期刊
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
卷 24, 期 7, 页码 671-679出版社
WILEY
DOI: 10.1002/gps.2174
关键词
happiness; suicide ideation; chronic medical problems; neuroticism; older adults; primary care
资金
- John A. Hartford Foundation
- California HealthCare Foundation
- PHS [T32 MH020061, K24MH072712]
- study coordinating center
- Duke University, Durham, NC
- South Texas Veterans Health Care System
- Central Texas Veterans Health Care System
- San Antonio Preventive and Diagnostic Medicine Clinic
- Indiana University School of Medicine, Indianapolis, IN
- Health and Hospital Corporation of Marion County, Indianapolis, IN
- Group Health Cooperative of Puget Sound in cooperation with the University of Washington, Seattle, WA
- Kaiser Permanente of Northern California, Oakland
- Hayward, CA
- Kaiser Permanente of Southern California, San Diego, CA
- Desert Medical Group, Palm Springs, CA
Objective Chronic medical problems might amplify suicide risk in later life. Feelings of happiness may reduce this risk. We tested the hypothesis that happiness attenuates the association between number of self-reported chronic diseases and suicidal distress. Methods A sample of 1,801 depressed, primary care patients, 60 years of age or older, entering a clinical trial, were assessed for the presence of positive emotion, suicidal distress and self-reported chronic medical problems. Results Chronic medical problems are associated with suicide ideation and, as hypothesized, happiness attenuates the relationship between self-reported diseases and suicidal distress. Conclusions Decreased risk for distressing thoughts of suicide in the context of medical illness is predicted by the presence of positive emotions. Our results suggest that treatments designed to help older primary care patients identify sources of joy and enhance happiness might decrease suicide risk. Copyright (C) 2009 John Wiley & Sons, Ltd.
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