The DOI matches its Crossref record; 56 of the 56 references it cites were found in a registry or an index.
Social Support and Suicidal Ideation in Older Adults Using Home Healthcare Services
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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“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 [32]
In the citing paper
“Instrumental support did not differentiate older adults with and without death/suicide ideation [32].”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [32]
In the citing paper
“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 [32]
In the citing paper
“Rowe examined a single aspect of social integration—the size of the social network in homecare patients in the U.S.—and did not find an effect on suicidal ideation [32].”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [32]
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 [32]
Citations
Cites
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975) · Journal of Psychiatric Research · doi:10.1016/0022-3956(75)90026-6 · Cited by 88,282
Charlson, M. E., Pompei, P., Ales, K. L., & MacKenzie, C. R. (1987) · Journal of Chronic Diseases · doi:10.1016/0021-9681(87)90171-8 · Cited by 49,742
Intraclass correlations: Uses in assessing rater reliability.
Shrout, P. E., & Fleiss, J. L. (1979) · Psychological Bulletin · doi:10.1037/0033-2909.86.2.420 · Cited by 24,532
Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living
Lawton, M. P., & Brody, E. M. (1969) · The Gerontologist · doi:10.1093/geront/9.3_part_1.179 · Cited by 18,540
Development of a Rating Scale for Primary Depressive Illness
Hamilton, M. (1967) · British Journal of Social and Clinical Psychology · doi:10.1111/j.2044-8260.1967.tb00530.x · Cited by 8,410
The sociological study of stress
Pearlin, L. I. (1989) · Journal of Health and Social Behavior · doi:10.2307/2136956 · Cited by 3,263
Norussis, H. (1993) · Medical Entomology and Zoology · Cited by 2,704
Unützer, J., Katon, W., Callahan, C. M., Williams, Jr., Hunkeler, E., Harpole, L., Hoffing, M., Della Penna, R. D., Noël, P. H., Lin, E. H. B., et al. (2002) · JAMA · doi:10.1001/jama.288.22.2836 · Cited by 2,405
Lenggenhager, J. (1947) · PubMed · Cited by 1,772
Bruce, M. L., Ten Have, T. R., Reynolds III, C. F., Katz, I. I., Schulberg, H. C., Mulsant, B. H., Brown, G. K., McAvay, G. J., Pearson, J. L., & Alexopoulos, G. S. (2004) · JAMA · doi:10.1001/jama.291.9.1081 · Cited by 963
Self-citationReducing Suicide--A National Imperative
(2002) · PsycEXTRA Dataset · doi:10.1037/e719942007-001 · Cited by 947
Social Support and the Outcome of Major Depression
George, L. K., Blazer, D. G., Hughes, D. C., & Fowler, N. (1989) · British Journal of Psychiatry · doi:10.1192/bjp.154.4.478 · Cited by 732
Risk factors for suicide in later life
Conwell, Y., Duberstein, P. R., & Caine, E. D. (2002) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01347-1 · Cited by 701
Self-citationAbbreviating the Duke Social Support Index for Use in Chronically Ill Elderly Individuals
Koenig, H. G., Westlund, R. E., George, L. K., Hughes, D. C., Blazer, D. G., & Hybels, C. F. (1993) · Psychosomatics · doi:10.1016/s0033-3182(93)71928-3 · Cited by 542
Suicide Ideation at Its Worst Point: A Predictor of Eventual Suicide in Psychiatric Outpatients
Beck, A. T., Brown, G. K., Steer, R. A., Dahlsgaard, K. K., & Grisham, J. R. (1999) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1999.tb00758.x · Cited by 475
Hunkeler, E. M. (2000) · Archives of Family Medicine · doi:10.1001/archfami.9.8.700 · Cited by 464
National Strategy for Suicide Prevention: Goals and Objectives for Action
Service., U. S. P. H. (2001) · PsycEXTRA Dataset · doi:10.1037/e415652005-001 · Cited by 458
Telephone Care as a Substitute for Routine Clinic Follow-up
Wasson, J. H. (1992) · JAMA · doi:10.1001/jama.1992.03480130104033 · Cited by 419
Simon, G. E., Ludman, E. J., Tutty, S., Operskalski, B., & Korff, M. V. (2004) · JAMA · doi:10.1001/jama.292.8.935 · Cited by 395
