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Cited by 85Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseGrief, Bereavement, and Mental Health

Suicide Prevention in Older Adults.

Heisel, Marnin J., Duberstein, Paul R.·2005·Clinical Psychology: Science and Practice
DOI 10.1093/clipsy.bpi030
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Abstract

Older adults have high rates of suicide in the United States and worldwide; rates vary markedly by gender, race, and ethnicity. Ceropsychology practice guidelines (e.g., American Psychological Association [APA], 2004) indicate the need for assessment and treatment practices specific to older adults, as the phenomenology of mental disorders and psychotherapeutic change processes may shift across the lifespan. Inadequacies in the available knowledge base and in the education and training of clinicians have slowed progress in suicide research and hindered the development of a healthcare workforce that is deeply dedicated to suicide prevention. Inadequate knowledge stems from inattention to demographic differences, definitional imprecision and conceptual conflation, lack of research focus on older adults, and the exclusion of at-risk patients from clinical trials. The near absence of rigorous training and education in suicidology among clinical psychologists amplifies these problems. This article also reviews the empirical literature on suicide risk, noting in particular the roles of mood disorders, suicidal ideation and behavior, adjustment to life events, lack of social integration, personality traits, and access to lethal means. Suggestions are offered for improving risk assessment, the treatment of at-risk patients, and the development of prevention programs. Implications for training and education in clinical psychology are briefly discussed, and directions for future resear…

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Crossref · 10.1093/clipsy.bpi030

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Authors
Heisel, M. J., & Duberstein, P. R.
Affiliations
University of Rochester Medicine (US)
ORCID
Venue
Clinical Psychology: Science and Practice
Publisher
American Psychological Association (APA)
Published
2005
Volume
12
Issue
3
Pages
242-259
ISSN
  • 0969-5893 (ISSN-L)
  • 1468-2850
DOI
10.1093/clipsy.bpi030
OpenAlex
W2025177683
Cited by
85
References
20
Citations by year
2025: 1 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 3 · 2020: 2 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 10 · 2014: 6 · 2013: 4 · 2012: 9
FWCI
6.97
Type
journal article
Language
en
Open access
closed
Licence
doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 3895 d)
Locations
Clinical Psychology Science and Practice (publishedVersion)
Funders
  • National Institutes of Health
  • Centers for Disease Control and Prevention
  • Medical Center, University of Rochester
  • National Institute of Mental Health
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 › Clinical Psychology › Grief, Bereavement, and Mental Health
Keywords
suicide prevention, older adults, suicide risk assessment, suicidal ideation, mood disorders, life events, social integration, personality traits, access to lethal means, clinical psychology training, suicidology, prevention programs

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