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Social inclusion affects elderly suicide mortality

Published online by Cambridge University Press:  14 September 2010

Andriy Yur`yev*
Affiliation:
Estonian-Swedish Mental Health and Suicidology Institute (ERSI), Center of Behavioural and Health Sciences and Tallinn University, Tallinn, Estonia
Lauri Leppik
Affiliation:
Tallinn University, Tallinn, Estonia
Liina-Mai Tooding
Affiliation:
University of Tartu, Tartu, Estonia
Merike Sisask
Affiliation:
Estonian-Swedish Mental Health and Suicidology Institute (ERSI), Center of Behavioural and Health Sciences and Tallinn University, Tallinn, Estonia
Peeter Värnik
Affiliation:
Estonian-Swedish Mental Health and Suicidology Institute (ERSI), Center of Behavioural and Health Sciences and Tallinn University, Tallinn, Estonia
Jing Wu
Affiliation:
Estonian-Swedish Mental Health and Suicidology Institute (ERSI), Center of Behavioural and Health Sciences and Tallinn University, Tallinn, Estonia
Airi Värnik
Affiliation:
Estonian-Swedish Mental Health and Suicidology Institute (ERSI), Center of Behavioural and Health Sciences and Tallinn University, Tallinn, Estonia
*
Correspondence should be addressed to: Dr. Andriy Yur`yev, MD, MA, Estonian-Swedish Mental Health and Suicidology Institute, Õie 39, Tallinn 11615, Estonia. Phone/Fax: +3726516550. Email: aeyuryev@gmail.com; ayuryev@a-teleport.com.
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Abstract

Background: National attitudes towards the elderly and their association with elderly suicide mortality in 26 European countries were assessed, and Eastern and Western European countries compared.

Methods: For each country, mean age-adjusted, gender-specific elderly suicide rates in the last five years for which data had been available were obtained from the WHO European Mortality Database. Questions about citizens’ attitudes towards the elderly were taken from the European Social Survey. Correlations between attitudes and suicide rates were analyzed using Pearson's test. Differences between mean scores for Western and Eastern European attitudes were calculated, and data on labor-market exit ages were obtained from the EUROSTAT database.

Results: Perception of the elderly as having higher status, recognition of their economic contribution and higher moral standards, and friendly feelings towards and admiration of them are inversely correlated with suicide mortality. Suicide rates are lower in countries where the elderly live with their families more often. Elderly suicide mortality and labor-market exit age are inversely correlated. In Eastern European countries, elderly people's status and economic contribution are seen as less important. Western Europeans regard the elderly with more admiration, consider them more friendly and more often have elderly relatives in the family. The data also show gender differences.

Conclusions: Society's attitudes influence elderly suicide mortality; attitudes towards the elderly are more favorable among Western European citizens; and extended labor-market inclusion of the elderly is a suicide-protective factor.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2010

