Suicide risk in older adults: Evaluating models of risk and predicting excess zeros in a primary care sample.
Abstract
Research is needed that examines theory-based risk factors for suicide in older adults. The interpersonal theory of suicide (Joiner, 2005; Van Orden et al., 2010) provides specific hypotheses regarding variables that contribute to the development and variability in death ideation and suicide ideation; however, data suggest that older adults may not report suicide ideation in research settings or to treatment providers even when they experience it (Heisel et al., 2006). The purpose of this study was to test theory-based predictions regarding variables that contribute to death ideation (i.e., a passive wish to die) and suicide ideation in older adults. This study introduces the application of zero-inflated negative binomial regression (ZINB) to the study of suicidal behavior. ZINB was used to test theory-based predictions, while also testing a hypothesis regarding variables associated with denial of suicide ideation among participants who endorsed risk factors associated with suicide risk. Participants included 239 adults aged 60 and older recruited from primary care clinics who completed a variety of self-report instruments. The results of this study indicated that perceived burdensomeness and hopelessness were significantly associated with variability in death ideation. Additional results indicated that elevated scores on thwarted belonging, the interaction between perceived burdensomeness and hopelessness, and the interaction between thwarted belonging and perceived burdenso…
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Cukrowicz and colleagues' (2013) study is the only one known to the authors that has used a statistical approach to account for excess zeroes.
“Cukrowicz and colleagues’ (2013) study is the only one, to our knowledge, that has employed a statistical approach to account for excess zeroes.”
From The interpersonal theory of suicide: A systematic review and meta-analysis of a decade of cross-national research. (2017) · cites this paper as Cukrowicz et al., 2013
Cites
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Perceived burdensomeness and suicide ideation in older adults
Cukrowicz, K. C., Cheavens, J. S., Van Orden, K. A., Ragain, R. M., & Cook, R. L. (2011) · Psychology and Aging · doi:10.1037/a0021836 · Cited by 267 · see citing works
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Chu, C., Buchman-Schmitt, J. M., Stanley, I. H., Hom, M. A., Tucker, R. P., Hagan, C. R., Rogers, M. L., Podlogar, M. C., Chiurliza, B., Ringer, F. B., et al. (2017) · Psychological Bulletin · doi:10.1037/bul0000123 · Cited by 1,231 · see citing works
“…(Hagan, Podlogar, Chu, & Joiner, 2015), sexual minorities (Silva et al., 2015), military service members Bryan, Morrow, Anestis, and Joiner (2010), physicians (Fink-Miller, 2015), firefighters (Chu, Buchman-Schmitt, Hom, Stanley, & Joiner, 2016), and older adults (Cukrowicz et al., 2013).”
BackgroundInfluentialMa, J., Batterham, P. J., Calear, A. L., & Han, J. (2016) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.04.008 · Cited by 384 · see citing works
The Association Between Gun Ownership and Statewide Overall Suicide Rates
Anestis, M. D., & Houtsma, C. (2018) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12346 · Cited by 149 · see citing works
A meta-analytic review on social relationships and suicidal ideation among older adults
Chang, Q., Chan, C. H., & Yip, P. S. F. (2017) · Social Science & Medicine · doi:10.1016/j.socscimed.2017.09.003 · Cited by 152 · see citing works
A test of the interpersonal theory of suicide in a large sample of current firefighters
Chu, C., Buchman-Schmitt, J. M., Hom, M. A., Stanley, I. H., & Joiner, T. E. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.03.041 · Cited by 62 · see citing works
Chu, C., Walker, K. L., Stanley, I. H., Hirsch, J. K., Greenberg, J. H., Rudd, M. D., & Joiner, T. E. (2018) · Journal of Personality and Social Psychology · doi:10.1037/pspp0000152 · Cited by 56 · see citing works
Allen, J., Charles, B., Fok, C. C. T., Lee, K., Grogan‐Kaylor, A., Qungasvik Team, & Rasmus, S. (2023) · American Journal of Community Psychology · doi:10.1002/ajcp.12621 · Cited by 24 · see citing works
Flint, J., Cohen, L., Nath, D., Habib, Z., Guo, X., Galynker, I., & Calati, R. (2021) · European Psychiatry · doi:10.1192/j.eurpsy.2021.2235 · Cited by 22 · see citing works
- Authors
- Cukrowicz, K. C., Jahn, D. R., Graham, R. D., Poindexter, E. K., & Williams, R. B.
- Affiliations
- Texas Tech University (US)
- Venue
- Journal of Abnormal Psychology
- Published
- 2013-11
- Volume
- 122
- Issue
- 4
- Pages
- 1021-1030
- ISSN
- 0021-843X (ISSN-L)
- 1939-1846
- OpenAlex
- W2087816661
- Cited by
- 112
- References
- 7
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 2 · 2023: 4 · 2022: 6 · 2021: 9 · 2020: 10 · 2019: 19 · 2018: 9 · 2017: 12 · 2016: 13 · 2015: 14 · 2014: 3
- FWCI
- 11.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Abnormal Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Foundation for Suicide Prevention
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Social Psychology › Death Anxiety and Social Exclusion
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- suicide risk, older adults, suicidal ideation, death ideation, interpersonal theory of suicide, perceived burdensomeness, hopelessness, zero-inflated negative binomial regression, excess zeros, primary care
- MeSH terms
- Aged, Attitude to Death, Depressive Disorder, Female, Geriatric Psychiatry, Humans, Interpersonal Relations, Male, Middle Aged, Models, Psychological, Primary Health Care, Surveys and Questionnaires, Regression Analysis, Risk Factors, Suicide, Binomial Distribution, Suicidal Ideation
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