Ayalon et al.1010 Stetler CB, Morsi D, Rucki S, Broughton S, Corrigan B, Fitzgerald J, et al. Utilization- focused integrative reviews in a nursing service. Appl Nurs Res. 1998;11(4):195-206.
|
2007, USA, MEDLINE, 15.590 |
Descriptive, questionnaire |
Worse cognitive functioning, poorer health and greater mental suffering were associated with passive suicidal ideation and a younger age, the female gender, worse cognitive functioning and increased mental suffering were associated with active suicidal ideation. |
Affliction and cognitive impairment are the only two variables that consistently predicted passive and active suicidal ideation. |
Carmel et al.1111 Ayalon L, Mackin S, Arean PA, Chen H, McDonel Herr EC. The role of cognitive functioning and distress in suicidal ideation in older adults. J Am Geriatr Soc. 2007;55(7):1090-4.
|
2013, USA, MEDLINE, 382, |
Descriptive, structured interview |
The will to live moderated, but did not mediate, the decline related to proximity to death. |
Those with a high level of will to live did not exhibit a reduction in their satisfaction with life as death approached |
Cavalcante et al.1212 Carmel S, Shrira A, Shmotkin D. The will to live and death-related decline in life satisfaction. Psychol Aging. 2013;28(4):1115-23.
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2012, Brazil, LILACS, 51 |
Qualitative methodology and semi-structured interview script, adapted for the study of the suicide of the elderly |
It is crucial to understand the interaction between variables - psychiatric or clinical symptoms, risk and protective factors, personality traits, circumstantial events, family continuity, and health care capacity. Each interactive pattern reveals that suicide is multi-causal and singular. |
It is important that health can be instrumentalized with means to identify, propose and ensure comprehensive care for the elderly - in research, care and public policy. |
Ceará1313 Cavalcante FG, Minayo MC, Meneghel SN, Silva RM, Gutierrez DM, Conte M, et al. Autópsia psicológica e psicossocial sobre suicídio de idosos: abordagem metodológica. Ciênc Saúde Colet. 2012;17(8):2039-52.
|
2009, Brazil, LILACS, 40, |
Qualitative, MINI Plus, WHOQOL-bref and semi-structured interviews |
A higher frequency of mental disorders in the study group with 15 (37.5%) cases. The risk of suicide was present in three (7.5%) participants. |
Homosexuals have a greater frequency of mental disorders, but a better quality of life |
Ciulla et al.1414 Ceará AT, Dalgalarrondo P. Transtornos mentais, qualidade de vida e identidade em homossexuais na maturidade e velhice. Rev Psiquiatr Clin. 2017;37(3):118-23.
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2013, Brazil, MEDLINE, 530 |
Transversal Descriptive MINI Plus |
Risk of suicide was found in 15.7% of the sample. |
A high suicide risk rate was found |
Chen et al.1515 Ciulla L, Lopes Nogueira E, da Silva Filho IG, Tres GL, Engroff P, Ciulla V, et al. Suicide risk in the elderly: data from Brazilian public health care program. J Affect Disord. 2014;152-154:513-6.
|
2010, USA, MEDLINE, 266 |
Descriptive, BSRS-%, GDS-15, MOS, SF-12. |
The data revealed a significant relationship between quality of life and suicidal ideation. |
The proposed model has the potential to help health professionals effectively design and implement their suicide prevention programs. |
Conte et al.1616 Chen WJ, Chen CC, Ho CK, Chou FH, Lee MB, Lung F, et al. The relationships between quality of life, psychiatric illness, and suicidal ideation in geriatric veterans living in a veterans' home: a structural equation modeling approach. Am J Geriatr Psychiatr. 2011;19(6):597-601
|
2015, Brazil, LILACS, 9, |
Descriptive, semi-structured interview |
The study, through three brief stories, questions the biomedical model in terms of treatment of at-risk situations and emphasizes, in integral health care is to be achieved, the importance of the concept of the Expanded Clinic. |
Highlights the need to construct a line of care for the elderly population. |
Cronin et al.1717 Conte M, Cruz CW, Silva CG, Castilhos NR, Nicolella AD. Encontros ou desencontros: histórias de idosos que tentaram suicídio e a Rede de Atenção Integral em Porto Alegre/RS, Brasil. Ciênc Saúde Colet. 2015;20(6):1741-9.
