The validity of proxy-based data in suicide research: a study of patients 50 years of age and older who attempted suicide. II. Life events, social support, and suicidal behavior
Open accessAbstract
Objective: To investigate the validity of proxy respondent reports of stressful life events, social support and suicidal behavior among individuals who attempted suicide. Method: Subjects were 80 psychiatric in‐patients admitted following a suicide attempt. Data based on structured interviews with proxy respondents were compared with data based on interviews with subjects (gold standard). Results: Specificity was higher than sensitivity across life event categories, and agreement was substantial for public and observable events (e.g. parent's death) but lower for more ambiguous events. Proxies were good judges of subject reports of frequency of social interaction but not perceived emotional support. Proxies were good judges of past history of suicide attempts and level of suicidal intent. Conclusion: Results support proxy‐based data on suicidal behavior and certain aspects of social support and stressful life events in research of suicidal behavior in this age group, with potential implications for interpreting postmortem research of completed suicide.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
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?
Studies demonstrate the validity of the psychological autopsy method.
“Reinforced by studies demonstrating the validity of the PA method (5, 6)”
From Suicide in older adults (2011) · cites this paper as [5]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
The Measurement of Observer Agreement for Categorical Data
Landis, J. R., & Koch, G. G. (1977) · Biometrics · doi:10.2307/2529310 · Cited by 81,148 · see citing works
A Coefficient of Agreement for Nominal Scales
Cohen, J. (1960) · Educational and Psychological Measurement · doi:10.1177/001316446002000104 · Cited by 42,398 · see citing works
Intraclass correlations: Uses in assessing rater reliability.
Shrout, P. E., & Fleiss, J. L. (1979) · Psychological Bulletin · doi:10.1037/0033-2909.86.2.420 · Cited by 23,433 · see citing works
Best Estimate of Lifetime Psychiatric Diagnosis
Leckman, J. F. (1982) · Archives of General Psychiatry · doi:10.1001/archpsyc.1982.04290080001001 · Cited by 1,418 · see citing works
Risk Factors for Adolescent Suicide
Brent, D. A., Perper, J. A., Goldstein, C. E., Kolko, D. J., Allan, M. J., Allman, C. J., & Zelenak, J. P. (1988) · Archives of General Psychiatry · doi:10.1001/archpsyc.1988.01800300079011 · Cited by 892 · see citing works
Brugha, T. S., & Cragg, D. (1990) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1990.tb01360.x · Cited by 883 · see citing works
Development of suicidal intent scales.
Beck, A. T., Schuyler, D., & Herman, I. (1974) · Cited by 663 · see citing works
Psychosocial Risk Factors of Child and Adolescent Completed Suicide
Gould, M. S. (1996) · Archives of General Psychiatry · doi:10.1001/archpsyc.1996.01830120095016 · Cited by 623 · see citing works
Abbreviating the Duke Social Support Index for Use in Chronically Ill Elderly Individuals
Koenig, H. G., Westlund, R. E., George, L. K., Hughes, D. C., Blazer, D. G., & Hybels, C. F. (1993) · Psychosomatics · doi:10.1016/s0033-3182(93)71928-3 · Cited by 542 · see citing works
Life events, Social support and depression
Paykel, E. S. (1994) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1994.tb05803.x · Cited by 421 · see citing works
Methodological aspects of life events research
Paykel, E. S. (1983) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(83)90065-x · Cited by 412 · see citing works
Familial risk factors for adolescent suicide: a case‐control study
Brent, D. A., Perper, J. A., Moritz, G., Liotus, L., Schweers, J., Balach, L., & Roth, C. (1994) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1994.tb01485.x · Cited by 349 · see citing works
Finch, J. F., Okun, M. A., Pool, G. J., & Ruehlman, L. S. (1999) · Journal of Personality · doi:10.1111/1467-6494.00066 · Cited by 347 · see citing works
(1998) · Journal of Affective Disorders · doi:10.1016/s0165-0327(98)00033-0 · Cited by 324 · see citing works
Using Proxies to Evaluate Quality of Life
Epstein, A. M., Hall, J. A., Tognetti, J., et al. (1989) · Medical Care · doi:10.1097/00005650-198903001-00008 · Cited by 308 · see citing works
Are risk factors for suicide universal? A case‐control study in India
Vijayakumar, L., & Rajkumar, S. (1999) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1999.tb00985.x · Cited by 284 · see citing works
