The senior connection: design and rationale of a randomized trial of peer companionship to reduce suicide risk in later life
Open accessAbstract
There is a pressing public health need to find interventions that reduce suicide risk in later life. Psychiatric and physical illness, functional decline, and social factors place seniors at risk for suicide. Reflecting this body of evidence, the Centers for Disease Control and Prevention (CDC) has identified the promotion and strengthening of social connectedness, between and within the individual, family, community, and broader societal levels, as a key strategy for suicide prevention. The Senior Connection, a randomized trial of peer companionship for older adults, is described here, with an emphasis on the most novel features of the study design-grounding in a psychological theory of suicide and intervening at an early stage in the suicide risk trajectory by linking primary care patients with the Aging Services Provider Network.
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Preliminary results from a randomised control trial suggest that socially disconnected older adults were at considerably higher risk of suicide.
“The Senior Connection programme fosters peer companionship for older adults, with the aim of reducing suicide risk in later life: preliminary results from a randomised control trial suggest that socially disconnected older adults were at considerably higher risk of suicide (Van Orden et al. 2013).”
From Social isolation, loneliness and health in old age: a scoping review (2017) · cites this paper as Van Orden et al. 2013
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Khan, R. A., & Costanza, A. (2018) · International Journal of Emergency Mental Health and Human Resilience · doi:10.4172/1522-4821.1000401 · Cited by 3 · see citing works
Yang, K. H., Kepner, W. E., Satybaldiyeva, N., Bergstrom, J., Moore, A. A., & Lee, E. E. (2026) · Aging & Mental Health · doi:10.1080/13607863.2026.2612734 · Cited by 2 · see citing works
Ko, J. (2021) · Journal of the Society for Social Work and Research · doi:10.1086/712952 · Cited by 2 · see citing works
Addressing Loneliness in Midlife and Older Age: Increasing Social Skills and Connectedness
Crăciun, I. C. (2023) · Springer eBooks · doi:10.1007/978-3-031-24449-0_14 · Cited by 3 · see citing works
Imai, A., Matsuoka, T., Nakayama, C., Hashimoto, N., Sano, M., & Narumoto, J. (2024) · JMIR Research Protocols · doi:10.2196/57101 · Cited by 3 · see citing works
Tran, J. T., Webster, J. L., Wolfe, J., Nathan, J. B., Mayinja, L. S., Kautz, M. M., Oquendo, M. A., Brown, G. K., Mandell, D. S., Mowery, D. L., et al. (2024) · JMIR Formative Research · doi:10.2196/67814 · Cited by 3 · see citing works
Ward, J. M., Perkins, M., & Blosnich, J. R. (2025) · Community Mental Health Journal · doi:10.1007/s10597-025-01509-1 · Cited by 1 · see citing works
Orden, K. A. V., & Lutz, J. (2021) · Springer eBooks · doi:10.1007/978-3-030-58660-7_6 · Cited by 1 · see citing works
Crăciun, I. C. (2023) · Springer eBooks · doi:10.1007/978-3-031-44679-5_13 · Cited by 1 · see citing works
Mixed methods evaluation on village neighborhood social cohesiveness and quality of life
Hou, S., Santis, E. L., Eskamani, A. V., & Holmes, K. (2022) · Quality in Ageing and Older Adults · doi:10.1108/qaoa-05-2021-0044 · Cited by 1 · see citing works
Kiosses, D. N. (2017) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2017.06.024 · Cited by 1 · see citing works
Interventions to Address Social Connectedness and Loneliness for Older Adults: A Scoping Review
O’Rourke, H. M., Collins, L. C., & Sidani, S. (2021) · doi:10.32920/14669088 · Cited by 1 · see citing works
