Yeates Conwell

..This article provides an overview of suicide in later life and a foundation on which to base decisions about the design and implementation of preventive interventions...

..The primary aim of this project is to implement a depression care management (DCM) intervention, and examine its effectiveness on the depressive symptoms of older patients in Chinese primary care settings...

..Education programs for older persons, their families, and healthcare providers concerning the risks of having a gun in the home and reinforcement of rules for safe storage may contribute to reducing the rate of suicide in older people...

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..To examine the associations of suicide in the second half of life with medical and psychiatric illness, functional limitations, and reported use of inpatient, ambulatory, and home health care services...

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..These findings suggest that neuroticism may be one way in which childhood sexual abuse contributes to depressive symptoms in later life. Prospective studies are needed...

..Our long-term goal is to inform development of collaborative care models for late life depression that incorporate Aging Services Providers...

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..The authors conclude that AT and SU in this age group can be distinguished on the basis of informant ratings of personality traits. These differences can inform risk detection...

..To understand this sex difference, the authors assessed correlates of suicide attempt lethality in older men and women...

..The authors examined a broad range of clinical, functional, and psychosocial predictors of incident depressive episodes in a well-characterized cohort of older primary care patients...

..We hypothesized that the accuracy (sensitivity and specificity) of informant reports would vary with the patient's personality...

..To evaluate older adult emergency department (ED) patients for depression and cognitive impairment and to re-evaluate those findings 2 weeks later...

..To examine the performance of the Patient Health Questionnaire-2 (PHQ-2) and the PHQ-9 in detecting current major depressive episode (MDE) in aging services care management clients who screen positive for cognitive impairment (CI)...

..The objective of this study was to test the hypothesis that future orientation is associated with lower levels of suicide ideation and lower likelihood of suicide attempt in a sample of patients in treatment for major depression...

..Although prospective research is needed to test more rigorously the hypothesized protective role of positive future orientation, our data suggest that treatments designed to enhance future orientation might decrease suicide risk...

..Despite this concern, there is little research on the psychological processes driving reported suicide ideation in at-risk patients...

..The purpose of this study is to identify risk factors for serious suicidal behavior among individuals with alcohol dependence...

..The naturalistic outcomes of depression in older primary care patients have been poorly characterized. The authors sought to identify depressive trajectories over 2 years and to examine specified outcome predictors...

..To compare the prevalences of depression or cognitive impairment among ED patients arriving via emergency medical services (EMS) and those arriving via other modes...

..The authors tested the hypothesis that poorer self-rated health is associated with poorer health outcomes...

..The health implications of abuse for mixed-gender samples of older psychiatric patients have not been explored...

..To evaluate the test-retest reliability, the concurrent criterion validity, and the construct validity of prehospital, emergency medical service (EMS) case finding for depression and cognitive impairment in older adults...

..The objective of this study was to determine whether factors associated with depression differ between elderly residents of rural and urban areas...

..Randomized trials are needed to test the effectiveness of evidence-based interventions in this population and setting. This study compared interpersonal psychotherapy with usual care psychotherapy among women in a CMHC...

..Efforts to tie Hopelessness with the motivational, affective, and interpersonal constructs subsumed under Extraversion are warranted...

..This methodological article is the second in a two-part series-the first article focused on interview content...

..Stressful life events (SLEs) play a key role in suicidal behavior among adults with alcohol use disorders (AUD), yet there are meager data on the severity of SLEs preceding suicidal behavior or the timing of such events...

..To examine the association between major depression and emergency medical services (EMS) use by community-dwelling older adults with disabilities...

..This study aimed to characterize healthcare and human services utilization among mentally distressed and non-distressed clients receiving in-home care management assessment by aging services provider network (ASPN) agencies in the U.S.A...

..The 1993 National Mortality Followback Survey represented an unprecedented opportunity to identify risk factors for suicide in blacks and to determine whether race differences (black versus white) in risk factors exist...

..This study aims to determine if higher levels of perceived neighborhood problems are associated with greater prevalence of 12-month and lifetime psychiatric disorders among African Americans...

..The benefits and challenges to using common protocols across studies are also discussed...

..Interventions tailored to specific personality profiles in this high-risk group should be developed, and their efficacy examined...

..Authors examined the relationship between childhood sexual abuse histories and suicidal ideation and behavior among depressed women age 50 years and older...

..To examine suicidal behavior and depression prevalence among a group of Medicare patients under age 65 with functional impairment and recent significant health care services use...

..To assess the characteristics of anxiety in aging services network (ASN) clients...

..Although a 16-session course of IPT appears feasible and promising, modifications may be needed to reduce barriers to care and enhance treatment potency...

..For the clinician working with older adults, our recommendation is to not only consider risk factors, such as depression, and implement appropriate treatments but to enhance social connectedness as well...

..This study provided additional information about the context of late-life depression that also contributes to suicidal behavior: poor perceived health, poor sleep quality, and limited presence of a relative or friend to confide in...

..This study underscores the conceptual and heuristic value of examining moderators of the links between personality variables and health...

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..This research examined whether the frequencies of specific emotions are associated with major and minor depression in older primary care patients...

..CONCLUSIONS: Interventions to decrease the likelihood of financial stress and to help families manage discord and severe physical illness may effectively reduce suicides among middle-aged and older adults...

..Assessing predictors of suicide and means of completion in patients with dementia may aid the development of interventions to reduce risk of suicide among the growing population of individuals with dementia...