National Strategy for Suicide Prevention: Goals and Objectives for Action
Satcher, D. S. (2003) · Cited by 392
Major Depression in Elderly Home Health Care Patients
BRUCE, M. L., McAvay, G., Raue, P. J., Brown, E. L., Meyers, B. S., Keohane, D. J., Jagoda, D. R., & Weber, C. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.8.1367 · Cited by 361
Self-citationThe Surgeon General's call to action to prevent suicide
(1999) · PsycEXTRA Dataset · doi:10.1037/e369812004-001 · Cited by 353
A case control study of suicide and attempted suicide in older adults
Beautrais, A. L. (2002) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.32.1.1.22184 · Cited by 301
Life events and psychosocial factors in elderly suicides—A case-control study
RUBENOWITZ, E., WAERN, M., WILHELMSON, K., & ALLEBECK, P. (2001) · Psychological Medicine · doi:10.1017/s0033291701004457 · Cited by 277
Access to Firearms and Risk for Suicide in Middle-Aged and Older Adults
Conwell, Y., Duberstein, P. R., L.Connor, K., Eberly, S. W., Cox, C., & Caine, E. D. (2002) · American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200207000-00007 · Cited by 263
Self-citationPoor social integration and suicide: Fact or artifact? A case-control study
DUBERSTEIN, P. R., CONWELL, Y., CONNER, K. R., EBERLY, S., EVINGER, J. S., & CAINE, E. D. (2004) · Psychological Medicine · doi:10.1017/s0033291704002600 · Cited by 246
Self-citationDUBERSTEIN, P. R., CONWELL, Y., CONNER, K. R., EBERLY, S., & CAINE, E. D. (2004) · Psychological Medicine · doi:10.1017/s0033291703008584 · Cited by 241
Self-citationBartels, S. J., Coakley, E., Oxman, T. E., Constantino, G., Oslin, D., Chen, H., Zubritsky, C., Cheal, K., Durai, U. N. B., Gallo, J. J., et al. (2002) · The American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200207000-00008 · Cited by 216
Clinical Determinants of Suicidal Ideation and Behavior in Geriatric Depression
Alexopoulos, G. S., BRUCE, M. L., Hull, J. W., Sirey, J. A., & Kakuma, T. (1999) · Archives of General Psychiatry · doi:10.1001/archpsyc.56.11.1048 · Cited by 213
Self-citationFactors influencing the development and amelioration of suicidal thoughts in the general population
Gunnell, D., Harbord, R. M., Singleton, N., Jenkins, R., & Lewis, G. (2004) · The British Journal of Psychiatry · doi:10.1192/bjp.185.5.385 · Cited by 189
Aaronson, N. K., Visser-Pol, E., Leenhouts, G., Muller, M. J., van der Schot, A. C., van Dam, F. S. A. M., Keus, R. B., Koning, C. C. E., Huinink, W. W. T. B., van Dongen, J. A., et al. (1996) · Journal of Clinical Oncology · doi:10.1200/jco.1996.14.3.984 · Cited by 184
A prevalence study of suicide ideation among older adults in Hong Kong SAR
YIP, P. S. F., Chi, I., Chiu, H. F. K., Kwan, C. W., Conwell, Y., & Caine, E. D. (2003) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.1014 · Cited by 150
Self-citationPreventing suicide in primary care patients: the primary care physician's role
Schulberg, H. C., BRUCE, M. L., Lee, P. W., Williams, J. W., & Dietrich, A. J. (2004) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2004.06.007 · Cited by 148
Self-citationA Three-Component Model for Reengineering Systems for the Treatment of Depression in Primary Care
Oxman, T. E., Dietrich, A. J., Williams, J. W., & Kroenke, K. (2002) · Psychosomatics · doi:10.1176/appi.psy.43.6.441 · Cited by 141
Wong, K. W., Wong, F. K. Y., & Chan, M. F. (2005) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2004.03280.x · Cited by 134
Lower suicide rates associated with a Tele-Help/Tele-Check service for the elderly at home
Leo, D. D., Carollo, G., & Buono, M. D. (1995) · American Journal of Psychiatry · doi:10.1176/ajp.152.4.632 · Cited by 129
Awata, S., Seki, T., Koizumi, Y., Sato, S., Hozawa, A., Omori, K., Kuriyama, S., Arai, H., Nagatomi, R., Matsuoka, H., et al. (2005) · Psychiatry and Clinical Neurosciences · doi:10.1111/j.1440-1819.2005.01378.x · Cited by 128
Does Social Support Buffer Functional Decline in Elderly Patients With Unipolar Depression?
