Openness to experience and completed suicide across the second half of life
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Personality data gathered in a psychological autopsy study indicate that completed suicides obtain higher neuroticism scores than age- and gender-matched controls. Older suicide victims obtained lower openness to experience (OTE) scores than both younger suicide victims and normal controls. Although the role of neuroticism and negative affect in psychopathology has been discussed extensively, OTE has been accorded relatively little attention in the psychiatric literature. The apparent role of OTE in completed suicide warrants its closer examination. In this article, I offer the testable hypotheses that persons low in OTE are at risk for taking their own lives because their affective dampening, cognitive certainty, diminished behavioral repertoire, and rigidly defined self-concept have decreased their capacity to adapt to the expectable age-associated changes in role, health, and function that accumulate over time. Concrete thinking and excessive focus on proximal, low-level goals place them at risk for descending into states of suicidal meaninglessness in times of stress or crisis. This state of awareness increases the desirability of suicide as an action-oriented solution to the stressors of aging. Other lines of investigation are suggested. These include research on OTE and the neurobiology of suicidal behavior; OTE and gender differences in suicidal behavior; and clinical intervention designed to increase the degree to which one is open to experience.
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The Big Five personality traits of low Openness to Experience and high Neuroticism distinguished suicides from controls in another study.
“while in another, the “Big Five” personality traits of low Openness to Experience (OTE) and high Neuroticism (49) distinguished the groups (50).”
From Suicide in older adults (2011) · cites this paper as [50]
Cites
PERSONALITY STRUCTURE: EMERGENCE OF THE FIVE-FACTOR MODEL
Digman, J. M. (1990) · Annual Review of Psychology · doi:10.1146/annurev.ps.41.020190.002221 · Cited by 6,960 · see citing works
A psychobiological model of temperament and character
Cloninger, C. R. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820240059008 · Cited by 5,458 · see citing works
Norman, W. (1963) · Journal of Abnormal & Social Psychology · doi:10.1037/h0040291 · Cited by 2,653 · see citing works
The Neuroendocrinology of Stress and Aging: The Glucocorticoid Cascade Hypothesis
Sapolsky, R. M., Krey, L. C., & McEwen, B. S. (1986) · Science of Aging Knowledge Environment · doi:10.1126/sageke.2002.38.cp21 · Cited by 2,287 · see citing works
Sex differences in unipolar depression: Evidence and theory.
Nolen–Hoeksema, S. (1987) · Psychological Bulletin · doi:10.1037/0033-2909.101.2.259 · Cited by 2,001 · see citing works
Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders
(1992) · American Journal of Psychiatry · doi:10.1176/ajp.149.7.936 · Cited by 1,941 · see citing works
Baumeister, R. F. (1990) · Psychological Review · doi:10.1037/0033-295x.97.1.90 · Cited by 1,919 · see citing works
Creativity, divergent thinking, and openness to experience.
McCrae, R. R. (1987) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.52.6.1258 · Cited by 1,768 · see citing works
5-HIAA in the Cerebrospinal Fluid
Åsberg, M. (1976) · Archives of General Psychiatry · doi:10.1001/archpsyc.1976.01770100055005 · Cited by 1,448 · see citing works
Conceptions and Correlates of Openness to Experience
McCrae, R. R., & Costa, P. T. (1997) · Handbook of Personality Psychology · doi:10.1016/b978-012134645-4/50032-9 · Cited by 1,093 · see citing works
Serotonergic Studies in Patients With Affective and Personality Disorders
Coccaro, E. F. (1989) · Archives of General Psychiatry · doi:10.1001/archpsyc.1989.01810070013002 · Cited by 1,087 · see citing works
Levels of Object Representation in Anaclitic and Introjective Depression
Blatt, S. J. (1974) · The Psychoanalytic Study of the Child · doi:10.1080/00797308.1974.11822616 · Cited by 1,052 · see citing works
The Levels of Emotional Awareness Scale: A Cognitive-Developmental Measure of Emotion
Lane, R. D., Quinlan, D. M., SCHWARTZ, G. E. R., Walker, P. A., & Zeitlin, S. B. (1990) · Journal of Personality Assessment · doi:10.1080/00223891.1990.9674052 · Cited by 797 · see citing works
From catalog to classification: Murray's needs and the five-factor model.
