Suicide over 60: the San Diego study
Abstract
Objectives: To see if selected clinical factors characterize suicides over the age of 60 differently from younger suicides and to ascertain if those factors characterize female and male suicides over the age of 60 differently. Design: A group of consecutive suicides aged 60–88 was compared with groups of consecutive suicides aged 31–59 and 16–30. The female suicides aged 60–88 were also compared with the male suicides in that age group. Data were gathered from a variety of informants using a structured interview format. Setting: The sample was gathered in San Diego County, California, between November, 1981 and September 1982. Participants: The sample consisted of 204 consecutive suicides. These included 49 cases aged 60–88, 94 cases aged 31–59, and 61 cases aged 16–30. The older group consisted of 20 females and 29 males. Measurements: Comparisons were made in demographic, diagnostic, and other clinical characteristics. Results: There were no significant differences between female and male suicides over age 60 on any of the variables examined. Only minor differences were found among the groups in patterns of mental disorders diagnosed. Older suicides were significantly more likely to be married or, if not married, widowed than either of the two younger groups. They were also significantly more likely to be stressed by medical illness. They were significantly less likely to have financial problems as stressors. They were significantly less likely to have talked about suicide or made prior suicide attempts than either of the two younger groups. Conclusions: Patterns of certain characteristics of suicides are very similar regardless of age. However, specific age‐related differences occur that need to be considered when assessing suicide risk. Older suicides may be harder for clinicians to predict and, therefore, prevent.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
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?
Psychological autopsy case-control studies provide remarkably consistent findings.
“a variety of investigators have applied it in case control studies that provide remarkably consistent findings (7-21).”
From Suicide in older adults (2011) · cites this paper as [8]
Cites
The social readjustment rating scale
Holmes, T. H., & Rahe, R. H. (1967) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(67)90010-4 · Cited by 11,174 · see citing works
Regier, D. A. (1988) · Archives of General Psychiatry · doi:10.1001/archpsyc.1988.01800350011002 · Cited by 1,737 · see citing works
A Hundred Cases of Suicide: Clinical Aspects
Barraclough, B. M., Bunch, J., Nelson, B., & Sainsbury, P. (1974) · British Journal of Psychiatry · doi:10.1192/bjp.125.4.355 · Cited by 1,283 · see citing works
A study of suicide in the seattle area
Dorpat, T. L., & Ripley, H. S. (1960) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(60)80058-2 · Cited by 511 · see citing works
Rich, C. L. (1986) · Archives of General Psychiatry · doi:10.1001/archpsyc.1986.01800060071009 · Cited by 505 · see citing works
Self-citationSuicide Attempts and Recent Life Events
Paykel, E. S. (1975) · Archives of General Psychiatry · doi:10.1001/archpsyc.1975.01760210061003 · Cited by 386 · see citing works
The Lifetime Risk of Suicide in Alcoholism
Murphy, G. E. (1990) · Archives of General Psychiatry · doi:10.1001/archpsyc.1990.01810160083012 · Cited by 320 · see citing works
Rich, C. L., Fowler, R. C., Fogarty, L., & Young, D. (1988) · Archives of General Psychiatry · doi:10.1001/archpsyc.1988.01800300087012 · Cited by 222 · see citing works
Self-citationCompleted suicide at age 50 and over
Conwell, Y., Rotenberg, M., & Caine, E. D. (1990) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1990.tb01422.x · Cited by 204 · see citing works
Retrospective psychiatric assessment of 200 suicides in Budapest
Arató, M., Demeter, E., Rihmer, Z., & Somogyi, E. (1988) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1988.tb05150.x · Cited by 179 · see citing works
Suicide in Brisbane—A Retrospective Psychosocial Study
Chynoweth, R., Tonge, J. I., & Armstrong, J. (1980) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048678009159352 · Cited by 170 · see citing works
Suicide in Later Life: Psychological Autopsy Findings
Conwell, Y., Olsen, K., Caine, E. D., et al. (1991) · International Psychogeriatrics · doi:10.1017/s1041610291000522 · Cited by 136 · see citing works
The Final Months: A Study of the Lives of 134 Persons Who Committed Suicide
Hankoff, L. D. (1982) · JAMA · doi:10.1001/jama.1982.03320370067045 · Cited by 128 · see citing works
Suicide among the Elderly: Isolating Widowhood and Mitigating Alternatives
Bock, E., & Webber, I. L. (1972) · Journal of Marriage and the Family · doi:10.2307/349626 · Cited by 103 · see citing works
Suicides among older United States residents: epidemiologic characteristics and trends.
Meehan, P., Saltzman, L. E., & Sattin, R. W. (1991) · American Journal of Public Health · doi:10.2105/ajph.81.9.1198 · Cited by 102 · see citing works
Geriatric Suicide: The Arizona Study
Miller, M. (1978) · The Gerontologist · doi:10.1093/geront/18.5_part_1.488 · Cited by 102 · see citing works
Mortality in severe depression
Berglund, M., & Nilsson, K. (1987) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1987.tb05621.x · Cited by 88 · see citing works
Suicide and Psychiatric Care In the Aging
Gardner, E. A. (1964) · Archives of General Psychiatry · doi:10.1001/archpsyc.1964.01720240001001 · Cited by 83 · see citing works
2 Epidemiology of Suicide in the Elderly
McIntosh, J. L. (1992) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1992.tb00473.x · Cited by 73 · see citing works
Secular trends in psychiatric diagnoses of suicide victims
Carlson, G. A., Rich, C. L., Grayson, P., & Fowler, R. C. (1991) · Journal of Affective Disorders · doi:10.1016/0165-0327(91)90059-2 · Cited by 62 · see citing works
Self-citationSuicide Among Older People: Projections for the Future
Haas, A. P., & Hendin, H. (1983) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1983.tb00012.x · Cited by 51 · see citing works
Younger, S. C., Clark, D. C., Oehmig‐Lindroth, R., & Stein, R. J. (1990) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1990.tb01494.x · Cited by 41 · see citing works
Suicide among the Elderly—The Metro-Dade County Experience, 1981–83
Copeland, A. R. (1987) · Medicine Science and the Law · doi:10.1177/002580248702700106 · Cited by 30 · see citing works
Symptom contamination of the Schedule of Recent Events.
