Reasons for living, meaning in life, and suicide ideation: investigating the roles of key positive psychological factors in reducing suicide risk in community-residing older adults

References

• Almeida, O.P., Draper, B., Snowdon, J., Lautenschlager, N.T., Pirkis, J., Byrne, G.,…& Pfaff, J.J. (2012). Factors associated with suicidal thoughts in a large community study of older adults. The British Journal of Psychiatry, 201, 466–472.
   PubMed Web of Science ®Google Scholar
• American Psychological Association (APA). (2004). Guidelines for psychological practice with older adults. American Psychologist, 59(4), 236–260.
   PubMed Web of Science ®Google Scholar
• Baron, R.M., & Kenny, D.A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.
   PubMed Web of Science ®Google Scholar
• Baumeister, R.F. (1990). Suicide as escape from self. Psychological Review, 97, 90–113.
   PubMed Web of Science ®Google Scholar
• Beck, A.T. (1963). Thinking and depression: I. Idiosyncratic content and cognitive distortions. Archives of General Psychiatry, 9, 324–335.
   PubMed Web of Science ®Google Scholar
• Beck, A.T., Weissman, A., Lester, D., & Trexler, L. (1974). The measurement of pessimism: The Hopelessness Scale. Journal of Consulting and Clinical Psychology, 42, 861–865.
   PubMed Web of Science ®Google Scholar
• Braam, A.W., Bramsen, I., van Tilburg, T.G., van der Ploeg, H.M., & Deeg, D.J.H. (2006). Cosmic transcendence and framework of meaning in life: Patterns among older adults in the Netherlands. The Journals of Gerontology: Social Sciences, 61B, S121–S128.
   Web of Science ®Google Scholar
• Breitbart, W., Rosenfeld, B., Gibson, C., Pessin, H., Poppito, S., Nelson, C., … Olden, M. (2010). Meaning-centered group psychotherapy for patients with advanced cancer: A pilot randomized controlled trial. Psychooncology, 19, 21–28.
   PubMed Web of Science ®Google Scholar
• Britton, P.C., Duberstein, P.R., Conner, K.R., Heisel, M.J., Hirsch, J.K., & Conwell, Y. (2008). Reasons for living, hopelessness, and suicide ideation among depressed adults 50 years or older. American Journal of Geriatric Psychiatry, 16(9), 736–741.
   PubMed Web of Science ®Google Scholar
• Brown, G.K., Beck, A.T., Steer, R.A., & Grisham, J.R. (2000). Risk factors for suicide in psychiatric outpatients: A 20-year prospective study. Journal of Consulting and Clinical Psychology, 68, 371–377.
   PubMed Web of Science ®Google Scholar
• Canadian Coalition for Seniors' Mental Health (CCSMH). (2006). National guidelines for seniors' mental health: The assessment of suicide risk and prevention of suicide. Toronto: Author.
   Google Scholar
• Canty-Mitchell, J., & Zimet, G.D. (2000). Psychometric properties of the Multidimensional Scale of Perceived Social Support in urban adolescents. American Journal of Community Psychology, 28, 391–400.
   PubMed Web of Science ®Google Scholar
• Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. (2015). Web-Based Injury Statistics Query and Reporting System (WISQARS) [Data file]. Retrieved from http://www.cdc.gov/injury/wisqars/index.html
   Google Scholar
• Clark, D.C. (1993). Narcissistic crises of aging and suicidal despair. Suicide and Life-Threatening Behavior, 23(1), 21–26.
   PubMed Web of Science ®Google Scholar
• Cole, D.A. (1989). Validation of the Reasons for Living Inventory in general and delinquent adolescent samples. Journal of Abnormal Child Psychology, 17, 13–27.
   PubMed Web of Science ®Google Scholar
• Conwell, Y., Olsen, K., Caine, E.D., & Flannery, C. (1991). Suicide in later life: Psychological autopsy findings. International Psychogeriatrics, 3, 59–66.
   PubMedGoogle Scholar
• Diener, E., Emmons, R.A., Larsen, R.J., & Griffin, S. (1985). The Satisfaction with Life Scale. Journal of Personality Assessment, 49, 71–75.
   PubMed Web of Science ®Google Scholar
• Duberstein, P.R., & Conwell, Y. (1997). Personality disorders and completed suicide: A methodological and conceptual review. Clinical Psychology: Science and Practice, 4(4), 359–376.
