“Why do they become vulnerable when faced with the challenges of old age?”: Elderly people who committed suicide, described by those who knew them
Open accessAbstract
BACKGROUND: Suicidal behavior among the elderly is a research field in which qualitative and quantitative methods can and should supplement each other. The objective of this qualitative study is to investigate whether the descriptions of elderly people who committed suicide, given by those who knew them, can provide common features that create recognizable patterns, and if so whether these patterns can help to shed light on the suicidal process. METHOD: This is a psychological autopsy study based on qualitative interviews with 63 informants concerning 23 suicides committed by persons aged over 65 in Norway. The informants were relatives, their family doctors, and home-based care nurses. In general, the analysis of the interviews follows the systematic text condensation method. RESULTS: The descriptions have three main topics: life histories, personality traits and relationships. "Life histories" includes the sub-topics ability to survive and action-oriented achievers. They describe people who came through difficult circumstances when growing up and who were action-oriented in life in general and in crises. "Personality traits" includes the sub-topics obstinacy and controlling others. The informants saw the elderly people as strong-willed, obstinate and possessing a considerable ability to control themselves and those around them. "Relationships" includes the sub-topics I didn't know him and He showed no ability to meet us halfway, and describes the informants' experience of emotionally closed persons who kept a distance in their relationships. CONCLUSIONS: On the basis of the descriptions of the elderly people given in this study, we argue that these individuals will find difficulty in accepting and adapting to age-related loss of function since their self-esteem is so strongly associated with being productive and in control. Loss of control reveals their vulnerability - and this they cannot tolerate.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In a recent Norwegian psychological autopsy study, relationships between the informants and the older adult (65+) who died by suicide were often difficult and distant.
“A recent Norwegian psychological autopsy study used a qualitative approach to explore relationships between the informants and the older adult (65+) who died by suicide. Findings showed that the relationships were often difficult and distant [61].”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [61]
Cites
Qualitative research: standards, challenges, and guidelines
Malterud, K. (2001) · The Lancet · doi:10.1016/s0140-6736(01)05627-6 · Cited by 5,014 · see citing works
Qualitative Psychology: A Practical Guide to Research Methods
Smith, J. A. (2015) · Experimental Psychology (formerly Zeitschrift für Experimentelle Psychologie) · doi:10.1027/1618-3169.52.1.80 · Cited by 2,739 · see citing works
Changing the world and changing the self: A two-process model of perceived control.
Rothbaum, F. M., Weisz, J. R., & Snyder, S. S. (1982) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.42.1.5 · Cited by 2,111 · see citing works
Baumeister, R. F. (1990) · Psychological Review · doi:10.1037/0033-295x.97.1.90 · Cited by 1,919 · cited 1× · see citing works
“He claims the starting-point may be that a person no longer manages to live up to his or her own expectations (Baumeister, 1990).”
BackgroundA life-span theory of control.
Heckhausen, J., & Schulz, R. (1995) · Psychological Review · doi:10.1037/0033-295x.102.2.284 · Cited by 1,844 · see citing works
A guide to constructs of control.
Skinner, E. A. (1996) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.71.3.549 · Cited by 1,805 · see citing works
Qualitative Psychology: A Practical Guide to Research Methods.
Roncaglia, I. (2006) · QMiP bulletin · doi:10.53841/bpsqmip.2006.1.2.35 · Cited by 1,413 · see citing works
Brandtstädter, J., & Renner, G. (1990) · Psychology and Aging · doi:10.1037/0882-7974.5.1.58 · Cited by 1,131 · see citing works
Brandtstädter, J., & Renner, G. (1990) · Psychology and Aging · doi:10.1037//0882-7974.5.1.58 · Cited by 860 · see citing works
The International Handbook of Suicide and Attempted Suicide
(2000) · doi:10.1002/9780470698976 · Cited by 819 · see citing works
(2008) · International Psychogeriatrics · doi:10.1017/s1041610208007758 · Cited by 521 · see citing works
Burden of illness and suicide in elderly people: case-control study
Waern, M., Rubenowitz, E., Runeson, B., Skoog, I., Wilhelmson, K., & Allebeck, P. (2002) · BMJ · doi:10.1136/bmj.324.7350.1355 · Cited by 360 · see citing works
Secondary control reviewed and defined.
Morling, B., & Evered, S. (2006) · Psychological Bulletin · doi:10.1037/0033-2909.132.2.269 · Cited by 358 · see citing works
A case control study of suicide and attempted suicide in older adults
Beautrais, A. L. (2002) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.32.1.1.22184 · Cited by 301 · see citing works
Draper, B., Pfaff, J. J., Pirkis, J., Snowdon, J., Lautenschlager, N. T., Wilson, I., Almeida, O. P., & for the Depression and Early Prevention of Suicide in General Practice Study Group (2008) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2007.01537.x · Cited by 275 · see citing works
Completed Suicide Among Older Patients in Primary Care Practices: A Controlled Study
Conwell, Y., Lyness, J. M., Duberstein, P. R., Cox, C., Seidlitz, L., DiGiorgio, A., & Caine, E. D. (2000) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2000.tb03024.x · Cited by 259 · see citing works
Critical Issues in Psychological Autopsy Studies
Pouliot, L., & De Leo, D. (2006) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2006.36.5.491 · Cited by 218 · see citing works
Coping With Deficits and Losses in Later Life: From Compensatory Action to Accommodation.
