Cited by 153Suicide and Self-Harm StudiesAging, Health, and DisabilityHealth and Well-being Studies

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Social Support and Suicidal Ideation in Older Adults Using Home Healthcare Services

Rowe, Jennifer L., Conwell, Yeates, Schulberg, Herbert C., Bruce, Martha L.·2006·The American Journal of Geriatric Psychiatry

DOI 10.1097/01.jgp.0000218324.78202.25

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Abstract

Objective The objective of this study was to examine the associations between objective and subjective social support and suicidal ideation in older adults receiving home healthcare services.Method Participants were randomly selected from a sample of older adults newly starting skilled nursing care from a certified home health agency in Westchester County, NY. Research interviewers assessed 522 older adults aged 65 years and older who were receiving home care services. Subjective and objective components of social support were assessed using measures of social network, social interaction patterns, instrumental support, and perceptions of social support. Suicidal ideation was assessed using items from the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition and the Hamilton Depression Rating Scale.Results In bivariate analyses, neither objectively determined size of social network nor instrumental support was associated with suicidal ideation. However, lower social interaction patterns and lower perceived social support were significantly related to suicidal ideation. After adjusting for potential confounders, only lower perceived support remained significantly associated with suicidal ideation. In post hoc analyses of the perceptions of social support scale items, satisfaction with one's relationships and feeling useful to family and friends were significantly associated with a lower likelihood of suicidal ideation in the final multivariate logistic regression model controlling for possible confounding variables.Conclusions Subjective social support is a potentially modifiable risk factor for suicide in later life. Findings suggest that the perception of social support is an important construct to examine in future longitudinal studies examining risk and protective factors for suicidal ideation and behaviors in older adults.

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Authors: Rowe, J. L., Conwell, Y., Schulberg, H. C., & Bruce, M. L.
Affiliations: Cornell University (US)
University of Rochester Medicine (US)
Corresponding author: Rowe, Jennifer L.
ORCID: Conwell, Yeates
Bruce, Martha L.
Venue: The American Journal of Geriatric Psychiatry
Publisher: Elsevier BV
Published: 2006-09
Volume: 14
Issue: 9
Pages: 758-766
ISSN: 1064-7481 (ISSN-L)
DOI: 10.1097/01.jgp.0000218324.78202.25
OpenAlex: W2054667081
Cited by: 153
References: 54
Citations by year: 2026: 2 · 2025: 4 · 2024: 3 · 2023: 5 · 2022: 4 · 2021: 8 · 2020: 7 · 2019: 10 · 2018: 7 · 2017: 4 · 2016: 15 · 2015: 20 · 2014: 10 · 2013: 13 · 2012: 9
FWCI: 7.37
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 (T32 MH20061, R24-MH64608, R24MH064608, T32-MH020061)
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 › Psychology › Clinical Psychology › Health and Well-being Studies
Keywords: social support, suicidal ideation, older adults, home health care services, perceived social support, social interaction patterns, instrumental support, social networks, suicide risk factors, skilled nursing care, relationship satisfaction
MeSH terms: Aged, Aged, 80 and over, Catchment Area, Health, Demography, Female, Follow-Up Studies, Home Care Services, Humans, Interpersonal Relations, Male, New York, Personal Satisfaction, Risk Factors, Social Support, Suicide, Attempted

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Social Support and Suicidal Ideation in Older Adults Using Home Healthcare Services

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