Multiple Risk Factors Predict Suicide in Alcoholism
Murphy, G. E. (1992) · Archives of General Psychiatry · doi:10.1001/archpsyc.1992.01820060039006 · Cited by 282 · see citing works
Social support and health: A meta-analysis
Schwarzer, R., & Leppin, A. (1989) · Psychology and Health · doi:10.1080/08870448908400361 · Cited by 273 · see citing works
Clinical predictors of eventual suicide: a 5- to 10-year prospective study of suicide attempters
Beck, A. T., & Steer, R. A. (1989) · Journal of Affective Disorders · doi:10.1016/0165-0327(89)90001-3 · Cited by 251 · see citing works
Recent life events, Social support and suicide
Heikkinen, M., Aro, H., & Lönnqvist, J. K. (1994) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1994.tb05805.x · Cited by 246 · see citing works
Beautrais, A. L., Joyce, P. R., & Mulder, R. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/s0890-8567(09)66563-1 · Cited by 230 · see citing works
Stressful Life Events, Psychopathology, and Adolescent Suicide: A Case Control Study
Brent, D. A., Perper, J. A., Moritz, G., BAUGHER, M., Roth, C., BALACH, L., & SCHWEERS, J. (1993) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1993.tb00178.x · Cited by 224 · see citing works
Are bereaved family members a valid proxy for a patient's assessment of dying?
Higginson, I. J., Priest, P. C., & McCarthy, M. I. (1994) · Social Science & Medicine · doi:10.1016/0277-9536(94)90251-8 · Cited by 197 · see citing works
Ozer, D. J., & Reise, S. P. (1994) · Annual Review of Psychology · doi:10.1146/annurev.ps.45.020194.002041 · Cited by 184 · see citing works
Veridicality of social support: A comparison of principal and network members' responses.
Antonucci, T. C., & Israel, B. A. (1986) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.54.4.432 · Cited by 175 · see citing works
The Psychological Autopsy: Methodological Considerations for the Study of Adolescent Suicide
Brent, D. A., Perper, J. A., Kolko, D. J., & Zelenak, J. P. (1988) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-198805000-00016 · Cited by 174 · see citing works
Attempted suicide: repetition and survival findings of a follow‐up study
Tejedor, M., Díaz, A., Castillón, J., & Pericay, J. M. (1999) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1999.tb10847.x · Cited by 173 · see citing works
Appleby, L., Dennehy, J. A., Thomas, C. S., Faragher, E. B., & Lewis, G. (1999) · The Lancet · doi:10.1016/s0140-6736(98)10014-4 · Cited by 172 · see citing works
Design and analysis of reliability studies: the statistical evaluation of measurement errors
(1990) · Choice Reviews Online · doi:10.5860/choice.27-6381 · Cited by 169 · see citing works
Veridicality of social support: A comparison of principal and network members' responses.
Antonucci, T. C., & Israel, B. A. (1986) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.54.4.432 · Cited by 160 · see citing works
Emmons, R. A., & Colby, P. M. (1995) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.68.5.947 · Cited by 159 · see citing works
Emmons, R. A., & Colby, P. M. (1995) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.68.5.947 · Cited by 145 · see citing works
A psychiatric study of suicide among urban Swedish women
Åsgård, U. (1990) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1990.tb01367.x · Cited by 117 · see citing works
Suominen, K. H., Isometsä, E. T., HENRIKSSON, M. M., Ostamo, A. I., & Lönnqvist, J. K. (1997) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1997.tb09919.x · Cited by 110 · see citing works
Suicide in Adolescents With Disruptive Disorders
Renaud, J., Brent, D. A., Birmaher, B. B., Chiappetta, L., & Bridge, J. A. (1999) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199907000-00014 · Cited by 109 · see citing works
Herjanic, B. M., & Reich, W. (1997) · Research on Child and Adolescent Psychopathology · doi:10.1023/a:1025703323438 · Cited by 95 · see citing works
Clinical correlates of intent in attempted suicide
Hamdi, E., Amin, Y., & Mattar, T. (1991) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1991.tb05565.x · Cited by 90 · see citing works
Factor Composition of the Suicide Intent Scale
Mieczkowski, T. A., Sweeney, J. A., Haas, G. L., Junker, B. W., Brown, R. P., & Mann, J. J. (1993) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1993.tb00277.x · Cited by 89 · see citing works
Beautrais, A. L., Joyce, P. R., & Mulder, R. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199711000-00016 · Cited by 76 · see citing works
Guide to conducting a psychological autopsy.
