Mental disorders in elderly suicide
Open accessAbstract
The purpose of this study was to investigate the prevalence and comorbidity of current mental disorders defined by DSM-III-R among elderly suicide victims and to compare them with the mental disorders among younger victims. Using a psychological autopsy method, we collected comprehensive data on all suicides in Finland during 1 year. Retrospective Axis I-III consensus diagnoses were assigned to a random sample consisting of 43 victims aged 60 years or over and 186 victims aged under 60 from the nationwide suicide population. At least one Axis I diagnosis was made for 91% of the elderly victims. Major depression as the principal diagnosis was more common among the elderly victims. Almost all elderly female victims were major depressives. Psychiatric comorbidity was more common among elderly male than among elderly female victims. More of the elderly victims (88%) than the younger (36%) received Axis III diagnoses. Suicide among the elderly without a diagnosable mental disorder and somatopsychiatric comorbidity seems to be rare.
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Psychological autopsy case-control studies provide remarkably consistent findings.
“a variety of investigators have applied it in case control studies that provide remarkably consistent findings (7-21).”
From Suicide in older adults (2011) · cites this paper as [13]
Cites
Mental disorders and comorbidity in suicide
(1993) · American Journal of Psychiatry · doi:10.1176/ajp.150.6.935 · Cited by 861 · see citing works
Diagnosis and Treatment of Depression in Late Life
Friedhoff, A. J. (1992) · JAMA · doi:10.1001/jama.1992.03490080092032 · Cited by 766 · see citing works
A study of suicide in the seattle area
Dorpat, T. L., & Ripley, H. S. (1960) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(60)80058-2 · Cited by 511 · see citing works
Schizophrenics Kill Themselves Too: A Review of Risk Factors for Suicide
Caldwell, C. B., & Gottesman, I. I. (1990) · Schizophrenia Bulletin · doi:10.1093/schbul/16.4.571 · Cited by 511 · see citing works
Rich, C. L. (1986) · Archives of General Psychiatry · doi:10.1001/archpsyc.1986.01800060071009 · Cited by 505 · 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
Self-citationIsometsä, E. T., HENRIKSSON, M. M., Aro, H. M., Heikkinen, M. E., Kuoppasalmi, K. I., & Lönnqvist, J. K. (1994) · American Journal of Psychiatry · doi:10.1176/ajp.151.4.530 · Cited by 317 · see citing works
Self-citationRobins, E., Gassner, S., Kayes, J., Wilkinson, R. H., & Murphy, G. E. (1959) · American Journal of Psychiatry · doi:10.1176/ajp.115.8.724 · Cited by 294 · 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
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
Investigations of Equivocal Suicides
Litman, R. E. (1963) · JAMA · doi:10.1001/jama.1963.03700250060008 · Cited by 181 · see citing works
(1981) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1981.tb01009.x · Cited by 164 · see citing works
Some differences between men and women who commit suicide
Rich, C. L., Ricketts, J., Fowler, R. C., & Young, D. (1988) · American Journal of Psychiatry · doi:10.1176/ajp.145.6.718 · Cited by 146 · see citing works
Suicide in Later Life: Psychological Autopsy Findings
Conwell, Y., Olsen, K., Caine, E. D., et al. (1991) · International Psychogeriatrics · doi:10.1017/s1041610291000522 · Cited by 136 · see citing works
Zemore, R., & Eames, N. (1979) · Journal of Gerontology · doi:10.1093/geronj/34.5.716 · Cited by 85 · see citing works
Suicide and Psychiatric Care In the Aging
Gardner, E. A. (1964) · Archives of General Psychiatry · doi:10.1001/archpsyc.1964.01720240001001 · Cited by 83 · see citing works
National suicide prevention project in Finland: A research phase of the project.
Lönnqvist, J. K. (1988) · Psychiatria Fennica · Cited by 65 · see citing works
Self-citationSecular trends in psychiatric diagnoses of suicide victims
Carlson, G. A., Rich, C. L., Grayson, P., & Fowler, R. C. (1991) · Journal of Affective Disorders · doi:10.1016/0165-0327(91)90059-2 · Cited by 62 · see citing works
A Study of Suicide Autopsies 1957–1977
Gatter, K. C., & Bowen, D. A. L. (1980) · Medicine Science and the Law · doi:10.1177/002580248002000108 · Cited by 14 · see citing works
The alcohol-suicide connection in late life
Osgood, N. J. (1987) · Postgraduate Medicine · doi:10.1080/00325481.1987.11699772 · Cited by 11 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Psychological autopsy studies of suicide: a systematic review.