   Web of Science ®Google Scholar
• Eaton, W.W., Muntaner, C., Smith, C., Tien, A., & Ybarra, M. (2004). Center for Epidemiologic Studies Depression Scale: Review and revision (CESD and CESDR). In M.E. Maruish (Ed.), The use of psychological testing for treatment planning and outcomes assessment, Volume 3: Instruments for adults (3rd ed., pp. 363–377). Hillsdale, NJ: Erlbaum Associates.
   Google Scholar
• Edelstein, B.A., Heisel, M.J., McKee, D.R., Martin, R.R., Koven, L.P., Duberstein, P.R., & Britton, P.C. (2009). Development and psychometric evaluation of the reasons for living-older adults scale: A suicide risk assessment inventory. The Gerontologist, 49, 736–745.
   PubMed Web of Science ®Google Scholar
• Fanning, J.R., & Pietrzak, R.H. (2013). Suicidality among older male veterans in the United States: Results from the National Health and Resilience in Veterans Study. Journal of Psychiatric Research, 47, 1766–1775.
   PubMed Web of Science ®Google Scholar
• Folstein, M.F., Folstein, S.E., & McHugh, P.R. (1975). ‘Mini-Mental State.’ A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189–198.
   PubMed Web of Science ®Google Scholar
• Folstein, M.F., Folstein, S.E., White, T., & Messer, M.A. (2010). MMSE-2: Mini-Mental State Examination. 2nd edition. User's manual. Lutz, FL: Psychological Assessment Resources.
   Google Scholar
• Frankl, V.E. (1985). Man's search for meaning. New York, NY: Simon & Schuster.
   Google Scholar
• Frankl, V.E. (1988). The will to meaning: Foundations and applications of logotherapy. New York, NY: Penguin.
   Google Scholar
• Gutierrez, P.M., Osman, A., Barrios, F.X., Kopper, B.A., Baker, M.T., & Haraburda, C.M. (2002). Development of the reasons for living inventory for young adults. Journal of Clinical Psychology, 58, 339–357.
   PubMed Web of Science ®Google Scholar
• Gutierrez, P.M., Osman, A., Kopper, B.A., & Barrios, F.X. (2000). Why young people do not kill themselves: The reasons for living inventory for adolescents. Journal of Clinical Child Psychology, 29, 177–187.
   PubMed Web of Science ®Google Scholar
• Heikkinen, M., Aro, H., & Lönnqvist, J. (1993). Life events and social support in suicide. Suicide and Life-Threatening Behavior, 23, 343–358.
   PubMed Web of Science ®Google Scholar
• Heintzelman, S.J., & King, L.A. (2014). Life is pretty meaningful. American Psychologist, 69, 561–574.
   PubMed Web of Science ®Google Scholar
• Heisel, M.J. (2009). Assessing experienced meaning in life among older adults: The development and initial validation of the EMIL. International Psychogeriatrics, 21 (Supplement 2), S172–S173.
   PubMed Web of Science ®Google Scholar
• Heisel, M.J., & Duberstein, P.R. (2005). Suicide prevention in older adults. Clinical Psychology: Science and Practice, 12(3), 242–259.
   Web of Science ®Google Scholar
• Heisel, M.J., Duberstein, P.R., Conner, K.R., Franus, N., Beckman, A., & Conwell, Y. (2006). Personality and reports of suicide ideation among depressed adults 50 years of age or older. Journal of Affective Disorders, 90, 175–180.
   PubMed Web of Science ®Google Scholar
• Heisel, M.J., Duberstein, P.R., Talbot, N.L., King, D.A., & Tu, X.M. (2009). Adapting interpersonal psychotherapy for older adults at risk for suicide: Preliminary findings. Professional Psychology: Research and Practice, 40(2), 156–164.
   PubMed Web of Science ®Google Scholar
• Heisel, M.J., & Flett, G.L. (2004). Purpose in life, satisfaction with life and suicide ideation in a clinical sample. Journal of Psychopathology and Behavioral Assessment, 26, 127–135.
   Web of Science ®Google Scholar
• Heisel, M.J., & Flett, G.L. (2006). The development and initial validation of the Geriatric Suicide Ideation Scale (GSIS). The American Journal of Geriatric Psychiatry, 14, 742–751.