|
2013, MEDLINE, Ireland, 8.504 |
Descriptive, TILDA |
Describe potential advantages of the incorporation of new biometrics and technologies in population studies to advance the understanding of disorders related to aging. |
A detailed description of the physical measurements will facilitate cross-national comparative research. |
Dong et al.1818 Cronin H, O'Regan C, Finucane C, Kearney P, Kenny RA. Health and aging: development of the Irish Longitudinal Study on Ageing health assessment. J Am Geriatr Soc. 2013;61 Suppl 2:269-78.
|
2015, USA, MEDLINE, 3.159 |
Descriptive, structured interview |
The association was significant for older women, but not for older men. |
Associations between ill-treatment and suicide ideation |
Gilman et al.1919 Dong X, Chen R, Wu B, Zhang NJ, Mui AC, Chi I. Association between elder mistreatment and suicidal ideation among community-dwelling Chinese older adults in the USA. Gerontology. 2015;62(1):71-80
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2013, USA, MEDLINE, 1.226 |
Descriptive, PROSPECT |
The mean HDRS scores were significantly higher among participants with financial stress and with annual income below US $ 20,000. |
There are marked social inequalities in depressive symptoms and suicidal ideation among the elderly. |
Gómez-Restrepo et al.2020 Gilman SE, Bruce ML, Ten Have T, Alexopoulos GS, Mulsant BH, Reynolds CF, et al. Social inequalities in depression and suicidal ideation among older primary care patients. Soc Psychiatry Psychiatr Epidemiol. 2013;48(1):59-69
|
2014, Colombia, LILACS, 2.444 |
Descriptive-cross-sectional. Yesavage Geriatric Depression Scale. |
A prevalence of depression of 26.3% was identified. |
There is a prevalence of depression associated with factors such as: female gender, low schooling, no pension, hypertension, diagnosis of mental illness, hunger in the first 15 years of life and absence of leisure activities and poor self-perception. |
Hall et al.2121 Gómez-Restrepo C, Rodríguez MN, Díaz N, Cano C, Tamayo N. Depresión y satisfacción con la vida en personas mayores de 60 años en Bogotá: Encuesta de Salud, Bienestar y Envejecimiento (SABE). Rev Colomb Psiquiatr. 2013;42(Suppl. 1):65-70.
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2009, MEDLINE, USA, 18 |
Qualitative, structured interview |
Residents revealed concerns related to disease, the social aspects of the experience of disease, and demonstrated the importance of preserving dignity. Some residents saw their symptoms and losses as related to old age and not to illness. |
Although residents did not seem to feel anguish due to thoughts of impending death, they were distressed by the multiple losses they had experienced. |
Heisel et al.2222 Hall S, Longhurst S, Higginson I. Living and dying with dignity: a qualitative study of the views of older people in nursing homes. Age Ageing. 2009;38(4):411-6.
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2015, MEDLINE, USA, 173 |
Descriptive, GSIS (Geriatric Suicide Ideation Scale) |
The Geriatric Suicide Ideation Scale was found to be strong in terms of reliability and consistency. |
The results suggest the Geriatric Suicide Ideation Scale is a Strong measure among elderly persons residing in the community. |
Hirsch et al.2323 Heisel MJ, Flett GL. Investigating the psychometric properties of the Geriatric Suicide Ideation Scale (GSIS) among community-residing older adults. Aging Ment Health. 2016;20(2):208-21.
|
2007, USA, MEDLINE, 462 |
Descriptive, structured interview |
Positive affect distinguished suicide ideators from non-recipients after controlling for age, gender, depression, negative affect, disease burden, activity, sociability, cognitive functioning, and physical functioning. |
Clinical and theoretical formulations of late suicide should consider the role of positive affect. |
Iliceto et al.2424 Hirsch JK, Duberstein PR, Chapman B, Lyness JM. Positive affect and suicide ideation in older adult primary care patients. Psychol Aging. 2007;22(2):380-5.
|
2013, USA, MEDLINE, 655 |
Descriptive, self-reported questionnaires. |
Associations between suicidal ideation and certain personalities. |
Elderly persons and young adults may be similar in personality and psychopathology variables that predict suicidal ideation. |
James et al.2525 Iliceto P, Fino E, Sabatello U, Candilera G. Personality and suicidal ideation in the elderly: factorial invariance and latent means structures across age. Aging Ment Health. 2014;18(6):792-800.
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2011, USA, LILACS, 1.327 |
Descriptive, medical history and neurological and neuropsychological examinations |
The risk of developing disabilities in activities of daily living decreased by 43% |
Social activity is associated with a reduced risk of disability occurring in activities of daily living, mobility and instrumental activities. |
Kane et al.2626 James BD, Boyle PA, Buchman AS, Bennett DA. Relation of late-life social activity with incident disability among community-dwelling older adults. J Gerontol Ser A Biol Sci Med Sci. 2011;66(4):467-73.