Costa, P. T., & McCrae, R. R. (1988) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.55.2.258 · Cited by 716 · see citing works
Rich, C. L. (1986) · Archives of General Psychiatry · doi:10.1001/archpsyc.1986.01800060071009 · Cited by 505 · see citing works
Conceptions of personality disorders and dimensions of personality.
Wiggins, J. S., & Pincus, A. L. (1989) · Psychological Assessment · doi:10.1037/1040-3590.1.4.305 · Cited by 487 · see citing works
Problem-solving skills in suicidal psychiatric patients.
Schotte, D. E., & Clum, G. A. (1987) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.55.1.49 · Cited by 485 · see citing works
Mental Disorders in Adolescent Suicide
MARTTUNEN, M. J. (1991) · Archives of General Psychiatry · doi:10.1001/archpsyc.1991.01810330058009 · Cited by 448 · see citing works
Mortality after bereavement: a prospective study of 95,647 widowed persons.
Kaprio, J. A., Koskenvuo, M., & Rita, H. M. (1987) · American Journal of Public Health · doi:10.2105/ajph.77.3.283 · Cited by 366 · see citing works
Validation of a Measure of Physical Illness Burden at Autopsy: The Cumulative Illness Rating Scale
Conwell, Y., Forbes, N. T., Cox, C., & Caine, E. D. (1993) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1993.tb05945.x · Cited by 355 · see citing works
Transcendental Meditation, mindfulness, and longevity: An experimental study with the elderly.
Alexander, C. N., Langer, E. J., Newman, R. I., et al. (1989) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.57.6.950 · Cited by 297 · see citing works
Personality and Health: Advantages and Limitations of the Five‐Factor Model
Smith, T. W., & Williams, P. (1992) · Journal of Personality · doi:10.1111/j.1467-6494.1992.tb00978.x · Cited by 287 · see citing works
Angst, J., & Clayton, P. J. (1986) · Comprehensive Psychiatry · doi:10.1016/0010-440x(86)90055-6 · Cited by 270 · see citing works
The Psychotherapeutic Utility of the Five-Factor Model of Personality: A Clinician's Experience
Miller, T. R. (1991) · Journal of Personality Assessment · doi:10.1207/s15327752jpa5703_3 · Cited by 267 · see citing works
van Praag, H. M. (1987) · Journal of Affective Disorders · doi:10.1016/0165-0327(87)90067-x · Cited by 264 · see citing works
Bergeman, C. S., Chlpuer, H. M., Plomin, R. J., Pedersen, N. L., McClearn, G. E., Nesselroade, J. R., Costa, P. T., & McCrae, R. R. (1993) · Journal of Personality · doi:10.1111/j.1467-6494.1993.tb01030.x · Cited by 257 · see citing works
Openness to Experience as a Basic Dimension of Personality
McCrae, R. R. (1993) · Imagination Cognition and Personality · doi:10.2190/h8h6-qykr-keu8-gaq0 · Cited by 242 · see citing works
Apter, A. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820140064007 · Cited by 227 · see citing works
Somatoform disorders: Personality and the social matrix of somatic distress.
