Suicide prevention strategies for older persons-An integrative review of empirical and theoretical papers
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AIM: To synthesize suicide prevention strategies for older adults. The review question was Which suicide prevention strategies are useful for older adults? DESIGN: Integrative review. DATA SOURCES: Academic Search Premier, CINAHL, Ovid PsycINFO and PubMed were searched for articles published between January 2009 and December 2019. REVIEW METHODS: An integrative review of quantitative, qualitative and theoretical papers with a qualitative thematic analysis. RESULTS: Key aspects of the included studies contributed to the formulation of four themes: (1) Recognizing older adults' physical and/or mental health problems and referring them for help and treatment, (2) Designing an educational programme, (3) Communication and dialogue about warning signs and (4) Social support and awareness of causing significant others emotional pain. The findings indicate an urgent need to identify effective suicide prevention strategies for older adults.
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Prior reviews indicate the relevance of cognitive-behavioural and mindfulness-based strategies for psychological pain and identify psychological pain as both a state and trait phenomenon.
“Overall, prior reviews [53,54,55,56,57] indicate the relevance of cognitive-behavioural and mindfulness-based strategies and identify psychological pain as both a state and trait phenomenon, supporting psychological pain as a meaningful intervention target.”
From Targeting Psychological Pain After a Suicide Attempt: Scoping Review and Intervention Protocol (2026) · cites this paper as [56]
The Results (Summary of the characteristics of the included papers; page unavailable) highlight responding to older adults experiencing emotional pain, which supports its relevance to prevention. The Discussion (Implication for clinical practice; page unavailable) also recommends looking for signs of intense emotional pain. Neither passage identifies cognitive-behavioural or mindfulness-based strategies for psychological pain, or describes that pain as both a state and a trait. (LLM, conf=0.84)
Experimental — accuracy not yet measuredPsychological pain domains-states and traits-are clinically relevant and modifiable through psychotherapeutic intervention.
“domains—states and traits—are clinically relevant and modifiable through psychotherapeutic intervention, underscoring the centrality of psychological pain in suicide risk and the need for targeted interventions aimed at broadening emotional and behavioural coping repertoires.”
From Targeting Psychological Pain After a Suicide Attempt: Scoping Review and Intervention Protocol (2026) · cites this paper as [56]
The Discussion links mental or emotional pain to suicidal thoughts and behaviour, and the Results describe responding to older adults experiencing emotional pain. Neither section distinguishes pain as states and traits or says those domains are modifiable through psychotherapy; the searched passages also do not establish the proposed coping-repertoire intervention. (LLM, conf=0.84)
Experimental — accuracy not yet measured
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- Holm, A. L., Salemonsen, E., & Severinsson, E.
- Affiliations
- Western Norway University of Applied Sciences (NO)
- Stavanger University Hospital (NO)
- Corresponding author
- Holm, Anne Lise
- Venue
- Nursing Open
- Publisher
- Wiley
- Published
- 2021-02-23
- Volume
- 8
- Issue
- 5
- Pages
- 2175-2193
- ISSN
- 2054-1058 (ISSN-L)
- PMC
- PMC8363358
- OpenAlex
- W3131429704
- Cited by
- 21
- References
- 80
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 2 · 2023: 10 · 2022: 2 · 2021: 2
- FWCI
- 0.53
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nursing Open (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Social Sciences › Demography › Elder Abuse and Neglect
- Keywords
- suicide prevention, older adults, mental health, physical health problems, educational programs, warning signs, communication, social support
- MeSH terms
- Suicide Prevention, Aged, Aged, 80 and over, Communication, Humans, Social Support
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