   PubMed Web of Science ®Google Scholar
• Heisel, M.J., & Flett, G.L. (2008). Psychological resilience to suicide ideation among older adults. Clinical Gerontologist, 31, 51–70.
   Web of Science ®Google Scholar
• Heisel, M.J., & Flett, G.L. (2014). Do meaning in life and purpose in life protect against suicide ideation among community-residing older adults? In A. Batthyany & P. Russo-Netzer (Eds.), Meaning in existential and positive psychology (pp. 303–324). New York, NY: Springer.
   Google Scholar
• Heisel, M.J., Talbot, N.L., King, D.A., Tu, X.M., & Duberstein, P.R. (2015). Adapting interpersonal psychotherapy for older adults at risk for suicide. The American Journal of Geriatric Psychiatry, 23, 87–98.
   PubMed Web of Science ®Google Scholar
• Heisel, M.J., & the Meaning-Centered Men's Group Project Team (Flett, G.L., Links, P.S., Norman, R.M.G., Sarma, S., Moore, S.L., O'Rourke, N., Eynan, R., Wilson, K., Fairlie, P., Farrell, B., Harris, K., Kerr, M., & Schroeder, B.). (in press). Enhancing psychological resiliency in older men facing retirement with Meaning-Centered Men's Groups. The Annual Review of Logotherapy and Existential Analysis.
   Google Scholar
• Henriksson, M.M., Marttunen, M.J., Isometsä, E.T., Heikkinen, M.E., Aro, H.M., Kuoppasalmi, K.I., & Lönnqvist, J.K. (1995). Mental disorders in elderly suicide. International Psychogeriatrics, 7, 275–286.
   PubMedGoogle Scholar
• Hickson, J., & Housley, W. (1997). Creativity in later life. Educational Gerontology, 23, 539–547.
   Web of Science ®Google Scholar
• Hirsch, J.K., Duberstein, P.R., Conner, K.R., Heisel, M.J., Beckman, A., Franus, N., & Conwell, Y. (2006). Future orientation and suicide ideation and attempts in depressed adults ages 50 and over. The American Journal of Geriatric Psychiatry, 14, 752–757.
   PubMed Web of Science ®Google Scholar
• Hirsch, J.K., Duberstein, P.R., Conner, K.R., Heisel, M.J., Beckman, A., Franus, N., & Conwell, Y. (2007). Future orientation moderates the relationship between functional status and suicide ideation in depressed adults. Depression and Anxiety, 24, 196–201.
   PubMed Web of Science ®Google Scholar
• Johnson, J., Wood, A.M., Gooding, P., Taylor, P.J., & Tarrier, N. (2011). Resilience to suicidality: The buffering hypothesis. Clinical Psychology Review, 31, 563–591.
   PubMed Web of Science ®Google Scholar
• Joiner, T.E. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press.
   Google Scholar
• June, A., Segal, D.L., Coolidge, F.L., & Klebe, K. (2009). Religiousness, social support and reasons for living in African American and European American older adults: An exploratory study. Aging & Mental Health, 13, 753–760.
   PubMed Web of Science ®Google Scholar
• Kissane, M., & McLaren, S. (2006). Sense of belonging as a predictor of reasons for living in older adults. Death Studies, 30, 243–258.
   PubMed Web of Science ®Google Scholar
• Knight, R.G., Chisholm, B.J., Marsh, N.V., & Godfrey, H.P.D. (1988). Some normative, reliability, and factor analytic data for the revised UCLA Loneliness Scale. Journal of Clinical Psychology, 44, 203–206.
   PubMed Web of Science ®Google Scholar
• Koven, L.P., Edelstein, B., & Charlton, A.S. (2001, November). Reasons for living across the lifespan. Poster presented at meeting of the Gerontological Society of America, Chicago.
   Google Scholar
• Krause, N. (2003). Religious meaning and subjective well-being in late life. The Journals of Gerontology: Social Sciences, 58B, S160–S170.
   Google Scholar
• Krause, N. (2009). Meaning in life and mortality. The Journals of Gerontology: Social Sciences, 64B, 517–527.
   Web of Science ®Google Scholar
• Lapierre, S., Dubé, M., Bouffard, L., & Alain, M. (2007). Addressing suicidal ideations through the realization of meaningful personal goals. Crisis, 28, 16–25.
   PubMedGoogle Scholar
• Lawton, M.P. (1988). Physical Self-Maintenance Scale (PSMS) – self-rated version. Psychopharmacology Bulletin, 24, 765–797.