Lehman, R. E. (1978) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.46.6.1564 · Cited by 22 · see citing works
Symptom contamination of the Schedule of Recent Events.
Lehman, R. E. (1978) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.46.6.1564 · Cited by 18 · see citing works
Walsh, D., & McGarthy, P. D. (1965) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1965.tb04982.x · Cited by 14 · see citing works
Elderly Suicides in the Lothian and Borders Region of Scotland, 1983–1988
Squires, T. J., & Busuttil, A. (1991) · Medicine Science and the Law · doi:10.1177/002580249103100209 · Cited by 10 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
(1996) · American Journal of Psychiatry · doi:10.1176/ajp.153.8.1001 · Cited by 725 · see citing works
Conwell, Y., Van Orden, K., & Caine, E. D. (2011) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2011.02.002 · Cited by 555 · see citing works
Medical illness and the risk of suicide in the elderly
Juurlink, D. N., Herrmann, N., Szalai, J. P., Kopp, A., & Redelmeier, D. A. (2004) · Archives of Internal Medicine · doi:10.1001/archinte.164.11.1179 · Cited by 542 · see citing works
Risk factors for late-life suicide: A prospective community-based study
Turvey, C. L., Conwell, Y., Jones, M. P., Phillips, C., Simonsick, E., Pearson, J. L., & Wallace, R. (2002) · The American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200207000-00006 · Cited by 406 · see citing works
Burden of illness and suicide in elderly people: case-control study
Waern, M., Rubenowitz, E., Runeson, B., Skoog, I., Wilhelmson, K., & Allebeck, P. (2002) · BMJ · doi:10.1136/bmj.324.7350.1355 · Cited by 360 · see citing works
Predictors of suicide in the old elderly
Waern, M., Rubenowitz, E., & Wilhelmson, K. (2003) · Gerontology · doi:10.1159/000071715 · Cited by 360 · see citing works
Conwell, Y., & Thompson, C. (2008) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2008.01.004 · Cited by 333 · see citing works
Mental disorder in elderly suicides: a case–control study
Wærn, M., Runeson, B. S., Allebeck, P., Beskow, J., Rubenowitz, E., Skoog, I., & Wilhelmsson, K. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.3.450 · Cited by 304 · see citing works
Suicide attempts preceding completed suicide
Isometsä, E. T., & Lönnqvist, J. K. (1998) · British Journal of Psychiatry · doi:10.1192/bjp.173.6.531 · Cited by 296 · see citing works
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 · see citing works
DUBERSTEIN, P. R., CONWELL, Y., CONNER, K. R., EBERLY, S., & CAINE, E. D. (2004) · Psychological Medicine · doi:10.1017/s0033291703008584 · Cited by 241 · see citing works
Critical Issues in Psychological Autopsy Studies
Pouliot, L., & De Leo, D. (2006) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2006.36.5.491 · Cited by 218 · see citing works
Dementia and suicidal behavior: a review of the literature
Haw, C., Harwood, D., & Hawton, K. (2009) · International Psychogeriatrics · doi:10.1017/s1041610209009065 · Cited by 166 · see citing works
Disclosure of suicidal ideation and behaviours: A systematic review and meta-analysis of prevalence
Hallford, D. J., Rusanov, D., Winestone, B., Kaplan, R., Fuller-Tyszkiewicz, M., & Melvin, G. (2023) · Clinical Psychology Review · doi:10.1016/j.cpr.2023.102272 · Cited by 117 · see citing works
Karch, D. (2011) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph8083479 · Cited by 40 · see citing works
- Authors
- Carney, S. S., Rich, C. L., Burke, P. A., & Fowler, R. C.
- Affiliations
- University of South Alabama Medical Center (US)
- University of South Alabama (US)
- Northport VA Medical Center (US)
- University of California San Diego (US)
- Corresponding author
- Rich, Charles L.
- Venue
- Journal of the American Geriatrics Society
- Publisher
- Wiley
- Published
- 1994-02
- Volume
- 42
- Issue
- 2
- Pages
- 174-180
- ISSN
- 0002-8614 (ISSN-L)
- 1532-5415
- OpenAlex
- W2031902418
- Cited by
- 164
- References
- 27
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 3 · 2017: 4 · 2016: 4 · 2015: 5 · 2014: 4 · 2013: 9 · 2012: 6
- FWCI
- 7.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Geriatrics Society (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Keywords
- suicide, older adults, age differences, sex differences, suicide risk assessment, suicide prevention, marital status, financial stress, previous suicide attempts, mental illness, San Diego County
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, California, Female, Health Status, Humans, Male, Middle Aged, Risk Factors, Social Support, Suicide
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