Relationships among depressive, passive-aggressive, sadistic and self-defeating personality disorder features with suicidal ideation and reasons for living among older adults

Segal, Daniel L.; Gottschling, Juliana; Marty, Meghan A.; Meyer, William J.; Coolidge, Frederick L.

doi:10.1080/13607863.2014.1003280

Cited by 27 publications

(15 citation statements)

References 23 publications

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“…In addition, the Lausanne Study indicated a 1.3 male to female ratio for the prevalence of suicide in former inpatients with personality disorders ( 37 ), and Harwood and colleagues’ psychological autopsy study did not find a significant gender difference in personality disorder rates ( 45 ). The majority of case–control studies included in the review controlled for the potential effect of gender, with only four that did not, or for which this information was missing ( 40 , 47 , 65 , 66 ).…”

Section: Resultsmentioning

confidence: 99%

Personality and Suicidal Behavior in Old Age: A Systematic Literature Review

et al. 2018

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BackgroundSuicide rates generally peak in the second half of life and are particularly high in older men; however, little is known about the contribution of dispositional factors to late-life suicide. Maladaptive personality traits have been strongly implicated in suicide among younger adults, but the extent to which they continue to play a role in late-life suicidal behavior is unclear. We also do not know whether specific personality profiles interact with the stressors of aging to cause suicidal behavior.MethodsWe sought to synthesize the data on personality pathology in late-life suicidal ideation and behavior via a systematic review using the PubMed, Google Scholar, PsycInfo, Scopus, Ovid, Web of Science, Embase, and Cochrane search engines. The included key words related to three descriptors: “personality,” “suicide,” and “elderly.” Included articles evaluated personality based on the Five-Factor Model (FFM) or ICD/DSM diagnostic criteria in older samples with minimum age cutoffs of 50 years or older. Our original search identified 1,183 articles, of which 31 were retained.ResultsIncluded studies were heterogeneous in their design and personality measurements. Studies of categorical personality disorders were particularly scarce and suggested a stronger association with late-life suicidal ideation than with death by suicide. Only obsessive–compulsive and avoidant personality traits were associated with death by suicide in old age, but only in studies that did not control for depression. All personality constructs were positively linked to suicidal ideation, except for histrionic personality, which emerged as a negative predictor. Studies employing the FFM also indicated that older adults who died by suicide were less likely to display a maladaptive personality profile than elderly suicide attempters and younger suicide victims, having both lower levels of neuroticism and higher levels of conscientiousness than these comparison groups. Nevertheless, older suicide victims displayed lower levels of openness to experience than younger victims in two samples.ConclusionMaladaptive personality manifests in milder, subthreshold, and more heterogeneous forms in late-life vs. early-life suicide. An inability to adapt to the changes occurring in late life may help explain the association between suicide in old age and higher conscientiousness as well as obsessive–compulsive and avoidant personality disorders.

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Section: Resultsmentioning

confidence: 99%

Personality and Suicidal Behavior in Old Age: A Systematic Literature Review

et al. 2018

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“…11 This may be partially explained by the finding that older adults with personality disorders, particularly if multiple, tend to have a worse self-perceived quality of life than others within their cohort, including those who may also be known to secondary mental health services themselves. 12 Suicidal ideation itself has been found to be one of the best predictors of completed suicide in this population and it has been hypothesised that maladaptive coping, which is often seen as a feature in personality disorders, significantly predicts this risk also.…”

Section: Clinical Presentation Of Personality Disorders In Older Adultsmentioning

confidence: 97%

Personality disorders in older adults: diagnosis and management

Mattar¹,

Khan²

2017

Prog. Neurol. Psychiatry

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Personality disorder traits can be quite problematic in older adult patients and the effects of these traits can sometimes present as risks that the professionals working in this field must be confident in managing. It is therefore crucial that information around the presentation and management of these disorders in the older adult psychiatry patient cohort is available. Here, the authors summarise current knowledge regarding the assessment and management of personality disorders in the older adult population, based on a literature search.

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“…Previous studies have shown the association between PSD and psychiatric disorders included antidepressant-related sexual dysfunctions patients with depressive or anxiety disorders [9, 23-25], female paraphilia focused and the personality disorders on the forensic psychiatric topics [7,8], and the FTM gender disorders and depression, post-traumatic stress disorder, anxiety disorders and suicides [5,6,26]. However, these studies were mostly conducted in cross-section methods, and our study is unique for the retrospective cohort design, from a larger population-based database.…”

Section: Comparison Of This Study To Previous Literaturesmentioning

confidence: 99%

“…Several studies have found the mutual relations between the psychiatric comorbidity and PSD [4][5][6][7][8][9]. For the clinicians, it is essential to understand the mutual relationship between female patients with PSD and their psychiatric morbidity.…”

Section: Introductionmentioning

confidence: 99%

Psychiatric Disorders in Female Psychosexual Disorders—A Nationwide, Cohort Study in Taiwan

Lin

Tzeng

Chung

et al. 2020

Preprint

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Background: We aimed to investigate whether females with psychosexual disorders (PSD) were associated with the risk of affective and other psychiatric disorders. Methods: A total of 2,240 enrolled individuals, with 560 PSD patients and 1,680 non-PSD subjects (1:3) matched for age and index year, from the Longitudinal Health Insurance Database, retrieved from the National Health Insurance Research Database, between 2000-2015 in Taiwan. The multivariate Cox regression model was used to compare the risk of developing psychiatric disorders during the 15 years of follow-up. Results: There were 98 in the PSD cohort (3444.66 per 100,000 person-year) and 119 in the non-PSD cohort (736.07 per 100,000 person-year) that developed psychiatric disorders. The multivariate Cox regression model revealed that, after the adjustment of age, monthly income, urbanization level, geographic region, and comorbidities, the adjusted hazard ratio (HR) was 9.848 (95% CI= 7.298 — 13.291, p < 0.001). Sexual dysfunctions (adjusted HR = 6.448), paraphilia (adjusted HR = 33.366), and gender identity disorders (adjusted HR = 12.286) were associated with the overall psychiatric disorders. Conclusions: Female patients with PSD were associated with the risk of psychiatric disorders. This finding could be a refiner for clinicians about the mental health problems in the PSD patients.

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Relationships among depressive, passive-aggressive, sadistic and self-defeating personality disorder features with suicidal ideation and reasons for living among older adults

Abstract: These findings suggest that depressive PD features are strongly related to increased suicidal thinking and lowered resilience to suicide among older adults. Assessment of depressive PD features should also be especially included in the assessment of later-life suicidal risk.

Cited by 27 publications

References 23 publications

Personality and Suicidal Behavior in Old Age: A Systematic Literature Review

Personality and Suicidal Behavior in Old Age: A Systematic Literature Review

Personality disorders in older adults: diagnosis and management

Psychiatric Disorders in Female Psychosexual Disorders—A Nationwide, Cohort Study in Taiwan

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