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Suicidal ideation and self-determination in institutionalized elderly.

A Fortin1, S Lapierre, J Baillargeon

  • 1Department of Psychology, Université du Québec à Trois-Rivières, Canada.

Crisis
|September 11, 2001
PubMed
Summary

Elderly individuals considering suicide did not differ in overall self-determination compared to their peers. However, suicidal elderly persons showed less consideration for others in decision-making, impacting suicide prevention strategies.

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Area of Science:

  • Gerontology
  • Psychiatry
  • Bioethics

Background:

  • The concept of self-determination is crucial in discussions surrounding rational suicide among the elderly.
  • Understanding the role of self-determination in elderly individuals with suicidal ideations is essential for effective intervention.

Purpose of the Study:

  • To explore the level of self-determination in institutionalized elderly individuals experiencing suicidal ideations.
  • To compare the self-determination levels between suicidal and nonsuicidal elderly individuals.

Main Methods:

  • An exploratory study design was employed.
  • Eleven institutionalized elderly persons with serious suicidal ideations were matched with 11 nonsuicidal elderly persons based on age, sex, and civil status.
  • Self-determination levels were assessed and compared between the two groups.

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Main Results:

  • No significant difference was found in the overall level of self-determination between suicidal and nonsuicidal elderly persons.
  • A significant difference emerged on the social subscale of self-determination.
  • Suicidal elderly individuals demonstrated a reduced tendency to consider others' perspectives when making decisions or taking action.

Conclusions:

  • While overall self-determination may not distinguish suicidal elderly individuals, social considerations are a key factor.
  • Findings suggest that interventions focusing on social interconnectedness and consideration for others may be beneficial in suicide prevention among the elderly.
  • Further research is warranted to explore the nuances of self-determination and social factors in elderly suicide.