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Risk factors for late-life suicide: A prospective community-based study
Abstract
Despite the fact that people age 65 and older have the highest rates of suicide of any age-group, late-life suicide has a low prevalence, making it difficult to conduct prospective studies. The authors examined risk factors for late-life suicide on the basis of general information collected directly from older subjects participating in a community-based prospective study of aging, the Established Populations for Epidemiologic Studies of the Elderly. Demographic variables, presence of a relative or friend to confide in, alcohol use, and sleep quality were assessed at baseline interview. Baseline and follow-up data were used to determine physical, cognitive, and affective functioning, as well as medical status. Of 14,456 people, 21 committed suicide over the 10-year observation period. Depressive symptoms, perceived health status, sleep quality, and absence of a relative or friend to confide in predicted late-life suicide. Suicide victims did not have greater alcohol use and did not report more medical illness or physical impairment. This study provided additional information about the context of late-life depression that also contributes to suicidal behavior: poor perceived health, poor sleep quality, and limited presence of a relative or friend to confide in.
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In the citing paper
“Only three studies (with four publications) examined suicide/fatal suicidal behavior [38,40,41,42].”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [41]
In the citing paper
“Turvey presented data from a prospective U.S. population-based study showing no association between marital status and suicide [41].”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [41]
In the citing paper
“Four studies (two from the U.S., one from Hong-Kong and one from Taiwan) examined aspects of religiosity [28,34,38,41].”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [41]
In the citing paper
“Turvey [41] reported that persons in the U.S. who died by suicide were less likely to attend religious services at least monthly compared to a community-based comparison group.”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [41]
In the citing paper
“However, when specifically considering contacts with children and relatives, null results were found for death ideation (i.e., passive wishes for death) in the Bartels study [28] and for suicide in the Turvey study [41].”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [41]
In the citing paper
“and a study by Turvey showing an association with suicide death [41].”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [41]
In the citing paper
“Turvey reported that the presence of a relative or friend who was thought of as a confidante was associated with decreased likelihood of suicide [41].”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [41]
In the citing paper
“Three of the five analyses of frequency of social contact (across 3 studies, all from the U.S. [28,32,41]) yielded significant associations between low contact and both suicide ideation and suicide.”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [41]
In the citing paper
“Rather consistent results were found in this review for religious participation, with four analyses across three studies from Taiwan [34], Hong Kong [38], and the U.S. [41] documenting inverse associations with ideation, non-fatal and fatal suicidal behavior.”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [41]
In the citing paper
“Though investigated in fewer studies, consistent results were also found for subjective measures of social connectedness—perceived social support (two U.S. studies [31,41]) and loneliness (two Swedish studies [39,40,42]).”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [41]
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Metadata
- Authors
- Turvey, C. L., Conwell, Y., Jones, M. P., Phillips, C., Simonsick, E., Pearson, J. L., & Wallace, R.
- Affiliations
- University of Iowa (US)
- Corresponding author
- Turvey, Carolyn L.
- Venue
- The American Journal of Geriatric Psychiatry
- Publisher
- Elsevier BV
- Published
- 2002-07
- Volume
- 10
- Issue
- 4
- Pages
- 398-406
- ISSN
- 1064-7481 (ISSN-L)
- OpenAlex
- W2077902096
- Cited by
- 406
- References
- 54
- Citations by year
- 2026: 3 · 2025: 14 · 2024: 13 · 2023: 4 · 2022: 18 · 2021: 19 · 2020: 23 · 2019: 20 · 2018: 18 · 2017: 18 · 2016: 23 · 2015: 23 · 2014: 14 · 2013: 22 · 2012: 29
- FWCI
- 15.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (K01-MH01964-01, K01MH001964)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- late-life suicide, suicide risk factors, older adults, depressive symptoms, health perception, sleep quality, alcohol consumption, physical impairment, disease
- MeSH terms
- Age Factors, Aged, Aged, 80 and over, Aging, Female, Humans, Male, Prospective Studies, Residence Characteristics, Risk Factors, Social Support, Suicide, Cohort Studies
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