Ebert, B. W. (1987) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.18.1.52 · Cited by 70 · see citing works
The North Staffordshire Suicide Study: a case–control study of suicide in one health district
BOARDMAN, A. P., GRIMBALDESTON, A. H., Handley, C. E., Jones, P. W., & Willmott, S. (1999) · Psychological Medicine · doi:10.1017/s0033291798007430 · Cited by 65 · see citing works
Beck, A. T., Steer, R. A., & Trexler, L. D. (1989) · Journal of Studies on Alcohol · doi:10.15288/jsa.1989.50.202 · Cited by 64 · see citing works
Recent life events and their role in suicide as seen by the spouses
Heikkinen, M., Aro, H., & Lönnqvist, J. K. (1992) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1992.tb03303.x · Cited by 52 · see citing works
SUICIDAL IDEATION AMONG THE ELDERLY: PERSONAL VARIABLES, STRESS AND SOCIAL SUPPORT
Mireault, M., & de Man, A. F. (1996) · Social Behavior and Personality An International Journal · doi:10.2224/sbp.1996.24.4.385 · Cited by 47 · see citing works
Epidemiology of depression in the elderly
Lépine, J., & Bouchez, S. (1998) · International Clinical Psychopharmacology · doi:10.1097/00004850-199809005-00003 · Cited by 45 · see citing works
Parent–Victim Agreement in Adolescent Suicide Research
Velting, D. M., Shaffer, D., Gould, M. S., GARFINKEL, M. P. H. R., Fisher, P. W., & Davies, M. (1998) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199811000-00015 · Cited by 34 · see citing works
Subject and informant variables affecting family history diagnoses of depression and dementia
Heun, R., Maier, W., & Müller, H. (1997) · Psychiatry Research · doi:10.1016/s0165-1781(97)00058-9 · Cited by 31 · see citing works
Judgments as data for personality and developmental psychology: Error versus accuracy.
Funder, D. C. (1993) · American Psychological Association eBooks · doi:10.1037/10127-022 · Cited by 23 · see citing works
Munk‐Jørgensen, P. (2001) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2001.103001001.x · Cited by 17 · see citing works
Use of Primary Caretakers as Proxies to Measure the Health Care Needs of Patients with AIDS
Berk, R. A. (1995) · Public Health Nursing · doi:10.1111/j.1525-1446.1995.tb00132.x · Cited by 10 · see citing works
Bagés, N., Warwick-Evans, L., & Falger, P. R. J. (1997) · Psychology and Health · doi:10.1080/08870449708406722 · Cited by 7 · see citing works
Flagged first, then by citations
Research works printed but not linked: 4
- HAWTON K, APPLEBY L, PLATT S et al. The psychological autop- sy approach to studying suicide: a review of methodological issues. J Affect Disord 1998;50:269-276.
- ROOK KS. Assessing the health-related dimensions of older adults' social relationships. Annu Rev Gerontol Geriatr 1994; 14:142-181.
- CONNER KR, DUBERSTEIN PR, CONWELL Y. The validity of psychiatric diagnoses in suicide research: a study of in-patient attempters ages 50 and over. Acta Psychiatr Scand 2001; 103:1-6.
- GORDIS L. Epidemiology. Philadelphia, PA: Saunders, 1996.