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2014, USA, MEDLINE, 37 |
Descriptive, structured interview |
The interviewees related malnutrition, alcoholism, depression to the probability of committing suicide. |
There were significant differences following educational work on aging and psychopathology. |
McCarthy2727 Kane MN, Jacobs RJ, Hawkins WE. Attributions of autonomy and competence of older and younger homeless mentally ill. Soc Work Health Care. 2013;52(1):78-98.
|
2010, USA, MEDLINE, 1 source of research |
Descriptive, Google Internet search engine activity for suicide related terms between 2004- 2009. |
Google search volumes correlated with CDC statistics for both suicide and self-mutilation. |
Monitoring changes in Internet search volumes can provide an indicator of suicide risk in the population. |
Na et al.2828 McCarthy MJ. Internet monitoring of suicide risk in the population. J Affect Disord. 2010;122(3):277-9.
|
2016, USA, MEDLINE, 1.116 |
Descriptive, PHQ-9k |
14.7% of Korean American elderly persons reported suicidal ideation. |
Suicidal ideation without depressive syndromes was common among elderly Korean adults. |
O’Riley et al.2929 Na PJ, Kim KB, Lee-Tauler SY, Han HR, Kim MT, Lee HB. Predictors of suicidal ideation in Korean American older adults: analysis of the Memory and Aging Study of Koreans (MASK). Int J Geriatr Psychiatr. 2017;32(12):1272-9.
|
2014, USA, MEDLINE, 377 |
Descriptive, interviews at home |
14% of the subjects considered current death or suicidal ideation |
There were differences and similarities between the correlations of death and suicidal ideation. |
Olsson et al.3030 O'Riley AA, van Orden KA, He H, Richardson TM, Podgorski C, Conwell Y. Suicide and death ideation in older adults obtaining aging services. Am J Geriatr Psychiatr. 2014;22(6):614-22.
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2016, USA, MEDLINE, 273 |
Descriptive, MADRS |
Attempts at suicide had lower scores on the Mini-Mental State Examination (MMSE) and of the attempts, the mean MMSE score was lower among those with clinically severe attempts. |
Older suicide attempts may involve cognitive deficits, which may, in part, be related to the attempt itself. |
Ordóñez Monak et al.3131 Olsson P, Wiktorsson S, Sacuiu S, Marlow T, Östling S, Fässberg MM, et al. Cognitive function in older suicide attempters and a population-based comparison group. J Geriatr Psychiatry Neurol. 2016;29(3):133-41.
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2014, Colombia, LILACS, 98 |
Descriptive-retrospective, reports of necropsy specialists |
Suicides of this population group are mainly men, who have one of the highest rates compared to the majority of the population. |
Suicide is a major public health problem |
Rusching et al.3232 Ordóñez Monak IA, Agudelo SA, Ortiz JO. Caracterización sociodemográfica de los suicidas adultos mayores de 60 años: Bogotá 2003-2007. Rev Colomb Psiquiatr. 2013;42:56-64.
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2013, USA, MEDLINE, 248 |
Descriptive, MADRS |
Perceived social support partially mediated the report. |
Church attendance, rather than other indicators of religious involvement, has the strongest relationship with current suicidal ideation. |
Segal et al.3333 Rushing NC, Corsentino E, Hames JL, Sachs-Ericsson N, Steffens DC. The relationship of religious involvement indicators and social support to current and past suicidality among depressed older adults. Aging Ment Health. 2013;17(3):366-74.
|
2015, USA, MEDLINE, 109 |
Descriptive, GSIS |
The evaluation of depressive symptoms should be included in the assessment of the risk of suicide in old age. |
Depressive characteristics are strongly related to the increase in suicidal thoughts and reduced resilience to suicide among older adults. |
Shin et al.3434 Segal DL, Gottschling J, Marty M, Meyer WJ, Coolidge FL. Relationships among depressive, passive-aggressive, sadistic and self-defeating personality disorder features with suicidal ideation and reasons for living among older adults. Aging Ment Health. 2015;19(12):1071-7.
