Suicide attempts and associated factors in older adults with schizophrenia
Open accessAbstract
Background Although there have been numerous studies of suicidality in younger populations with schizophrenia, there have been no studies focused on community-dwelling older adults with schizophrenia. This study provides data on the prevalence of suicidality and factors associated with previous suicide attempts among a mixed racial sample of older persons with schizophrenia living in New York City.Methods The schizophrenia group consisted of 198 persons aged >or=55 years who developed schizophrenia before age 45. A community comparison group (n=113) was recruited using randomly selected block groups. Fifteen predictor variables of lifetime suicide attempts based on a risk model of suicide in schizophrenia were identified.Results Persons in the schizophrenia group had a significantly higher prevalence of current and lifetime "suicidality" (i.e., wants to be dead, suicidal thoughts, or suicide attempts) when compared to the community group (current: 10% versus 2%; lifetime: 56% versus 7%) as well as past suicidal attempts (30% versus 4%). Within the schizophrenia group, in logistic regression analysis, 2 variables were significantly associated with lifetime suicidal attempts: current syndromal depression and higher scores on the Traumatic and Victimization Scale.Conclusions The data confirmed that in later life, persons with schizophrenia continue to have a higher prevalence of suicidality than their age peers in the community. Our findings underscore the importance of monitoring for suicidality in this age group. The relative paucity of risk factors means that practitioners can more easily focus their therapeutic efforts on at-risk individuals.
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The literature suggests that depressive symptoms, hopelessness, previous attempts, low quality of life, and history of trauma are likely risk factors for suicidal behavior in older patients with schizophrenia.
“It suggests that depressive symptoms, hopelessness, previous attempts, low quality of life, and history of trauma are likely risk factors252, 253, 254.”
From Mental health care for older adults: recent advances and new directions in clinical practice and research (2022) · cites this paper as [253]
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- Authors
- Cohen, C. I., Abdallah, C. G., & Diwan, S.
- Affiliations
- State University of New York (US)
- Corresponding author
- Cohen, Carl I.
- Venue
- Schizophrenia Research
- Publisher
- Elsevier BV
- Published
- 2010-06
- Volume
- 119
- Issue
- 1-3
- Pages
- 253-257
- ISSN
- 0920-9964 (ISSN-L)
- PMC
- PMC4095823
- OpenAlex
- W2095431743
- Cited by
- 46
- References
- 39
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 2 · 2019: 5 · 2018: 4 · 2017: 3 · 2016: 4 · 2015: 4 · 2014: 4 · 2013: 3 · 2012: 2
- FWCI
- 3.52
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Schizophrenia Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- SUNY Downstate Medical Center
- National Institute of General Medical Sciences (S06GM074923, SO6 GM74923, SO6-GM-5465)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- suicide attempts, suicidality
- MeSH terms
- Aged, Cross-Sectional Studies, Depressive Disorder, Female, Humans, Life Change Events, Male, Middle Aged, New York, Personality Inventory, Psychiatric Status Rating Scales, Psychometrics, Recurrence, Schizophrenia, Schizophrenic Psychology, Stress Disorders, Post-Traumatic, Suicide, Attempted, Urban Population, Risk Assessment
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