Kirmayer, L. J., Robbins, J. M., & Paris, J. (1994) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.103.1.125 · Cited by 220 · see citing works
Mental disorder in youth suicide
Runeson, B. (1989) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1989.tb10292.x · Cited by 216 · see citing works
Soldz, S., Budman, S. H., Demby, A., & Merry, J. (1993) · Psychological Assessment · doi:10.1037/1040-3590.5.1.41 · Cited by 210 · see citing works
Absorption, openness to experience, and hypnotizability
Glisky, M. L., Tataryn, D. J., Tobias, B. A., Kihlstrom, J. F., & McConkey, K. M. (1991) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.60.2.263 · Cited by 205 · see citing works
Completed suicide at age 50 and over
Conwell, Y., Rotenberg, M., & Caine, E. D. (1990) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1990.tb01422.x · Cited by 204 · see citing works
MONK, M. (1987) · Epidemiologic Reviews · doi:10.1093/oxfordjournals.epirev.a036308 · Cited by 193 · see citing works
Personality Changes in Alzheimer's Disease
Chatterjee, A. K., Strauss, M. E., Smyth, K. A., & Whitehouse, P. J. (1992) · Archives of Neurology · doi:10.1001/archneur.1992.00530290070014 · Cited by 185 · see citing works
McCrae, R. R., & Costa, P. T. (1980) · Journal of Personality and Social Psychology · doi:10.1037/h0077727 · Cited by 178 · see citing works
Personality and Personal Projects: Linking Big Five and PAC Units of Analysis
Little, B. R., Leccl, L., & Watkinson, B. (1992) · Journal of Personality · doi:10.1111/j.1467-6494.1992.tb00982.x · Cited by 163 · see citing works
DSM-III—R personality disorders and the five-factor model of personality: An empirical comparison.
Trull, T. J. (1992) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.101.3.553 · Cited by 152 · 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
Self-citationRigid thinking in suicidal individuals.
Neuringer, C. (1964) · Journal of Consulting Psychology · doi:10.1037/h0045809 · Cited by 138 · see citing works
MacMahon, B., & Pugh, T. F. (1965) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a120494 · Cited by 129 · see citing works
Borderline Personality Disorder in Young Swedish Suicides
Runeson, B., & Beskow, J. (1991) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199103000-00007 · Cited by 126 · see citing works
Allebeck, P., Allgulander, C., & Fisher, L. D. (1988) · BMJ · doi:10.1136/bmj.297.6642.176 · Cited by 117 · see citing works
Ratings of Personality Change in Patients Being Evaluated for Memory Disorders
Siegler, I. C., Welsh-Bohmer, K. A., Dawson, D. V., Fillenbaum, G. G., Earl, N. L., Kaplan, E. B., & Clark, C. M. (1991) · Alzheimer Disease & Associated Disorders · doi:10.1097/00002093-199100540-00003 · Cited by 111 · see citing works
Interpersonal Stressors, Substance Abuse, and Suicide
Duberstein, P. R., Conwell, Y., & Caine, E. D. (1993) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199302000-00002 · Cited by 109 · see citing works
Self-citationRational Suicide and the Right to Die
Conwell, Y., & Caine, E. D. (1991) · New England Journal of Medicine · doi:10.1056/nejm199110103251511 · Cited by 107 · see citing works
Alexithymia and the five-factor model of personality
Wise, T. N., Mann, L. S., & Shay, L. (1992) · Comprehensive Psychiatry · doi:10.1016/0010-440x(92)90023-j · Cited by 104 · see citing works
Adrenal weight and morphology in victims of completed suicide
Szigethy, E., Conwell, Y., Forbes, N. T., Cox, C., & Caine, E. D. (1994) · Biological Psychiatry · doi:10.1016/0006-3223(94)91212-2 · Cited by 104 · see citing works
Suicide among the Elderly: Isolating Widowhood and Mitigating Alternatives
Bock, E., & Webber, I. L. (1972) · Journal of Marriage and the Family · doi:10.2307/349626 · Cited by 103 · see citing works
The Life Story and the Study of Resilience and Response to Adversity
Cohler, B. J. (1991) · Journal of Narrative and Life History · doi:10.1075/jnlh.1.2-3.06lif · Cited by 96 · see citing works
Suicide in Middle Age and Later Life: Sex and Race Specific Life Table and Cohort Analyses
Mantón, K. G., Blazer, D. G., & Woodbury, M. A. (1987) · Journal of Gerontology · doi:10.1093/geronj/42.2.219 · Cited by 81 · 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
Openness to experience, identity flexibility, and life change in adults.
