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Cited by 114Suicide and Self-Harm StudiesPsychological and Temporal Perspectives ResearchAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Future orientation and suicide ideation and attempts in depressed adults ages 50 and over

Hirsch, Jameson K., Duberstein, Paul R., Conner, Kenneth R., Heisel, Marnin J., Beckman, Anthony, Franus, Nathan, Conwell, Yeates·2006·The American Journal of Geriatric Psychiatry
DOI 10.1097/01.jgp.0000209219.06017.62
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Abstract

Objective The objective of this study was to test the hypothesis that future orientation is associated with lower levels of suicide ideation and lower likelihood of suicide attempt in a sample of patients in treatment for major depression.Methods Two hundred two participants (116 female, 57%) ages 50-88 years were recruited from inpatient and outpatient settings. All were diagnosed with major depression using a structured diagnostic interview. Suicide ideation was assessed with the Scale for Suicide Ideation (both current and worst point ratings), and a measure of future orientation was created to assess future expectancies. The authors predicted that greater future orientation would be associated with less current and worst point suicide ideation, and would distinguish current and lifetime suicide attempters from nonattempters. Hypotheses were tested using multivariate logistic regression and linear regression analyses that accounted for age, gender, hopelessness, and depression.Results As hypothesized, higher future orientation scores were associated with lower current suicidal ideation, less intense suicidal ideation at its worst point, and lower probability of a history of attempted suicide after accounting for covariates. Future orientation was not associated with current attempt status.Conclusions Future orientation holds promise as a cognitive variable associated with decreased suicide risk; a better understanding of its putative protective role is needed. Treatments designed to enhance future orientation might decrease suicide risk.

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Crossref · 10.1097/01.jgp.0000209219.06017.62

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  • We chose hopelessness and optimism as key outcome measures due to their established links to suicidality; hopelessness has been associated with completed suicide, independent of severity of mood symptoms.

    “We chose hopelessness and optimism as key outcome measures due to their established links to suicidality [10 -12]. Hopelessness has been associated with completed suicide, independent of severity of mood symptoms [46,47]”

    From Feasibility and utility of positive psychology exercises for suicidal inpatients (2014) · cites this paper as [11]

  • Optimism, gratitude and other positive states have been associated with reductions in hopelessness, suicidal ideation and suicide attempts, often independent of depression.

    “Optimism, gratitude and other positive states have been associated with reductions in hopelessness, suicidal ideation and suicide attempts, often independent of depression [10 -16].”

    From Feasibility and utility of positive psychology exercises for suicidal inpatients (2014) · cites this paper as [11]

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Authors
Hirsch, J. K., Duberstein, P. R., Conner, K. R., Heisel, M. J., Beckman, A., Franus, N., & Conwell, Y.
Affiliations
  • Rochester Institute of Technology (US)
  • University of Rochester Medicine (US)
  • Western University (CA)
Corresponding author
Hirsch, Jameson K.
ORCID
Venue
The American Journal of Geriatric Psychiatry
Publisher
Elsevier BV
Published
2006-09
Volume
14
Issue
9
Pages
752-757
ISSN
1064-7481 (ISSN-L)
DOI
10.1097/01.jgp.0000209219.06017.62
OpenAlex
W2030513670
Cited by
113
References
61
Citations by year
2026: 4 · 2025: 5 · 2024: 4 · 2023: 5 · 2022: 6 · 2021: 3 · 2020: 1 · 2019: 8 · 2018: 8 · 2017: 4 · 2016: 5 · 2015: 10 · 2014: 7 · 2013: 7 · 2012: 3
FWCI
9.58
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)
Funders
  • National Institutes of Health (5t32mh020061-25)
  • National Institute of Mental Health (MH-20061-01, T32-MH020061, R01MH064579)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Psychological and Temporal Perspectives Research
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
future orientation, suicidal ideation, suicide attempts, major depressive disorder, older adults, hopelessness, suicide risk, cognitive factors
MeSH terms
Aged, Aged, 80 and over, Attitude, Major Depressive Disorder, Female, Forecasting, Humans, Male, Middle Aged, Suicide, Attempted, Time Factors

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