A systematic review of psychosocial protective factors against suicide and suicidality among older adultsopen access
- Authors
- Ki, Myung; Lapierre, Sylvie; Gim, Boeun; Hwang, Minji; Kang, Minku; Dargis, Luc; Jung, Myoungjee; Koh, Emily Jiali; Mishara, Brian
- Issue Date
- Feb-2024
- Publisher
- Cambridge University Press
- Keywords
- protective factors; suicidal behavior; suicidal ideation; purpose-in-life; resilience; social support; interpersonal relationships; coping
- Citation
- International Psychogeriatrics
- Indexed
- SCIE
SSCI
- Journal Title
- International Psychogeriatrics
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/65541
- DOI
- 10.1017/S104161022300443X
- ISSN
- 1041-6102
1741-203X
- Abstract
- Background: Research on suicide rarely focuses on protective factors. The goal of this systematic review was to assess the evidence of the associations between protective factors and reduced suicidality among older adults.Method: First, a scoping review was conducted to identify pertinent terms that refer to various protective factors against suicidality. A systematic review, following the PRISMA guidelines, was then conducted on a selection of 15 protective factors (e.g., perceived control, well-being and quality of life, life satisfaction, purpose-in-life, resilience, coping, religiosity, hope, self-regulation, sense of belonging, mattering, positive relationship, social support, social connectedness, and social participation), with separate searches performed on each factor in five databases. Empirical studies were eligible if participants were adults aged 60 years and over, and if the studies reported predictive statistical analysis.Results: A total of 70 studies were retained for the review. Suicidal ideation was the main outcome measure (91%). Significant associations were consistently observed between all protective factors and reduced suicidal ideations or behaviors, particularly for purpose-in-life, resilience, and positive relationships, indicating that these are solid components for suicide prevention. Using scales, instead of a single item, to measure protective factors (e.g. life satisfaction) was more efficient to capture the associations. On the other hand, results were similar whether studies used subjective (e.g., sense of belonging) or objective (e.g., social connectedness) measures.Conclusion: Protective factors were inversely associated with suicidal ideation. Improving protective factors is essential for the development of late-life suicide prevention and interventions, instead of merely focusing on risk factors.
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Collections - 1. Basic Science > Department of Preventive Medicine > 1. Journal Articles
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