Whitbourne, S. K. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.50.1.163 · Cited by 75 · see citing works
2 Epidemiology of Suicide in the Elderly
McIntosh, J. L. (1992) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1992.tb00473.x · Cited by 73 · see citing works
Rich, C. L., & Runeson, B. (1992) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1992.tb03276.x · Cited by 63 · see citing works
Suicide Among Older People: Projections for the Future
Haas, A. P., & Hendin, H. (1983) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1983.tb00012.x · Cited by 51 · see citing works
The relationship between DSM-III personality disorders and the five-factor model of personality
Yeung, A., Lyons, M. J., WATERNAUX, C. M., Faraone, S. V., & Tsuang, M. T. (1993) · Comprehensive Psychiatry · doi:10.1016/0010-440x(93)90003-m · Cited by 44 · see citing works
Axis II Diagnoses in Geriatric Inpatients
Casey, D., & Schrodt, C. J. (1989) · Journal of Geriatric Psychiatry and Neurology · doi:10.1177/089198878900200206 · Cited by 33 · see citing works
Borderline Personality Disorder in Late Life
Rosowsky, E., & Gurian, B. S. (1991) · International Psychogeriatrics · doi:10.1017/s1041610291000509 · Cited by 29 · see citing works
Banality Reinvestigated: A Computer‐Based Content Analysis of Suicidal and Forced Death Documents*
Henken, V. J. (1976) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1976.tb00549.x · Cited by 27 · see citing works
Self-determined Death, the Physician, and Medical Priorities
Caine, E. D. (1993) · JAMA · doi:10.1001/jama.1993.03510070097045 · Cited by 13 · see citing works
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CAVANAGH, J. T. O., CARSON, A. J., SHARPE, M., & LAWRIE, S. M. (2003) · Psychological Medicine · doi:10.1017/s0033291702006943 · Cited by 2,207 · see citing works
Alexopoulos, G. S. (2005) · The Lancet · doi:10.1016/s0140-6736(05)66665-2 · Cited by 2,024 · see citing works
Conwell, Y., Van Orden, K., & Caine, E. D. (2011) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2011.02.002 · Cited by 555 · see citing works
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Pompili, M., Serafini, G., Innamorati, M., Dominici, G., Ferracuti, S., Kotzalidis, G. D., Serra, G., Girardi, P., Janiri, L., Tatarelli, R., et al. (2010) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph7041392 · Cited by 477 · see citing works
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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
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Waern, M., Rubenowitz, E., & Wilhelmson, K. (2003) · Gerontology · doi:10.1159/000071715 · Cited by 360 · see citing works
Conwell, Y., & Thompson, C. (2008) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2008.01.004 · Cited by 333 · see citing works
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Tsoh, J., Chiu, H. F. K., Duberstein, P. R., Chan, S. S. M., Chi, I., Yip, P. S. F., & Conwell, Y. (2005) · The American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200507000-00004 · Cited by 148 · see citing works
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Self-citation
- Authors
- Duberstein, P. R.
- Affiliations
- University of Rochester Medicine (US)
- Corresponding author
- Duberstein, Paul R.
- ORCID
- Duberstein, Paul R.
- Venue
- International Psychogeriatrics
- Publisher
- Elsevier BV
- Published
- 1995-06
- Volume
- 7
- Issue
- 2
- Pages
- 183-198
- ISSN
- 1041-6102 (ISSN-L)
- OpenAlex
- W2071811343
- Cited by
- 104
- References
- 61
- Citations by year
- 2025: 4 · 2024: 1 · 2023: 1 · 2022: 1 · 2020: 2 · 2019: 3 · 2018: 5 · 2017: 1 · 2016: 3 · 2015: 1 · 2014: 4 · 2013: 10 · 2012: 5
- FWCI
- 3.48
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Psychogeriatrics (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH 40381, MH189911, MH00748, K07MH000748)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- openness to experience, suicide mortality, older adults, neuroticism, personality traits, psychological autopsy, aging, concrete thinking, gender differences in suicide, suicide prevention interventions
- MeSH terms
- Suicide Prevention, Adolescent, Adult, Aged, Aging, Female, Humans, Male, Personality, Psychiatric Status Rating Scales, Sex Factors, Suicide, Suicide, Attempted
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