Cited by 137Suicide and Self-Harm StudiesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesHomicide, Infanticide, and Child Abuse

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The mediating effect of perceived burdensomeness on the relation between depressive symptoms and suicide ideation in a community sample of older adults

Jahn, Danielle R., Cukrowicz, Kelly C., Linton, Kitten, Prabhu, Fiona·2011·Aging & Mental Health

DOI 10.1080/13607863.2010.501064

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Abstract

OBJECTIVES: Suicide is a prevalent problem in older adults. One of the best predictors of suicide in older adults is suicide ideation; suicide ideation has been frequently associated with depression. However, suicide ideation is not always present when an older adult is depressed and is sometimes present when an older adult is not depressed. Perceived burdensomeness, a recently proposed risk factor [Joiner Jr, T.E. (2005)], has been linked to suicide ideation in depressed samples and in older adults. Thus, perceived burdensomeness may be the necessary risk factor for suicide ideation. METHOD: The Geriatric Suicide Ideation Scale (GSIS; [Heisel et al. (2006)]), Center for Epidemiologic Studies Depression (CES-D; [Radloff, L.S. (1977)]) scale, and Suicide Cognitions Scale (SCS; [Rudd, M.D., Schmitz, B., McClenen, R., Joiner, T., Elkins, G., & Claassen, C.A. (n.d.)]) were completed by a community sample of older adults recruited from primary care clinics (n = 106). A regression analysis was conducted following Baron and Kenny's [1986] guidelines to test the hypothesis that perceived burdensomeness (measured by the SCS perceived burdensomeness subscale) mediates the relation between depression (assessed with the CES-D) and suicide ideation (measured by the GSIS suicide ideation subscale) in older adults. RESULTS: Perceived burdensomeness mediated the relation between depression and suicide ideation, accounting for 68.3% of the variance in suicide ideation. CONCLUSION: Perceived burdensomeness may explain the relation between depression and suicide ideation. Clinicians seeing older adults should assess for depression and perceived burdensomeness when determining suicide risk. Future research directions include treatment studies for perceived burdensomeness as a way to reduce suicide ideation.

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Authors: Jahn, D. R., Cukrowicz, K. C., Linton, K., & Prabhu, F.
Affiliations: Texas Tech University (US)
Corresponding author: Cukrowicz, Kelly C.
ORCID: Jahn, Danielle R.
Prabhu, Fiona
Venue: Aging & Mental Health
Publisher: Informa UK Limited
Published: 2011-03
Volume: 15
Issue: 2
Pages: 214-220
ISSN: 1360-7863 (ISSN-L)
1364-6915
DOI: 10.1080/13607863.2010.501064
OpenAlex: W2075056590
Cited by: 137
References: 31
Citations by year: 2026: 2 · 2025: 7 · 2024: 5 · 2023: 9 · 2022: 6 · 2021: 7 · 2020: 13 · 2019: 7 · 2018: 10 · 2017: 4 · 2016: 16 · 2015: 23 · 2014: 10 · 2013: 10 · 2012: 7
FWCI: 6.31
Type: journal article
Language: en
Open access: closed
Locations: Aging & Mental Health (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords: perceived burdensomeness, suicidal ideation, depressive symptoms, depression, older adults, mediation, suicide risk
MeSH terms: Aged, Aged, 80 and over, Depressive Disorder, Female, Humans, Male, Middle Aged, Personality Inventory, Psychometrics, Self Concept, Sex Factors, Reproducibility of Results, Frail Elderly, Cost of Illness, Risk Assessment, Suicidal Ideation

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The mediating effect of perceived burdensomeness on the relation between depressive symptoms and suicide ideation in a community sample of older adults

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