Hays, J. C., Steffens, D. C., Flint, E. P., Bosworth, H. B., & George, L. K. (2001) · American Journal of Psychiatry · doi:10.1176/appi.ajp.158.11.1850 · Cited by 123
Psychosocial and clinical predictors of unipolar depression outcome in older adults
Bosworth, H. B., Hays, J. C., George, L. K., & Steffens, D. C. (2002) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.590 · Cited by 110
Geriatric Suicide: The Arizona Study
Miller, M. (1978) · The Gerontologist · doi:10.1093/geront/18.5_part_1.488 · Cited by 102
Age and suicidal ideation in older depressed inpatients
Duberstein, P. R., Conwell, Y., Seidlitz, L., Lyness, J. M., Cox, C., & Caine, E. D. (1999) · The American Journal of Geriatric Psychiatry · doi:10.1097/00019442-199911000-00003 · Cited by 96
Self-citationAge and Impaired Subjective Support
Blazer, D. G., Hughes, D. C., & George, L. K. (1992) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199203000-00005 · Cited by 84
Age and impaired subjective support. Predictors of depressive symptoms at one-year follow-up.
Blazer, D. G., Hughes, D. C., & George, L. K. (1992) · PubMed · Cited by 79
Biological and social predictors of long-term geriatric depression outcome
Steffens, D. C., Pieper, C. F., Bosworth, H. B., MacFall, J. R., Provenzale, J. M., Payne, M. E., Carroll, B. J., George, L. K., & Krishnan, K. R. R. (2005) · International Psychogeriatrics · doi:10.1017/s1041610205000979 · Cited by 62
Useda, J. D., Duberstein, P. R., Conner, K. R., & Conwell, Y. (2004) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2004.06.002 · Cited by 57
Self-citationPoncia, H. D. (2000) · Emergency Medicine Journal · doi:10.1136/emj.17.5.337 · Cited by 57
Evaluating an Intervention for the Elderly at Increased Risk of Suicide
Morrow-Howell, N. L., Becker-Kemppainen, S., & Lee, J. (1998) · Research on Social Work Practice · doi:10.1177/104973159800800104 · Cited by 54
Bartels, S. J. (2002) · American Journal of Geriatric Psychiatry · doi:10.1176/appi.ajgp.10.4.417 · Cited by 48
Pitkälä, K., Isometsä, E. T., HENRIKSSON, M. M., & Lönnqvist, J. K. (2000) · International Psychogeriatrics · doi:10.1017/s1041610200006335 · Cited by 47
Holocaust Experience and Suicidal Ideation in High-Risk Older Adults
Clarke, D. E., Colantonio, A., Heslegrave, R. J., Rhodes, A. E., Links, P. S., & Conn, D. K. (2004) · American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200401000-00009 · Cited by 41
Are closed-minded people more open to the idea of killing themselves?
Duberstein, P. R. (2001) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.31.1.9.21309 · Cited by 41
The systematic assessment of depressed elderly primary care patients
Raue, P. J., Alexopoulos, G. S., BRUCE, M. L., Klimstra, S., Mulsant, B. H., Gallo, J. J., & the PROSPECT Study Group (2001) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.469 · Cited by 39
Self-citationCorrelates of Suicide Among Home Health Care Utilizers Who Died by Suicide and Community Controls
Rowe, J. L., BRUCE, M. L., & Conwell, Y. (2006) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2006.36.1.65 · Cited by 39
Self-citationAge and Suicidal Ideation in Older Depressed Inpatients
Duberstein, P. R., Conwell, Y., Seidlitz, L., et al. (1999) · American Journal of Geriatric Psychiatry · doi:10.1097/00019442-199923740-00003 · Cited by 20
Self-citationThe National Home and Hospice Care Survey: 1996 summary.
Haupt, B. J., & Jones, A. (1999) · PubMed · Cited by 14
Holocaust Experience and Suicidal Ideation in High-Risk Older Adults
Clarke, D. E. (2004) · American Journal of Geriatric Psychiatry · doi:10.1176/appi.ajgp.12.1.65 · Cited by 12
Research works printed but not linked: 1
- Raue PJ, Brown EL, Meyers BS, et al: Assessing suicide risk in primary care patients. J Fam Pract, in press
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The determinants of home healthcare robots adoption: An empirical investigation
Alaiad, A., & Zhou, L. (2014) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2014.07.003 · Cited by 306
Familial Transmission of Suicidal Behavior
Brent, D. A., & Melhem, N. (2008) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2008.02.001 · Cited by 329
Dour, H. J., Wiley, J. F., Roy-Byrne, P., Stein, M. B., Sullivan, G., Sherbourne, C. D., Bystritsky, A., Rose, R. D., & Craske, M. G. (2014) · Depression and Anxiety · doi:10.1002/da.22216 · Cited by 243
Kozar, R. A., Arbabi, S., Stein, D. M., Shackford, S. R., Barraco, R. D., Biffl, W. L., Brasel, K. J., Cooper, Z. R., Fakhry, S. M., Livingston, D. H., et al. (2015) · The Journal of Trauma: Injury, Infection, and Critical Care · doi:10.1097/ta.0000000000000656 · Cited by 217
Metadata
- 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.
- 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)
- 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
- 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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