CoChat
Sign Up
Cited by 217Suicide and Self-Harm StudiesMental Health Treatment and AccessHomicide, Infanticide, and Child Abuse

Suicidal and death ideation in older primary care patients with depression, anxiety, and at-risk alcohol use

Bartels, Stephen J., Coakley, Eugenie, Oxman, Thomas E., Constantino, Giuseppe, Oslin, David, Chen, Hongtu, Zubritsky, Cynthia, Cheal, Karen +4 more·2002·The American Journal of Geriatric Psychiatry
DOI 10.1097/00019442-200207000-00008
Open this paper in CoChat — free account

Abstract

The authors identified correlates of active suicidal ideation and passive death ideation in older primary care patients with depression, anxiety, and at-risk alcohol use. Participants included 2,240 older primary care patients (age 65+), who were identified in three mutually exclusive groups on the basis of responses to the Paykel suicide questions: No Ideation, Death Ideation, and Suicidal Ideation. Chi-square, ANOVA, and polytomous logistic regression analyses were used to identify characteristics associated with suicidal ideation. The highest amount of suicidal ideation was associated with co-occurring major depression and anxiety disorder (18%), and the lowest proportion occurred in at-risk alcohol use (3%). Asians have the highest (57%) and African Americans have the lowest (27%) proportion of suicidal or death ideation. Fewer social supports and more severe symptoms were associated with greater overall ideation. Death ideation was associated with the greatest medical comorbidity and highest service utilization. Contrary to previous reports, authors failed to find that active suicidal ideation was associated with increased contacts with healthcare providers. Accordingly, targeted assessment and preventive services should be emphasized for geriatric outpatients with co-occurring depression and anxiety, social isolation, younger age, and Asian or Caucasian race.

Integrity signals

Registry

Crossref · 10.1097/00019442-200207000-00008

Cites

50 of 50 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

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?

  • Seven studies (with eight publications) focused on death wishes/suicide ideation.

    “Seven studies (with eight publications) focused on death wishes/suicide ideation [27,28,29,30,31,32,33,34].”

    From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [28]

  • No association was found between marital status and death ideation/suicidal ideation in U.S. primary care patients with depression, anxiety or problematic alcohol use.

    “Bartels studied correlates of passive death ideation and active suicide ideation in over 2,000 U.S. primary care patients with depression, anxiety or problematic alcohol use [28]; no association was found with marital status.”

    From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [28]

  • Living alone was not associated with death ideation in the Bartels study.

    “Regarding living alone, no association was seen with death ideation in the Bartels study [28].”

    From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [28]

  • Living alone was not associated with suicide ideation in the Bartels, Raue, and Yen studies.

    “Further, no relationship was observed with suicide ideation in that study, which was also the case in the study by Raue [31], and the Yen study from Taiwan [34].”

    From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [28]

  • Limited social contact was associated with suicidal ideation in U.S. studies by Bartels and Rowe.

    “Several U.S. studies (n = 3) examined frequency of social contact, with studies by Bartels and Rowe documenting associations between limited social contact and suicidal ideation [28,32]”

    From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [28]

Cites

Flagged first, then by citations

4 of the 54 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Related

Authors
Bartels, S. J., Coakley, E., Oxman, T. E., Constantino, G., Oslin, D., Chen, H., Zubritsky, C., Cheal, K., Durai, U. N. B., Gallo, J. J., Llorente, M., & Sanchez, H.
Affiliations
  • John Snow (United States) (US)
  • Philadelphia VA Medical Center (US)
  • New York University (US)
  • University of Pennsylvania (US)
  • Brigham and Women's Hospital (US)
  • University of Illinois Chicago (US)
  • University of Miami (US)
Corresponding author
Bartels, Stephen J.
ORCID
Venue
The American Journal of Geriatric Psychiatry
Publisher
Elsevier BV
Published
2002-07
Volume
10
Issue
4
Pages
417-427
ISSN
1064-7481 (ISSN-L)
DOI
10.1097/00019442-200207000-00008
OpenAlex
W2144906876
Cited by
216
References
54
Citations by year
2026: 3 · 2025: 2 · 2024: 4 · 2023: 5 · 2022: 6 · 2021: 11 · 2020: 13 · 2019: 7 · 2018: 7 · 2017: 9 · 2016: 8 · 2015: 10 · 2014: 12 · 2013: 18 · 2012: 15
FWCI
12.36
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • American Journal of Geriatric Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords
suicidal ideation, death ideation, older adults, primary care, depression, anxiety, at-risk alcohol use, comorbidities, social support, health care utilization, suicide prevention, racial differences, geriatric outpatients
MeSH terms
Aged, Anxiety, Attitude to Death, Cross-Sectional Studies, Depressive Disorder, Major, Major Depressive Disorder, Female, Humans, Male, Primary Health Care, Risk Factors, Suicide, Attempted

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