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<p>Older people have higher suicide rates and&#xa0;engage in self-harm with greater intent to die, higher lethality and greater risk of eventual suicide than people in other age groups. However, research and interventions to address suicide and self-harm in older people remain limited. In this Review, we consider the unique challenges faced by older people in relation to suicide and self-harm. We integrate research on risk factors, psychological theories on underlying mechanisms, and public health interventions and clinical treatments specific to this age group. We highlight age-related challenges to health, independence, purpose, social role and social connection, and barriers to care related to ageism and the accessibility of mental health services. We discuss directions for future research with a particular focus on understudied and high-risk groups, moderating factors and interventions.</p>

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Suicide and self-harm in older adults

  • 期刊论文

  • 发表日期：

    2025年5月20日

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  • Michael H. Connors,
  • Brian Draper,
  • Anne P. F. Wand,
  • Diego De Leo,
  • Simone Reppermund

摘要

Older people have higher suicide rates and engage in self-harm with greater intent to die, higher lethality and greater risk of eventual suicide than people in other age groups. However, research and interventions to address suicide and self-harm in older people remain limited. In this Review, we consider the unique challenges faced by older people in relation to suicide and self-harm. We integrate research on risk factors, psychological theories on underlying mechanisms, and public health interventions and clinical treatments specific to this age group. We highlight age-related challenges to health, independence, purpose, social role and social connection, and barriers to care related to ageism and the accessibility of mental health services. We discuss directions for future research with a particular focus on understudied and high-risk groups, moderating factors and interventions.