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2012, USA, PubMed, 1.548 |
Descriptive, demographic characteristics, physical diseases, MMSE, SGDS, BAI and physical exams |
Anxiety and depression associated with suicidal ideation |
It is suggested that there is an independent relationship between the state of physical health and suicidal behavior among the elderly. |
Simon et al.3535 Shin KM, Cho SM, Hong CH, Park KS, Shin YM, Lim KY, et al. Suicide among the elderly and associated factors in South Korea. Aging Ment Health. 2013;17(1):109-14
|
2014, USA, MEDLINE, 3.159 |
Descriptive, structured interview. |
No statistically significant associations were found between the general expectations of filial devotion and suicidal ideation in the last 2 weeks or in the last 12 months. |
Lower levels of filial devotion were associated with a higher risk of suicidal ideation among Chinese elderly. |
Sirey et al.3636 Simon MA, Chen R, Chang ES, Dong X. The association between filial piety and suicidal ideation: findings from a community-dwelling Chinese aging population. J Gerontol Ser A Biol Sci Med Sci. 2014;69(Suppl 2):90-7.
|
2008, USA, MEDLINE, 403 |
Descriptive, structured interview |
12.2% of the elderly reported clinically significant depression and 13.4% reported suicidal thoughts. |
More than one in nine elderly people suffer from depression. |
Sun et al.3737 Sirey JA, Bruce ML, Carpenter M, Booker D, Reid MC, Newell KA, et al. Depressive symptoms and suicidal ideation among older adults receiving home delivered meals. Int J Geriatr Psychiatr. 2008;23(12):1306-11.
|
2010, USA, MEDLINE, 56.088, |
Descriptive, Geriatric Depression Scale. (GSIS) |
Depressive symptoms were associated with all-cause mortality only in men. |
Depressive symptoms were associated with all-cause mortality in men and with suicide in both sexes. |
Van Orden et al.3838 Sun W, Schooling CM, Chan WM, Ho KS, Lam TH. The association between depressive symptoms and mortality among Chinese elderly: a Hong Kong cohort study. J Gerontol Ser A Biol Sci Med Sci. 2011;66(4):459-66.
|
2014, USA, MEDLINE, 377 |
Descriptive, interviews at home. |
The results indicate that passive SI is rarely present in vulnerable elderly people in the absence of significant risk factors for suicide. |
The death wish and the belief that life is worthless do not seem to be normative at the end of life. |
Van Wijmen et al.3939 van Orden KA, O'Riley AA, Simning A, Podgorski C, Richardson TM, Conwell Y. Passive suicide ideation: an indicator of risk among older adults seeking aging services? Gerontologist. 2015;55(6):972-80.
|
2010, USA, MEDLINE, 6.824 |
Descriptive |
Members frequently requested AD when they were already seriously ill. |
Promotes the possibility of comparing the data of the present study with other studies with related subjects. |
Wahlin et al.4040 Van Wijmen MP, Rurup ML, Pasman HR, Kaspers PJ, Onwuteaka-Philipsen BD. Design of the Advance Directives Cohort: a study of end-of-life decision-making focusing on Advance Directives. BMC Public Health. 2010;10:166.
|
2015, USA, MEDLINE, 625 |
Descriptive, interview. |
The prevalence was 45% and was more pronounced among older elderly persons (70%). |
The prevalence of depressive symptoms among elderly people in rural Bangladesh is high. |
Wiktorsson et al.4141 Wahlin Å, Palmer K, Sternäng O, Hamadani JD, Kabir ZN. Prevalence of depressive symptoms and suicidal thoughts among elderly persons in rural Bangladesh. Int Psychogeriatr. 2015;27(12):1999-2008.
|
2010, USA, MEDLINE, 103 |
Descriptive, MMSE |
There was no association with dementia. |
The results can help inform clinical decisions about suicide risk assessment in this vulnerable and growing age group. |
Wong et al.4242 Wiktorsson S, Runeson B, Skoog I, Ostling S, Waern M. Attempted suicide in the elderly: characteristics of suicide attempters 70 years and older and a general population comparison group. Am J Geriatr Psychiatr. 2010;18(1):57-67.
|
2011, USA, MEDLINE, 1.999 |
Descriptive structured interview |
Age-adjusted mortality rates in five years were 44.3 and 23.9 per 1,000 person/year for those who felt "useless" and those who did not, respectively. |
Uselessness can be independently associated with all-cause mortality in elderly Chinese men. |
Yan Ho et al.4343 Wong SY, Leung JC, Woo J. The relationship between worthlessness and mortality in a large cohort of Chinese elderly men. Int Psychogeriatr. 2011;23(4):609-15.
|
2013, England, MEDLINE, 16 |
Qualitative, qualitative interview. |
The three main categories of themes of the Dignity Model were widely supported. |
These findings highlight both a cultural dimension and a family dimension in the construct of dignity. |