   PubMed Web of Science ®Google Scholar
• Lawton, M.P., & Brody, E.M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9(3), 179–186.
   PubMed Web of Science ®Google Scholar
• Lee, I.A., & Preacher, K.J. (2013, September). Calculation for the test of the difference between two dependent correlations with one variable in common [Computer software]. Retrieved from http://quantpsy.org
   Google Scholar
• Linehan, M.M., Goodstein, J.L., Nielsen, S.L., & Chiles, J.A. (1983). Reasons for staying alive when you are thinking of killing yourself: The reasons for living inventory. Journal of Consulting and Clinical Psychology, 51, 276–268.
   PubMed Web of Science ®Google Scholar
• Marty, M.A., Segal, D.L., & Coolidge, F.L. (2010). Relationships among dispositional coping strategies, suicidal ideation, and protective factors against suicide in older adults. Aging & Mental Health, 14, 1015–1023.
   PubMed Web of Science ®Google Scholar
• McMillan, D., Gilbody, S., Beresford, E., & Neilly, L. (2007). Can we predict suicide and non-fatal self-harm with the Beck Hopelessness Scale: A meta-analysis. Psychological Medicine, 37(6), 769–778.
   PubMed Web of Science ®Google Scholar
• Miller, J.S., Segal, D.L., & Coolidge, F.L. (2001). A comparison of suicidal thinking and reasons for living among younger and older adults. Death Studies, 25, 357–365.
   PubMed Web of Science ®Google Scholar
• Miller, M. (1978). Geriatric suicide: The Arizona study. The Gerontologist, 18, 488–495.
   PubMed Web of Science ®Google Scholar
• Moore, S.L. (1997). A phenomenological study of meaning in life in suicidal older adults. Archives of Psychiatric Nursing, 11, 29–36.
   PubMed Web of Science ®Google Scholar
• Neufeld, E., Hirdes, J.P., Perlman, C.M., & Rabinowitz, T. (2015). Risk and protective factors associated with intentional self-harm among older community-residing home care clients in Ontario, Canada. International Journal of Geriatric Psychiatry. doi:10.1002/gps.4259
   PubMed Web of Science ®Google Scholar
• Neufeld, E., & O'Rourke, N. (2009). Impulsivity and hopelessness as predictors of suicide-related ideation among older adults. Canadian Journal of Psychiatry, 54, 49–57.
   Google Scholar
• Neufeld, E., O'Rourke, N., & Donnelly, M. (2010). Enhanced measurement sensitivity of hopeless ideation among older adults at risk of self-harm: Reliability and validity of Likert-type responses to the Beck Hopelessness Scale. Aging & Mental Health, 14, 752–756.
   PubMed Web of Science ®Google Scholar
• Nygren, B., Alex, L., Jonsen, E., Gustafson, Y., Norberg, A., & Lundman, B. (2005). Resilience, sense of coherence, purpose in life and self-transcendence in relation to perceived physical and mental health among the oldest old. Aging & Mental Health, 9, 354–362.
   PubMed Web of Science ®Google Scholar
• Osman, A., Downs, W.R., Kopper, B.A., Barrios, F.X., Baker, M.T., Osman, J.R., … Linehan, M.M. (1998). The Reasons for Living Inventory for Adolescents (RFL–A): Development and psychometric properties. Journal of Clinical Psychology, 54, 1063–1078.
   PubMed Web of Science ®Google Scholar
• Osman, A., Kopper, B.A., Barrios, F.X., Osman, J.R., Besett, T.M., & Linehan, M.M. (1996). The brief reasons for living inventory for adolescents (BRFL-A). Journal of Abnormal Child Psychology, 24, 433–443.
   PubMed Web of Science ®Google Scholar
• Pavot, W., & Diener, E. (1993). Review of the satisfaction with life scale. Psychological Assessment, 5, 164–172.
   Google Scholar
• Pavot, W., & Diener, E. (2008). The satisfaction with life scale and the emerging construct of life satisfaction. Journal of Positive Psychology, 3, 137–152.
   Google Scholar
• Purcell, B., Heisel, M.J., Speice, J., Franus, N., Conwell, Y., & Duberstein, P.R. (2012). Family connectedness moderates the association between living alone and suicide ideation in a clinical sample of adults 50 years and older. American Journal of Geriatric Psychiatry, 20(8), 717–723.