Cited by
Sorted by citations
Sex-specific transcriptional signatures in human depression
Labonté, B., Engmann, O., Purushothaman, I., Menard, C., Wang, J., Tan, C., Scarpa, J. R., Moy, G., Loh, Y.-H. E., Cahill, M., et al. (2017) · Nature Medicine · doi:10.1038/nm.4386 · Cited by 748 · see citing works
Dumais, A., Lesage, A. D., Alda, M., Rouleau, G., Dumont, M., Chawky, N., Roy, M., Mann, J. J., Benkelfat, C., & Turecki, G. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.11.2116 · Cited by 583 · 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
Self-citationPredictors of suicide in the old elderly
Waern, M., Rubenowitz, E., & Wilhelmson, K. (2003) · Gerontology · doi:10.1159/000071715 · Cited by 360 · 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
Smalheiser, N. R., Lugli, G., Rizavi, H. S., Torvik, V. I., Turecki, G., & Dwivedi, Y. (2012) · PLoS ONE · doi:10.1371/journal.pone.0033201 · Cited by 324 · see citing works
Apples to oranges?: A direct comparison between suicide attempters and suicide completers
DeJong, T. M., Overholser, J. C., & Stockmeier, C. A. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2009.10.020 · Cited by 198 · see citing works
McGirr, A., Alda, M., Séguin, M., Cabot, S., Lesage, A., & Turecki, G. (2009) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2009.08111744 · Cited by 185 · see citing works
Mental Disorders and Suicide Among Young Rural Chinese: A Case-Control Psychological Autopsy Study
Zhang, J., Xiao, S., & Zhou, L. (2010) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2010.09101476 · Cited by 180 · see citing works
Banerjee, R., Ghosh, A. K., Ghosh, B., Bhattacharyya, S., & Mondal, A. C. (2013) · Clinical Medicine Insights: Pathology · doi:10.4137/cpath.s12530 · Cited by 135 · see citing works
The Next Generation of Psychological Autopsy Studies: Part I. Interview Content
Conner, K. R., Beautrais, A. L., Brent, D. A., Conwell, Y., Phillips, M. R., & Schneider, B. (2011) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.2011.00057.x · Cited by 110 · see citing works
Self-citationEpigenetic Regulation of the Kappa Opioid Receptor by Child Abuse
Lutz, P.-E., Gross, J. A., Dhir, S. K., Maussion, G., Yang, J., Bramoulle, A., Meaney, M. J., & Turecki, G. (2018) · Biological Psychiatry · doi:10.1016/j.biopsych.2017.07.012 · Cited by 96 · see citing works
Developmental model of suicide trajectories
Séguin, M., Beauchamp, G., Robert, M., DiMambro, M., & Turecki, G. (2014) · British Journal of Psychiatry · doi:10.1192/bjp.bp.113.139949 · Cited by 88 · see citing works
Aberg, K. A., Dean, B., Shabalin, A. A., Chan, R. F., Han, L. K. M., Zhao, M., van Grootheest, G., Xie, L. Y., Milaneschi, Y., Clark, S. L., et al. (2020) · Molecular Psychiatry · doi:10.1038/s41380-018-0247-6 · Cited by 73 · see citing works
Service Use and Unmet Needs in Youth Suicide: A Study of Trajectories
Renaud, J., Séguin, M., Lesage, A. D., Marquette, C., Choo, B., & Turecki, G. (2014) · The Canadian Journal of Psychiatry · doi:10.1177/070674371405901005 · Cited by 41 · see citing works
Chachamovich, E., Ding, Y., & Turecki, G. (2012) · Alcohol · doi:10.1016/j.alcohol.2012.03.007 · Cited by 33 · see citing works
- Authors
- Conner, K. R., Conwell, Y., & Duberstein, P. R.
- Affiliations
- University of Rochester Medicine (US)
- Corresponding author
- Conner, Kenneth R.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2001-12
- Volume
- 104
- Issue
- 6
- Pages
- 452-457
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- OpenAlex
- W1964056355
- Cited by
- 115
- References
- 51
- Citations by year
- 2026: 1 · 2024: 4 · 2023: 2 · 2022: 2 · 2021: 5 · 2020: 2 · 2019: 3 · 2018: 20 · 2017: 4 · 2016: 2 · 2015: 5 · 2014: 3 · 2013: 6 · 2012: 8
- FWCI
- 5.80
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (K23AA000318)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- proxy reports, suicide attempts, older adults, life events, social support, suicidal behavior, proxy validity, suicide attempt history, suicidal intent, psychiatric inpatients
- MeSH terms
- Aged, Aged, 80 and over, Data Collection, Family Relations, Female, Humans, Interview, Psychological, Life Change Events, Male, Middle Aged, Research, Social Support, Suicide, Attempted, Proxy
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