Interventions to Address Social Connectedness and Loneliness for Older Adults: A Scoping Review
O’Rourke, H. M., Collins, L. C., & Sidani, S. (2022) · doi:10.32920/14669088.v2 · Cited by 1 · see citing works
Suicidal behavior in late life: Population and patient perspectives
Fässberg, M. M. (2014)
Bird, J. M. (2016) · ScholarWorks - GVSU (Grand Valley State University)
Social Connectedness in Preventing Suicide among Older Adults
Kadirappulli-Hewage, M., & Jayasekara, R. S. (2020) · OBM Geriatrics · doi:10.21926/obm.geriatr.2001096
Sullivan, D., Whynot, T., Swindle, J., Lee, H., & O’Rourke, H. M. (2020) · Research Square · doi:10.21203/rs.3.rs-125199/v1
Interventions to Address Social Connectedness and Loneliness for Older Adults: A Scoping Review
O’Rourke, H. M., Collins, L. C., & Sidani, S. (2021) · doi:10.32920/14669088.v1
Suicide Prevention Among Elderly
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Suicide Prevention Among Elderly
Leo, D. D., Giannotti, A. V., Vichi, M., & Pompili, M. (2022) · Springer eBooks · doi:10.1007/978-3-030-42003-1_23
Crăciun, I. C. (2023) · Springer eBooks · doi:10.1007/978-3-031-24449-0_13
A Dual-Systems Model of Generating Suicidal Actions of Suicidal Ideators
黄, 珊. (2023) · Advances in Psychology · doi:10.12677/ap.2023.133083
Thibault, D., Whynot, T., Swindle, J., Lee, H., & O’Rourke, H. M. (2023) · Canadian Journal on Aging / La Revue canadienne du vieillissement · doi:10.1017/s071498082300034x
Einsamkeit im mittleren und höheren Alter angehen: Soziale Fähigkeiten und Verbundenheit erhöhen
Crăciun, I. C. (2023) · Springer eBooks · doi:10.1007/978-3-031-44679-5_14
Imai, A., Matsuoka, T., Nakayama, C., Hashimoto, N., Sano, M., & Narumoto, J. (2024) · Research Square · doi:10.21203/rs.3.rs-3876101/v1
Ageísmo, discriminación y suicidio
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Lotfalinezhad, E., Freeman, S., Kousha, A., Andersen‐Ranberg, K., Stokes, J. E., Amirkhani-Ardeh, S., Sohrabi, A., Barati, F., Hashemiparast, M., Jafarabadi, M. A., et al. (2025) · PLoS ONE · doi:10.1371/journal.pone.0331987
- Authors
- Van Orden, K. A., Stone, D. M., Rowe, J., McIntosh, W. L., Podgorski, C., & Conwell, Y.
- Affiliations
- Centers for Disease Control and Prevention (US)
- University of Rochester Medicine (US)
- ORCID
- Conwell, Yeates
- Venue
- Contemporary Clinical Trials
- Publisher
- Elsevier BV
- Published
- 2013-05
- Volume
- 35
- Issue
- 1
- Pages
- 117-126
- ISSN
- 1551-7144 (ISSN-L)
- PMC
- PMC3684619
- OpenAlex
- W2056263893
- Cited by
- 75
- References
- 51
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 4 · 2023: 7 · 2022: 6 · 2021: 11 · 2020: 7 · 2019: 5 · 2018: 4 · 2017: 7 · 2016: 2 · 2015: 8 · 2014: 7 · 2013: 1
- FWCI
- 6.67
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Contemporary Clinical Trials (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (CC999999, 5t32mh020061-25)
- Centers for Disease Control and Prevention (U01CE001942, 1u01ce001942-01)
- Medical Center, University of Rochester
- National Institute of Mental Health (T32 MH20061, K23MH096936, T32-MH020061, R24MH07610, R24MH071604)
- National Center for Research Resources (KL2RR024136, UL1RR024160, RR 024160)
- 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 › Demography › Technology Use by Older Adults
- Keywords
- suicide prevention, older adults, peer companionship, social connectedness, suicide risk, primary care, aging services, intervention design
- MeSH terms
- Suicide Prevention, Aged, Humans, Interpersonal Relations, Peer Group, Risk Factors, Social Support, Friends
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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