare patients underscore the relevance of this population for suicide prevention efforts. The clinical and psychosocial factors associated with suicidal ideation in this underserved, high‐risk population are potentially modifiable, and thus useful targets for suicide prevention interventions. Copyright © 2006 John Wiley & Sons, Ltd.
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Seven studies (with eight publications) focused on death wishes/suicide ideation.
“Seven studies (with eight publications) focused on death wishes/suicide ideation [27,28,29,30,31,32,33,34].”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [31]
No association with marital status was observed in U.S. homecare recipients with suicidal ideation.
“no association with marital status was observed in a U.S. study conducted by Raue which examined suicidal ideation (passive/active/none) in recipients of in-home nursing [31].”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [31]
Living alone was not associated with suicide ideation in the Bartels, Raue, and Yen studies.
“Further, no relationship was observed with suicide ideation in that study, which was also the case in the study by Raue [31], and the Yen study from Taiwan [34].”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [31]
Greater perceived social support was associated with lower risk for both concurrent and one-year incident death/suicide ideation.
“However, greater perceived social support was associated with lower risk for both concurrent and one-year incident death/suicide ideation [31].”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [31]
Consistent results were found for subjective measures of social connectedness: perceived social support (two U.S. studies) and loneliness (two Swedish studies).
“Though investigated in fewer studies, consistent results were also found for subjective measures of social connectedness—perceived social support (two U.S. studies [31,41]) and loneliness (two Swedish studies [39,40,42]).”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [31]
Low instrumental support, in a single U.S. study, was not associated with suicide.
“Low instrumental support, in a single U.S. study [31], was not associated with suicide.”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [31]
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- Authors
- Raue, P. J., Meyers, B. S., Rowe, J. L., Heo, M., & Bruce, M. L.
- Affiliations
- Cornell University (US)
- Corresponding author
- Raue, Patrick J.
- Venue
- International Journal of Geriatric Psychiatry
- Publisher
- Wiley
- Published
- 2006-09-05
- Volume
- 22
- Issue
- 1
- Pages
- 32-37
- ISSN
- 0885-6230 (ISSN-L)
- 1099-1166
- OpenAlex
- W2022312367
- Cited by
- 112
- References
- 26
- Citations by year
- 2025: 7 · 2024: 4 · 2023: 1 · 2022: 5 · 2021: 3 · 2020: 8 · 2019: 6 · 2018: 1 · 2017: 4 · 2016: 6 · 2015: 15 · 2014: 15 · 2013: 11 · 2012: 8
- FWCI
- 3.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5t32mh020061-25)
- National Institute of Mental Health (R24-MH64608, R24MH064608, T32-MH020061, R01 MH 56482, K23MH069784, R01MH056482)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- suicidal ideation, older adults, home care, visiting nurses, depression severity, comorbidities, social support, suicide prevention, suicide planning, impulse control
- MeSH terms
- Aged, Aged, 80 and over, Attitude to Death, Depressive Disorder, Female, Home Care Services, Humans, Male, New York, Psychiatric Status Rating Scales, Risk Factors, Social Support, Suicide, Attempted
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