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Age and Suicidal Ideation in Older Depressed Inpatients

Received August 12, 1998; revised December 21, 1998; accepted January 19, 1999. From the Department of Psychiatry, University of Rochester Medical Center, Rochester, NY. Address correspondence to Dr. Duberstein, Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Boulevard, Rochester, NY 14642-8409. email: Paul Duberstein{at}urmc.rochester.edu

Age-related patterns of symptom presentation may complicate the recognition of suicide risk. The authors sought to determine whether there is a relationship between age and reported suicidal ideation in depressed suicide attempters (DSAs) and depressed nonattempters (DNs) 50 years of age and over. Regression analyses revealed that increasing age is significantly associated with the absence of suicidal ideation in both DSAs and DNs. Because of their lower rates of depressed mood and suicidal ideation, the depressions of older adults may more readily escape detection. Preventive or treatment measures initiated after the onset of the suicidal state may be insufficient, and other preventive strategies ought to be considered.

Key Words: Age-Associated Factors • Depression • Suicide

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