Factors of suicide ideation and their relation to clinical and other indicators in older adults
Abstract
Background Research on the factor structures of the Scale for Suicidal Ideation (SSI; [Beck, A.T., Kovacs, M., Weissman, M., 1979. Assessment of suicidal intention: the Scale for Suicide Ideation. J. Consult. Clin. Psychol. 47, 343-352]) and the Modified Scale for Suicide Ideation (MSSI; [Miller, I.W., Norman. W.H., Bishop, S.B., and Dow, M.G., 1986. The modified scale for suicidal ideation: reliability and validity. J Consult Clin Psychol, 54, 724-725]) in younger adults have tended to yield two factor solutions. The purpose of the current study was to examine the factor structure of the SSI in an older population in order to determine whether the factor structure was similar and, if so, whether the factors related to other clinical and demographic correlates. Methods 199 participants (M age 57, S.D.) were selected from a combined database of psychiatric outpatients and inpatients over the age of 49 currently experiencing suicidal ideation. Principal axis factoring was used in order to determine the factor structure of the SSI. In addition, we ran correlations and regression analyses to determine the relation of each factor with other clinical and demographic correlates. Results Consistent with prediction, we found a two-factor solution. Also consistent with predictions, clinical and demographic correlates related differentially to each of the factors. Limitations The relatively small sample size and the fact that our sample was predominantly Caucasian. Conclusion The current study has provided data on the factor structure of the SSI in an older population, demonstrating that suicidal ideation in this group is similar to younger age groups.
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Intent to engage in suicidal behavior is part of 'resolved plans and preparation' and predicts death by suicide in adults.
“Intent to engage in suicidal behavior has been found to be part of a pernicious group of suicidal symptoms termed “resolved plans and preparation” (Joiner, Rudd, & Rajab, 1997; Witte, Joiner, Brown, Beck, Beckman, Duberstein, et al., 2006) and has been shown to predict death by suicide in adults (Conner, Duberstein, & Conwell, 1999; Harriss, Hawton, & Zahl, 2005; Obafunwa & Busuttil, 1994).”
From The interpersonal theory of suicide. (2010) · cites this paper as Witte, Joiner, Brown, Beck, Beckman, Duberstein, et al., 2006
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Assessment of suicidal intention: The Scale for Suicide Ideation.
Beck, A. T., Kovacs, M., & Weissman, A. (1979) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.47.2.343 · Cited by 3,419 · see citing works
Self-citationRisk factors for late-life suicide: A prospective community-based study
Turvey, C. L., Conwell, Y., Jones, M. P., Phillips, C., Simonsick, E., Pearson, J. L., & Wallace, R. (2002) · The American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200207000-00006 · Cited by 406 · see citing works
Self-citationScientizing and routinizing the assessment of suicidality in outpatient practice.
Joiner, T. E., Walker, R. L., Rudd, M. D., & Jobes, D. A. (1999) · Professional Psychology: Research and Practice · doi:10.1037/0735-7028.30.5.447 · Cited by 283 · see citing works
Elderly suicide in Hong Kong—a case-controlled psychological autopsy study
Chiu, H. F. K., Yip, P. S. F., Chi, I., Chan, S., Tsoh, J., Kwan, C. W., Li, S. F., Conwell, Y., & Caine, E. (2004) · Acta Psychiatrica Scandinavica · doi:10.1046/j.1600-0447.2003.00263.x · Cited by 180 · see citing works
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The interpersonal theory of suicide.
Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E. (2010) · Psychological Review · doi:10.1037/a0018697 · Cited by 5,292 · see citing works
“Intent to engage in suicidal behavior has been found to be part of a pernicious group of suicidal symptoms termed “resolved plans and preparation” (Joiner, Rudd, & Rajab, 1997; Witte et al., 2006) and has been shown to predict death by suicide in adults (Conner, Duberstein, & Conwell, 1999; Harriss, Hawton, & Zahl, 20…”
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Ribeiro, J. D., Bender, T. W., Buchman, J. M., Nock, M. K., Rudd, M. D., Bryan, C. J., Lim, I. C., Baker, M. T., Knight, C., Gutierrez, P. M., et al. (2015) · Depression and Anxiety · doi:10.1002/da.22240 · Cited by 57 · see citing works
Cukrowicz, K. C., Ekblad, A. G., Cheavens, J. S., Rosenthal, M. Z., & Lynch, T. R. (2008) · Aging & Mental Health · doi:10.1080/13607860801936714 · Cited by 56 · see citing works
- Authors
- WITTE, T., JOINERJR, T., BROWN, G., BECK, A., BECKMAN, A., DUBERSTEIN, P., & CONWELL, Y.
- Affiliations
- Florida State University (US)
- University of Pennsylvania (US)
- University of Rochester (US)
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2006-08
- Volume
- 94
- Issue
- 1-3
- Pages
- 165-172
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W1993878925
- Cited by
- 43
- References
- 4
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 3 · 2016: 1 · 2015: 6 · 2014: 4 · 2013: 2 · 2012: 4
- FWCI
- 2.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- John Simon Guggenheim Memorial Foundation
- National Institutes of Health
- National Institute of Mental Health (P20MH071905, MH60285, MH51201, R01MH051201, R01MH060285)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- suicidal ideation, factor structure, older adults, psychiatric outpatients, psychiatric inpatients, demographic correlates, clinical correlates, age differences
- MeSH terms
- Age Factors, Aged, Aged, 80 and over, Depressive Disorder, Factor Analysis, Statistical, Female, Humans, Male, Middle Aged, Motivation, Personality Inventory, Psychometrics, Statistics as Topic, Suicide, Suicide, Attempted, Reproducibility of Results
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