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
Psychiatric diagnoses in 3275 suicides: a meta-analysis
Arsenault-Lapierre, G., Kim, C., & Turecki, G. (2004) · BMC Psychiatry · doi:10.1186/1471-244x-4-37 · Cited by 985 · see citing works
(1996) · American Journal of Psychiatry · doi:10.1176/ajp.153.8.1001 · Cited by 725 · 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
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
Predictors of suicide in the old elderly
Waern, M., Rubenowitz, E., & Wilhelmson, K. (2003) · Gerontology · doi:10.1159/000071715 · Cited by 360 · see citing works
Epidemiology of completed and attempted suicide: toward a framework for prevention
Mościcki, E. K. (2001) · Clinical Neuroscience Research · doi:10.1016/s1566-2772(01)00032-9 · Cited by 359 · 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
McGirr, A., Renaud, J., Bureau, A., Seguin, M., Lesage, A., & Turecki, G. (2008) · Psychological Medicine · doi:10.1017/s0033291707001419 · Cited by 332 · see citing works
Mental disorder in elderly suicides: a case–control study
Wærn, M., Runeson, B. S., Allebeck, P., Beskow, J., Rubenowitz, E., Skoog, I., & Wilhelmsson, K. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.3.450 · Cited by 304 · 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
Life events and psychosocial factors in elderly suicides—A case-control study
RUBENOWITZ, E., WAERN, M., WILHELMSON, K., & ALLEBECK, P. (2001) · Psychological Medicine · doi:10.1017/s0033291701004457 · Cited by 277 · see citing works
Pinquart, M., Duberstein, P. R., & Lyness, J. M. (2006) · American Journal of Psychiatry · doi:10.1176/ajp.2006.163.9.1493 · Cited by 204 · see citing works
Dementia and suicidal behavior: a review of the literature
Haw, C., Harwood, D., & Hawton, K. (2009) · International Psychogeriatrics · doi:10.1017/s1041610209009065 · Cited by 166 · see citing works
Meyer, R. E., Salzman, C., Youngstrom, E. A., Clayton, P. J., Goodwin, F. K., Mann, J. J., Alphs, L. D., Broich, K., Goodman, W. K., Greden, J. F., et al. (2010) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.10cs06070blu · Cited by 129 · see citing works
Physical health and mental disorder in elderly suicide: A case-control study
Préville, M., Hébert, R., Boyer, R., Bravo, G., & Seguin, M. (2005) · Aging & Mental Health · doi:10.1080/13607860500192973 · Cited by 87 · see citing works
Depression care for the elderly: reducing barriers to evidence based practice
Ell, K. (2006) · Home Health Care Services Quarterly · doi:10.1300/j027v25n01_07 · Cited by 78 · see citing works
Diaconescu, A. O., Kramer, E., Hermann, C., Ma, Y., Dhawan, V., Chaly, T., Eidelberg, D., McIntosh, A. R., & Smith, G. S. (2011) · Human Brain Mapping · doi:10.1002/hbm.21135 · Cited by 54 · see citing works
Longitudinal studies of cerebral glucose metabolism in late-life depression and normal aging
Marano, C. M., Workman, C. I., Kramer, E., Hermann, C. R., Ma, Y., Dhawan, V., Chaly, T., Eidelberg, D., & Smith, G. S. (2013) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.3840 · Cited by 24 · see citing works
The incremental effects of fraud crime on suicide among the elderly in South Korea’s aging society
Kim, S. H., Park, E. S., Lee, S. K., & Cho, Y. I. (2025) · SAGE Open · doi:10.1177/21582440251385886 · Cited by 2 · see citing works
- Authors
- Henriksson, M. M., Marttunen, M. J., Isometsä, E. T., Heikkinen, M. E., Aro, H. M., Kuoppasalmi, K. I., & Lönnqvist, J. K.
- Affiliations
- University of Helsinki (FI)
- Venue
- International Psychogeriatrics
- Publisher
- Elsevier BV
- Published
- 1995-06
- Volume
- 7
- Issue
- 2
- Pages
- 275-286
- ISSN
- 1041-6102 (ISSN-L)
- OpenAlex
- W2067331718
- Cited by
- 142
- References
- 20
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 1 · 2021: 1 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 2 · 2015: 3 · 2014: 4 · 2013: 6 · 2012: 7
- FWCI
- 7.45
- 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
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- elderly suicide, mental illness, psychiatric comorbidity, major depressive disorder, psychological autopsy, prevalence of mental disorders, sex differences, age differences, DSM-III-R
- MeSH terms
- Aged, Mental Disorders, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Risk Factors, Suicide, Prevalence
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