   PubMed Web of Science ®Google Scholar
• Radloff, L. (1977). The CES-D scale: A self report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.
   Web of Science ®Google Scholar
• Range, L.M., & Stringer, T.A. (1996). Reasons for living and coping abilities among older adults. International Journal of Aging & Human Development, 43, 1–5.
   PubMed Web of Science ®Google Scholar
• Rowe, J.L., Conwell, T., Schulberg, H.G., & Bruce, M. (2006). Social support and suicidal ideation in older adults using home healthcare services. American Journal of Geriatric Psychiatry, 14, 758–766.
   PubMed Web of Science ®Google Scholar
• Russell, D. (1996). The UCLA Loneliness Scale (Version 3): Reliability, validity, and factor structure. Journal of Personality Assessment, 66, 20–40.
   PubMed Web of Science ®Google Scholar
• Russell, D., Peplau, L.A., & Ferguson, M.L. (1978). Developing a measure of loneliness. Journal of Personality Assessment, 42, 290–294.
   PubMed Web of Science ®Google Scholar
• Segal, D.L., Gottschling, J., Marty, M., Meyer, W.J., & Coolidge, F.L. (in press). Relationships among depressive, passive-aggressive, sadistic and self-defeating personality disorder features with suicidal ideation and reasons for living among older adults. Aging & Mental Health.
   Web of Science ®Google Scholar
• Segal, D.L., Lebenson, S., & Coolidge, F.L. (2008). Global self-rated health status predicts reasons for living among older adults. Clinical Gerontologist, 31, 122–132.
   Web of Science ®Google Scholar
• Segal, D.L., Marty, M.A., Meyer, W.J., & Coolidge, F.L. (2012). Personality, suicidal ideation, and reasons for living among older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 67B, 159–166.
   Web of Science ®Google Scholar
• Segal, D.L., & Needham, T.N. (2007). An exploration of gender differences on the reasons for living inventory among older adults. Death Studies, 31, 573–581.
   PubMed Web of Science ®Google Scholar
• Seligman, M.E.P., & Csikszentmihalyi, M. (2000). Positive psychology: An introduction. American Psychologist, 55(1), 5–14.
   PubMed Web of Science ®Google Scholar
• Shneidman, E.S. (1996). The suicidal mind. New York, NY: Oxford University Press.
   Google Scholar
• Statistics Canada. (2015). Table 102-0551 – deaths and mortality rate, by selected grouped causes, age group and sex, Canada, annual. CANSIM [Database]. Retrieved February 27, 2015.
   Google Scholar
• Tabachnick, B., & Fidell, L. (2001). Using multivariate statistics (4th ed.). Toronto: Allyn & Brown.
   Google Scholar
• Tavasoli, S.M. (2011). Religion, spirituality, and suicide ideation among older adults (MSc thesis). The University of Western Ontario, London, Ontario.
   Google Scholar
• Troister, T., & Holden, R.R. (2010). Comparing psychache, depression, and hopelessness in their associations with suicidality: A test of Shneidman's theory of suicide. Personality and Individual Differences, 49, 689–693.
   Web of Science ®Google Scholar
• Van Orden, K.A., Witte, T.K., Cukrowicz, K.C., Braithwaite, S.R., Selby, E.A., & Joiner, T.E. (2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575–600.
   PubMed Web of Science ®Google Scholar
• Waern, M., Beskow, J., Runeson, B., & Skoog, I. (1999). Suicidal feelings in the last year of life in elderly people who commit suicide. Lancet, 354, 917–918.
   PubMed Web of Science ®Google Scholar
• Westefeld, J.S., Cardin, D., & Deaton, W.L. (1992). Development of the college-student reasons for living inventory. Suicide and Life-Threatening Behavior, 22, 442–452.
   PubMed Web of Science ®Google Scholar
• World Health Organization. (2014). Preventing suicide: A global imperative. Geneva: Author.
   Google Scholar
• Zimet, G.D., Dahlem, N.W., Zimet, S.G., & Farley, G.K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52, 30–41.
   Web of Science ®Google Scholar
• Zimet, G.D., Powell, S.S., Farley, G.K., Wekman, S., & Berkoff, K.A. (1990). Psychometric characteristics of the multidimensional scale of perceived social support. Journal of Personality Assessment, 55, 610–617.
   PubMed Web of Science ®Google Scholar