A case control study of suicide and attempted suicide in older adults
Abstract
Risk factors for serious suicidal behavior among older adults were examined in a case control study of 53 adults aged 55 and older who died by suicide or made medically serious suicide attempts and who were compared with 269 randomly selected comparison subjects. Multivariate analyses suggested that risk of serious suicidal behavior was elevated among those with current mood disorders (OR = 179, CI = 52.8–607.6), psychiatric hospital admission within the previous year (OR = 24.4, CI = 1.9–318.7), limited social network (OR = 4.5, CI = 1.4–14.6). The predominant role of mood disorders was confirmed by population attributable risk (PAR) estimates (73.6%), suggesting that the improved detection, treatment and management of mood disorders should be the primary focus of suicide prevention strategies for older adults.
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An additional case-control New Zealand study with a lower inclusion age (55+) documented an association between low social contact and suicide.
“An additional case-control New Zealand study with a lower inclusion age (55+) [56] also documented an association between low social contact and suicide, but a Canadian study (60+) that examined contacts during the last six months showed no difference between suicide decedents and control subjects [57].”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [56]
Serious relationship and financial problems distinguished older adult suicides and near fatal suicide attempters from controls in New Zealand, findings replicated in Sweden.
“Serious relationship and financial problems distinguished older adult suicides and near fatal suicide attempters from controls in New Zealand (20), findings replicated by Rubenowitz and colleagues in Sweden (16).”
From Suicide in older adults (2011) · cites this paper as [20]
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- Authors
- Beautrais, A. L.
- Affiliations
- University of Canterbury (NZ)
- Corresponding author
- Beautrais, Annette L.
- Venue
- Suicide and Life-Threatening Behavior
- Publisher
- Wiley
- Published
- 2002-03
- Volume
- 32
- Issue
- 1
- Pages
- 1-9
- ISSN
- 0363-0234 (ISSN-L)
- 1943-278X
- OpenAlex
- W2005911444
- Cited by
- 301
- References
- 26
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 6 · 2023: 4 · 2022: 15 · 2021: 7 · 2020: 13 · 2019: 7 · 2018: 15 · 2017: 17 · 2016: 12 · 2015: 12 · 2014: 18 · 2013: 26 · 2012: 20
- FWCI
- 14.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Suicide and Life-Threatening Behavior (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
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
- Keywords
- suicide, suicide attempts, older adults, mood disorders, psychiatric hospitalization, social networks, suicide risk factors, suicide prevention, population attributable risk
- MeSH terms
- Suicide Prevention, Aged, Aged, 80 and over, Mental Disorders, Female, Humans, Male, Middle Aged, New Zealand, Risk Factors, Social Adjustment, Socioeconomic Factors, Suicide, Suicide, Attempted, Logistic Models, Case-Control Studies
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