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Received February 21, 1997; revised May 8, 1997; accepted July 18, 1997. From the University of Rochester School of Medicine, Rochester, NY. Address correspondence to Dr. Conwell, University of Rochester Medical Center, 300 Crittenden Blvd., Rochester, NY 14642. e-mail: yconwell{at}cc.urmc.rochester.edu
The authors described retrospectively the premorbid self-destructive behaviors of suicide victims to determine whether these behaviors differ with age. One hundred forty-one suicide victims, age 2192 years, were studied by psychological autopsy. Older age was significantly associated with more determined and planful self-destructive acts, less violent methods, and fewer warnings of suicidal intent. Age differences in the behaviors leading to suicide indicate that intervention in the midst of a suicidal crisis may be less effective in elderly persons than in younger people. Primary prevention should be the focus of efforts to decrease suicide rates in late life.
Key Words: Suicide Age Factors Geriatric
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