Attempted Suicide in Elderly Chinese Persons: A Multi-Group, Controlled Study

Tsoh, Joshua; Chiu, Helen Fung Kum; Duberstein, Paul R.; Chan, Sandra Sau Man; Chi, Iris; Yip, Paul S. F.; Conwell, Yeates

doi:10.1176/appi.ajgp.13.7.562

Cited by 71 publications

(89 citation statements)

References 45 publications

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“…Some key individual-level studies (e.g., Tsoh, Chiu, Duberstein et al, 2005;Useda, Duberstein, Conner et al, 2007) comparing attempter to completer personality have found the correlation pattern reversed for some Big Five variables. If this occurs at the state level, then, for example, states in which neuroticism and agreeableness are higher might have higher attempted suicide rates but lower suicide rates, while states in which neuroticism and agreeableness are lower might have lower attempted suicide rates but higher suicide rates.…”

Section: S J H Mccannmentioning

confidence: 99%

“…However, when suicide completers have been compared to non-suicidal controls, research shows that completers may be more neurotic (Duberstein, Conwell, & Caine, 1994;Tsoh, Chiu, Duberstein et al, 2005;Useda, Duberstein, Conner et al, 2007), less conscientious (Tsoh, Chui, Duberstein et al), less open (Duberstein, Conwell, & Caine; Tsoh, Chui, Duberstein et al), and less extraverted (Duberstein, Conwell, & Caine;Tsoh, Chui, Duberstein;Yen, & Siegler, 2003). However, Judd, Jackson, Fraser et al (2006) found that Australian male farmers, a group with heightened risk of suicide compared to their non-farming rural counterparts, also have lower neuroticism and higher conscientiousness, although they too do have lower openness.…”

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confidence: 99%

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Suicide, Big Five Personality Factors, and Depression at the American State Level

McCann

2010

Archives of Suicide Research

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The research determined the relation of the 2004-2005 American state suicide rates to state means on neuroticism, agreeableness, extraversion, openness, and conscientiousness as assessed by Rentfrow, Gosling, and Potter (2008). Multiple regression strategies were used to analyze relations between state suicide rates and state personality means with state socioeconomic status, White population percent, urban population percent, and depression rates controlled. Multiple regression analysis showed that neuroticism accounted for 32.0% and agreeableness another 16.3% of the variance in suicide rates when demographics and depression were controlled. Lower neuroticism and lower agreeableness were associated with higher suicide rates. Lower neuroticism and lower agreeableness may be important risk factors for completed suicide but not suicidal ideation or attempted suicide.

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Section: S J H Mccannmentioning

confidence: 99%

mentioning

confidence: 99%

Suicide, Big Five Personality Factors, and Depression at the American State Level

McCann

2010

Archives of Suicide Research

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“…Higher levels of neuroticism are associated with increased risk for suicide (Brezo et al, 2006;Duberstein et al, 1994;Roy, 2003;Tsoh et al, 2005) presumably because it predisposes people to experience maladaptive thoughts, feelings, and coping behaviors (Watson and Hubbard, 1996) and also confers vulnerability to mood disorders (Duberstein et al, 2008;Watson and Hubbard, 1996). In contrast, individuals with lower levels of neuroticism may experience less negative emotion, even in the midst of an acute life stressor or a mental disorder, thereby reducing the risk for suicide (Heisel and Flett, 2004;Marneros, 2006;Votta and Manion, 2004).…”

mentioning

confidence: 99%

Combined Effects of Neuroticism and Extraversion

Fang

Heisel²,

Duberstein³

et al. 2012

Journal of Nervous &Amp; Mental Disease

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Neuroticism and extraversion are potentially important markers of personality vulnerability to suicide. Whereas previous studies have examined these traits independently, we examined their combined effects. Data were collected from family members and/or friends of individuals 18 years or older who died by suicide (n = 64) in rural China and from age-, sex-, and geographically matched controls (n = 64). Personality was assessed with the NEO-Five Factor Inventory. Individuals with a personality style characterized by high neuroticism and low extraversion were at 3.07 (95% confidence interval [CI], 1.44-6.55) times greater risk for suicide than were individuals without this personality style; in contrast, a style characterized by low neuroticism and high extraversion conferred decreased suicide risk (odds ratio, 0.41; 95% CI, 1.44-6.55). We conclude that it may be clinically inadequate to conceptualize neuroticism, by itself, as a risk marker for suicide. However, when the negative affect characteristic of neuroticism is combined with the joylessness, pessimism, and hopelessness characteristic of low extraversion, risk for suicide is elevated.

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“…Heisel et al (2006) revealed that older adults who died by suicide often had a family history of suicidal attempts. Beevers and Miller (2004) found greater tendencies for neuroticism among suicidal elderly Whites in a case-controlled study, and a study of elderly Chinese also found that a current diagnosis of neuroticism was associated with suicidal ideation (Tsoh et al, 2005). Other researchers similarly found that neuroticism was significantly associated with suicide ideation among elderly Whites and African-Americans (Heisel et al, 2006).…”

Section: Introductionmentioning

confidence: 91%

“…As for diathesis, studies have shown that family tendencies and vulnerable personality traits contribute to suicidal ideation (Beevers & Miller, 2004;Brezo, Paris, & Turecki, 2005;Heisel et al, 2006;Tsoh et al, 2005). Heisel et al (2006) revealed that older adults who died by suicide often had a family history of suicidal attempts.…”

Section: Introductionmentioning

confidence: 99%