..Additional research is needed to define more precisely the interactions between emotional, physical, and social factors that determine risk for suicide in the older adult...

..Clinical samples have identified a number of psychosocial risk factors for suicidal acts but it is unclear if these findings relate to the general population...

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..Aggression confers risk for suicide in younger adults, but there is a paucity of research in middle and older adults. The authors examined the link between aggression and suicide in individuals age 50 and over...

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..Strategies designed to identify this group and provide them with preventive services through outreach to the community have shown promise as late-life suicide prevention measures as well...

..Domestic violence appears to typify many of their domestic relationships, particularly among younger men and men with early onset alcoholism...

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..However, available findings from younger patients may not generalize to older persons, and existing studies of screening instruments in older patient samples have suffered substantial methodological limitations...

..Emotion traits may be helpful in assessing suicide risk...

..Violent behavior may represent a risk factor for suicide. The authors tested the hypothesis that violent behavior in the last year of life is associated with completed suicide, even after controlling for alcohol use disorders...

..Current knowledge of psychological vulnerability to completed suicide could inform social and neurobiological research, and thereby deepen understanding of suicide while potentially bridging these areas of study...

..Although women were significantly less likely to use a violent method than men, there was no difference in the lethality of their suicidal intent...

..The associations of suicidal ideation with both the intensity (drinks per drinking day) and frequency of alcohol consumption were examined in a longitudinal study of treated alcoholics...

..Psychiatric illness is a potent risk factor for suicide, rates of which differ markedly with age. The purpose of this study was to examine whether the psychiatric diagnoses of suicide victims vary predictably with age...

..Further investigations in inpatients and other populations examining its relationships to other phenomenology, to course and outcome, and to putative underlying mechanisms of depression are warranted...

..These data did not support the notion that a linear model of small-vessel disease might apply to the great majority of older inpatients with major depression...

..Primary prevention should be the focus of efforts to decrease suicide rates in late life...

..Preventive or treatment measures initiated after the onset of the suicidal state may be insufficient, and other preventive strategies ought to be considered...

..Future work should include longitudinal study with larger sample sizes...

..Sociological studies have shown that poor social integration confers suicide risk. It is not known whether poor integration amplifies risk after adjusting statistically for the effects of mental disorders and employment status...

..Results suggest that factors associated with suicide may cluster in male alcoholics of differing ages, with implications for risk recognition and intervention...

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..Depressive conditions had considerable rates of persistence, yet the outcome was not uniformly poor. Longer-term naturalistic study is needed, as are treatment studies targeting those at highest risk of recurrence or chronicity...

..Risks for suicide and nonfatal self-injury hospitalizations associated with previous injury hospitalizations were investigated in a nationwide retrospective cohort study conducted in New Zealand...

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..To better understand healthcare disparities within African-Americans communities, we characterized anxiety, mood, and substance use disorder prevalence and associated service utilization among public and non-public housing residents...

..We examined whether the current urgency to develop effective interventions for suicide prevention can benefit from an understanding of the evolution of population-based strategies to prevent heart disease...

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..Identifying suicide risk factors that place older adult home health care utilizers at particularly high risk for suicidal behaviors within this population will further help target suicide preventive interventions by home care providers...

..Specific intervention strategies for decreasing mortality and suicide should be developed for patients with schizophrenia in different age groups...

..The pathogenesis and psychopathology of geriatric subjects may be different compared to younger subjects with schizophrenia...

..CONCLUSION: The current study has provided data on the factor structure of the SSI in an older population, demonstrating that suicidal ideation in this group is similar to younger age groups...

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..Early interventions focusing on reducing hopelessness and controlling positive symptoms may help reduce the risk of suicide attempts among patients with schizophrenia...

..Hong Kong was struck by the community outbreak of Severe Acute Respiratory Syndrome (SARS) in 2003. In the same year, the elderly suicide rate in Hong Kong showed a sharp upturn from a previous downward trend...

..Additionally, interrater reliabilities of the five interviewers were very good on selected scales. This study has laid a partial foundation for future psychological autopsy projects to be held in Chinese culture...

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..The objective of this paper is to ascertain estimates of the prevalence, and associated risk factors for, suicidal ideation among community-dwelling older adults in Hong Kong...

..The authors assessed the prevalence of depression among older adults and identified factors associated with it...

..The present study described all suicides among older adults in nursing homes in Finland during a 12-month period emphasizing the factors that have been found to be associated with suicide in the general elderly population...

..The current study examines the characteristics associated with suicide among older adults who are admitted to a psychiatric hospital...

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..Future epidemiological research on Chinese suicide should use the psychological autopsy method to collect data from larger samples in order to increase our understanding of the risk factors for Chinese suicides...

..The current study aims to examine the risk of suicide in persons diagnosed with dementia during a hospitalization and its relationship to mood disorders...

..This study estimated the incidence of suicide mortality among suicide attempters in Taiwan and assessed the extent of means substitution among subjects with a non-fatal attempt and a subsequent fatal attempt during the study period...

..Mood disorder patients, especially those with major depressive disorder, had more and more serious suicide attempts than the patients with schizophrenia...

..This study describes the mental health status of community-living frail elders in Michigan and identifies subgroups of individuals who are vulnerable to mental health problems...

..Cerebrovascular pathologies have been implicated as a cause of depressive disorders. This study aims to examine the role of cerebrovascular risk factors in late-life suicide...

..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...

..This project will create the tools necessary to identify older people who are victims of elder mistreatment and who present for care to the aging services network. ..

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