Rothermund, K., & Brandstädter, J. (2003) · Psychology and Aging · doi:10.1037/0882-7974.18.4.896 · Cited by 216 · see citing works
Psychological Autopsies: Methods and Ethics
Beskow, J., Runeson, B., & Åsgård, U. (1990) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1990.tb00219.x · Cited by 216 · see citing works
Shah, A. K. (2007) · International Psychogeriatrics · doi:10.1017/s1041610207005285 · Cited by 189 · see citing works
Age Differences in the Personality Characteristics of Suicide Completers
Duberstein, P. R., Conwell, Y., & Caine, E. D. (1994) · Psychiatry · doi:10.1080/00332747.1994.11024686 · Cited by 142 · see citing works
Openness to experience and completed suicide across the second half of life
Duberstein, P. R. (1995) · International Psychogeriatrics · doi:10.1017/s1041610295001967 · Cited by 104 · see citing works
Giving up or finding a solution? The experience of attempted suicide in later life
Crocker, L., Clare, L., & Evans, K. (2006) · Aging & Mental Health · doi:10.1080/13607860600640905 · Cited by 98 · see citing works
A phenomenological study of meaning in life in suicidal older adults
Moore, S. L. (1997) · Archives of Psychiatric Nursing · doi:10.1016/s0883-9417(97)80047-7 · Cited by 89 · see citing works
Heckhausen, J., & Schulz, R. (1999) · Psychological Review · doi:10.1037/0033-295x.106.3.605 · Cited by 89 · see citing works
Suicide and its Prevention among Older Adults
Heisel, M. J. (2006) · The Canadian Journal of Psychiatry · doi:10.1177/070674370605100304 · Cited by 89 · see citing works
Narcissistic crises of aging and suicidal despair
Clark, D. C. (1993) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1993.tb00275.x · Cited by 76 · see citing works
Reflexivity and metapositions: strategies for appraisal of clinical evidence
Malterud, K. (2002) · Journal of Evaluation in Clinical Practice · doi:10.1046/j.1365-2753.2002.00353.x · Cited by 72 · see citing works
Suicidal Behaviour Among the Elderly
Harwood, D., & Jacoby, R. J. (2000) · doi:10.1002/9780470698976.ch18 · Cited by 49 · see citing works
Duberstein, P. R., Conwell, Y., & Cox, C. (1998) · American Journal of Geriatric Psychiatry · doi:10.1097/00019442-199811000-00008 · Cited by 39 · see citing works
Duberstein, P. R., Conwell, Y., & Cox, C. (1998) · PubMed · Cited by 38 · see citing works
Suicide, Life Course, and Life Story
Cohler, B. J., & Jenuwine, M. J. (1995) · International Psychogeriatrics · doi:10.1017/s1041610295001979 · Cited by 21 · see citing works
[Suicide attempts among the elderly].
Kjølseth, I., & Ekeberg, Ø. (1997) · PubMed · Cited by 6 · see citing works
Self-citation[Suicide among the elderly in Norway].
Kjølseth, I., Ekeberg, Ø., & Teige, B. (2002) · PubMed · Cited by 5 · see citing works
Self-citationHarwood (2001) · doi:10.1002/1099-1166(200102)16:2
Flagged first, then by citations
Cited by
Sorted by citations
A systematic review of social factors and suicidal behavior in older adulthood
Fässberg, M. M., Orden, K. A. V., Duberstein, P., Erlangsen, A., Lapierre, S., Bodner, E., Canetto, S. S., Leo, D. D., Szanto, K., & Waern, M. (2012) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph9030722 · Cited by 342 · see citing works
Erlangsen, A., Stenager, E., & Conwell, Y. (2015) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-015-1051-0 · Cited by 174 · see citing works
Jahn, D. R., Cukrowicz, K. C., Linton, K., & Prabhu, F. (2011) · Aging & Mental Health · doi:10.1080/13607863.2010.501064 · Cited by 137 · see citing works
- Authors
- Kjølseth, I., Ekeberg, Ø., & Steihaug, S.
- Affiliations
- University of Oslo (NO)
- SINTEF (NO)
- Corresponding author
- Kjølseth, Ildri
- Venue
- International Psychogeriatrics
- Publisher
- Elsevier BV
- Published
- 2009-10
- Volume
- 21
- Issue
- 5
- Pages
- 903-912
- ISSN
- 1041-6102 (ISSN-L)
- OpenAlex
- W2012217718
- Cited by
- 89
- References
- 35
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 6 · 2023: 5 · 2022: 2 · 2021: 2 · 2020: 8 · 2019: 5 · 2018: 9 · 2017: 4 · 2016: 5 · 2015: 10 · 2014: 6 · 2013: 6 · 2012: 5
- FWCI
- 4.94
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Psychogeriatrics (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- 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 › Elder Abuse and Neglect
- Keywords
- elderly suicide, psychological autopsy, life history (social science method), personality traits, obstinacy, controlling behavior, interpersonal relationships, loss of function, self-esteem, vulnerability in old age
- MeSH terms
- Achievement, Adaptation, Psychological, Aged, Aged, 80 and over, Emotions, Female, Humans, Internal-External Control, Interpersonal Relations, Interview, Psychological, Life Change Events, Male, Motivation, Norway, Personality Assessment, Psychological Distance, Suicide, Resilience, Psychological
About these checks
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.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review