Depressive Symptoms and Suicide Risk in Older Adults: Value Placed on Autonomy as a Moderator for Men but Not Women

Bamonti, Patricia M.; Price, Elizabeth; Fiske, Amy

doi:10.1111/sltb.12062

Cited by 28 publications

(15 citation statements)

References 59 publications

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“…Another possible explanation might have to do with gender differences in attitudes toward the self. A recent study found that among men, but not among women, depressive symptoms conferred elevated risk for suicide in the presence of higher value placed on autonomy (Bamonti, Price, & Fiske, 2014). Although attitudes toward autonomy were not assessed in our study, adolescence is a transitional period in which sense of autonomy is developing.…”

Section: Discussionmentioning

confidence: 99%

Protective Role of Religious Involvement Against Depression and Suicidal Ideation Among Youth with Interpersonal Problems

et al. 2016

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The challenge of identifying suicide risk in adolescents, and particularly among high-risk subgroups such as adolescent inpatients, calls for further study of models of suicidal behavior that could meaningfully aid in the prediction of risk. This study examined how well the Interpersonal-Psychological Theory of Suicidal Behavior (IPTS)—with its constructs of thwarted belongingness (TB), perceived burdensomeness (PB), and an acquired capability (AC) for lethal self-injury—predicts suicide attempts among adolescents (N = 376) 3 and 12 months after hospitalization. The three-way interaction between PB, TB, and AC, defined as a history of multiple suicide attempts, was not significant. However, there were significant 2-way interaction effects, which varied by sex: girls with low AC and increasing TB, and boys with high AC and increasing PB, were more likely to attempt suicide at 3 months. Only high AC predicted 12-month attempts. Results suggest gender-specific associations between theory components and attempts. The time-limited effects of these associations point to TB and PB being dynamic and modifiable in high-risk populations, whereas the effects of AC are more lasting. The study also fills an important gap in existing research by examining IPTS prospectively.

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Section: Discussionmentioning

confidence: 99%

Protective Role of Religious Involvement Against Depression and Suicidal Ideation Among Youth with Interpersonal Problems

et al. 2016

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“…Proportions attributing the attempt to physical problems and pain did not differ by sex and we found no differences regarding the attributions functioning and autonomy. While we could find no similar study for comparison, we do note that a U.S. study involving community-dwelling older adults [ 41 ] found that greater value placed on autonomy among men amplified the relation between depressive symptoms and suicide risk. This was not the case for women in that study.…”

Section: Discussionmentioning

confidence: 58%

Few Sex Differences in Hospitalized Suicide Attempters Aged 70 and Above

Wiktorsson

Sterner

Fässberg

et al. 2018

IJERPH

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Relatively little research attention has been paid to sex issues in late life suicidal behaviour. The aim was to compare clinical characteristics of women and men aged 70+ who were hospitalized after a suicide attempt. We hypothesized higher depression and anxiety scores in women, and we expected to find that men would more often attribute the attempt to health problems and compromised autonomy. Participants (56 women and 47 men, mean age 80) were interviewed by a psychologist. In addition to psychiatric and somatic health assessments, participants responded to an open-ended question concerning attributions of the attempt. There were no sex differences in depression and anxiety. Forty-five percent of the men and 14% of the women had a history of substance use disorder (p = 0.02). At least one serious physical disability was noted in 60.7% of the women and 53.2% of the men (p = 0.55). Proportions attributing their attempt to somatic illness did not differ (women, 14.5% vs. men 17.4%, p = 0.79), and similar proportions attributed the attempt to reduced autonomy (women, 21.8% vs. men, 26.1%, p = 0.64). We found strikingly similar figures for depression scores, functional disability and attributions for attempting suicide in older men and women. Larger studies are needed in diverse settings as sex differences might be influenced by cultural context.

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“…While we could find no similar study for comparison, we do note that a US study on community-dwelling older adults (mean age 73.6) [41] found that greater value placed on autonomy among men amplified the relation between depressive symptoms and suicide risk. This was not the case for women in that study.…”

Section: Discussionmentioning

confidence: 65%

Few Sex Differences in Hospitalized Suicide Attempters Aged 70 and Above

Wiktorsson

Sterner

Fässberg

et al. 2017

Preprint

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Relatively little research attention has been paid to sex issues in late life suicidal behaviour.The aim was to compare clinical characteristics of women and men aged 70+ who were hospitalized after a suicide attempt. We hypothesized higher depression and anxiety scores in women, and we expected to find that men would more often attribute the attempt to health problems and compromised autonomy. Participants (56 women and 47 men, mean age 80) were interviewed by a psychologist. In addition to psychiatric and somatic health assessments, participants responded to an open-ended question concerning attributions of the attempt.There were no sex differences in depression and anxiety, but women were more likely to report that they found their situation hopeless (67.9% vs. 43.8%, p = 0.02). At least one serious physical disability was noted in 60.7% of the women and 53.2% of the men (p = 0.55). Proportions attributing their attempt to somatic illness did not differ (women, 14.5% vs. men 17.4%, p = 0.79), and similar proportions attributed the attempt to reduced autonomy (women, 21.8% vs. men, 26.1 %, p = 0.64). The unexpected lack of sex differences might be influenced by cultural context in which sex norms play a part.

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Depressive Symptoms and Suicide Risk in Older Adults: Value Placed on Autonomy as a Moderator for Men but Not Women

Cited by 28 publications

References 59 publications

Protective Role of Religious Involvement Against Depression and Suicidal Ideation Among Youth with Interpersonal Problems

Protective Role of Religious Involvement Against Depression and Suicidal Ideation Among Youth with Interpersonal Problems

Few Sex Differences in Hospitalized Suicide Attempters Aged 70 and Above

Few Sex Differences in Hospitalized Suicide Attempters Aged 70 and Above

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