Suicide in widowed persons. A psychological autopsy comparison of recently and remotely bereaved older subjects

Using the psychological autopsy method, the authors sought to determine whether widowed people who commit suicide more than 4 years after their spouse's death (n = 21) can be clinically distinguished from those who commit suicide after a shorter period of widowhood (n = 14). The latter had a higher rate of psychiatric treatment (P = 0.018), early loss/separation (P = 0.03), and a nonsignificantly higher rate of lifetime substance abuse (P = 0.07). Spousal bereavement increases the likelihood of physician visits, so the recently widowed represent a population for whom interventions may be readily implemented. Clinicians should monitor suicide risk in their recently widowed patients, especially those with psychiatric, substance abuse, and/or early loss/separation histories.