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References

Butler, R. N. (1987). Ageism. New York: Springer.Google Scholar
Chiu, H. F. et al. (2004). Elderly suicide in Hong Kong: a case-controlled psychological autopsy study. Acta Psychiatrica Scandinavica, 109, 299305.CrossRefGoogle Scholar
Conwell, Y. (2009). Suicide prevention in later life: a glass half full, or half empty? American Journal of Psychiatry, 166, 845848.CrossRefGoogle ScholarPubMed
Conwell, Y., Olsen, K., Caine, E. D. and Flannery, C. (1991). Suicide in later life: psychological autopsy findings. International Psychogeriatrics, 3, 5966.CrossRefGoogle ScholarPubMed
Conwell, Y., Duberstein, P. R. and Caine, E. D. (2002). Risk factors for suicide in later life. Biological Psychiatry, 52, 193204.CrossRefGoogle ScholarPubMed
De Leo, D. (1998). Reasons for living and the paradox of suicide in old age. Crisis, 19, 147151.CrossRefGoogle ScholarPubMed
Devons, C. A. (1996). Suicide in the elderly: how to identify and treat patients at risk. Geriatrics, 51, 6772.Google ScholarPubMed
Duberstein, P. R., Conwell, Y., Conner, K. R., Eberly, S. and Caine, E. D. (2004a). Suicide at 50 years of age and older: perceived physical illness, family discord and financial strain. Psychological Medicine, 34, 137146.CrossRefGoogle ScholarPubMed
Duberstein, P. R., Conwell, Y., Conner, K. R., Eberly, S., Evinger, J. S. and Caine, E. D. (2004b). Poor social integration and suicide: fact or artifact? A case-control study. Psychological Medicine, 34, 13311337.CrossRefGoogle ScholarPubMed
Helliwell, J. F. and Putnam, R. D. (2004). The social context of well-being. Philosophical Transactions of the Royal Society of London: Series B, Biological Sciences, 359, 14351446.CrossRefGoogle ScholarPubMed
Johnson, B. D. (1965). Durkheim's one cause of suicide. American Sociological Review, 30, 875886.CrossRefGoogle ScholarPubMed
Lawrence, D., Almeida, O. P., Hulse, G. K., Jablensky, A. V. and Holman, C. D. (2000). Suicide and attempted suicide among older adults in Western Australia. Psychological Medicine, 30, 813821.CrossRefGoogle ScholarPubMed
Leenaars, A. A. and Lester, D. (1999). Domestic integration and suicide in the provinces of Canada. Crisis, 20, 5963.CrossRefGoogle ScholarPubMed
Lester, D. (1998). Subjective well-being, suicide, and homicide. Psychological Reports, 83, 234.CrossRefGoogle ScholarPubMed
Liu, H. L., Wang, H. C. and Yang, M. J. (2006). Factors associated with an unusual increase in the elderly suicide rate in Taiwan. International Journal of Geriatric Psychiatry, 21, 12191221.CrossRefGoogle ScholarPubMed
Nelson, T. D. (2005). Ageism: prejudice against our feared future self. Journal of Social Issues, 61, 207221.CrossRefGoogle Scholar
O'Connell, H., Chin, A. V., Cunningham, C. and Lawlor, B. A. (2004). Recent developments: suicide in older people. BMJ, 329, 895899.CrossRefGoogle ScholarPubMed
Percy-Smith, J. (2000). Introduction: the contours of social exclusion. In Percy-Smith, J. (ed.), Policy Responses to Social Exclusion: Towards Social Inclusion? (pp. 121). Buckingham: Open University Press.Google Scholar
Rubenowitz, E., Waern, M., Wilhelmson, K. and Allebeck, P. (2001). Life events and psychosocial factors in elderly suicides: a case-control study. Psychological Medicine, 31, 11931202.CrossRefGoogle ScholarPubMed
Shah, A. (2009). The relationship between elderly suicide rates and the human development index: a cross-national study of secondary data from the World Health Organization and the United Nations. International Psychogeriatrics, 21, 6977.CrossRefGoogle ScholarPubMed
Shah, A., Bhat, R., Mackenzie, S. and Koen, C. (2008a). A cross-national study of the relationship between elderly suicide rates and life expectancy and markers of socioeconomic status and health care. International Psychogeriatrics, 20, 347360.Google ScholarPubMed
Shah, A., Padayatchi, M. and Das, K. (2008b). The relationship between elderly suicide rates and elderly dependency ratios: a cross-national study using data from the WHO data bank. International Psychogeriatrics, 20, 596604.CrossRefGoogle ScholarPubMed
Shah, A., Bhat, R., McKenzie, S. and Koen, C. (2009). Elderly suicide rates: cross-national comparisons and association with sex and elderly age-bands in European Union. Journal of Chinese Clinical Medicine, 4, 388393.Google Scholar
Silverstein, M. and Parrott, T. M. (1997). Attitudes toward public support of the elderly: does early involvement with grandparents moderate generational tensions? Research on Ageing, 19, 108132.CrossRefGoogle Scholar
Sisask, M., Varnik, A., Kolves, K., Konstabel, K. and Wasserman, D. (2008). Subjective psychological well-being (WHO-5) in assessment of the severity of suicide attempt. Nordic Journal of Psychiatry, 62, 431435.CrossRefGoogle ScholarPubMed
Turvey, C. L. et al. (2002). Risk factors for late-life suicide: a prospective, community-based study. American Journal of Geriatric Psychiatry, 10, 398406.CrossRefGoogle ScholarPubMed
United Nations (2002). Report of the Second World Assembly on Ageing. Madrid, 812 April 2002. New York: United Nations.Google Scholar
Voracek, M. (2009). National intelligence, suicide rate, and subjective well-being. Perceptual and Motor Skills, 109, 718720.CrossRefGoogle ScholarPubMed
Wright, S. C., Aron, A. and Tropp, L. R. (2002). Including Others (and Groups) in the Self: Self-expansion and Intergroup Relations. Philadelphia: Psychology Press.Google Scholar
Wu, W. and Bond, M. (2006). National differences in predictors of suicide among young and elderly citizens: linking societal predictors to psychological factors. Archives of Suicide Research, 10, 4560.CrossRefGoogle Scholar
Yip, P. S., Chi, I., Chiu, H., Chi Wai, K., Conwell, Y. and Caine, E. (2003). A prevalence study of suicide ideation among older adults in Hong Kong SAR. International Journal of Geriatric Psychiatry, 18, 10561062.CrossRefGoogle ScholarPubMed