Abstract
Aim: The aim of this study was to analyze the characteristics of suicide cases in the elderly, identify risk factors and discuss preventive measures.
Methods: Forensic files of forensic death cases from the Bolu Chief Public Prosecutor's Office between January 1, 2003 and December 31, 2019 were retrospectively analyzed. Twenty cases aged 65 years and older who died by suicide were included in the study.
Results: Among the cases, 14 (70%) were male. The mean age was 77.1±9 (min=65, max=93) years, and 65% of the cases were 75 years or older. The most common method of suicide was hanging (n=12, 60%). Only two of the cases were employed. Eleven cases (55%) committed suicide at home. A suicide note was found at the scene in only one case. A history of psychiatric illness was found in eight cases (40%). In addition, relatives of five cases (25%) stated that the case had depressive symptoms before committing suicide.
Conclusion: Suicide attempts are more likely to result in death because elderly people use more lethal suicide methods than younger people. Practices aimed at reducing suicide attempts in the elderly population should be given more importance.
Keywords: autopsy, cause of suicide, elderly suicides, suicide note, suicide methods
Copyright and license
Copyright © 2025 The Author(s). This is an open-access article published by Bolu İzzet Baysal Training and Research Hospital under the terms of the Creative Commons Attribution License (CC BY) which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.
How to cite
References
- Li X, Xiao Z, Xiao S. Suicide among the elderly in mainland China. Psychogeriatrics. 2009; 9(2): 62-6. https://doi.org/10.1111/j.1479-8301.2009.00269.x
- Crestani C, Masotti V, Corradi N, Schirripa ML, Cecchi R. Suicide in the elderly: a 37-years retrospective study. Acta Biomed. 2019; 90(1): 68-76. https://doi.org/10.23750/abm.v90i1.6312
- Pompili M, Innamorati M, Masotti V, et al. Suicide in the elderly: a psychological autopsy study in a North Italy area (1994-2004). Am J Geriatr Psychiatry. 2008; 16(9): 727-35. https://doi.org/10.1097/JGP.0b013e318170a6e5
- Conwell Y, Thompson C. Suicidal behavior in elders. Psychiatr Clin North Am. 2008; 31(2): 333-56. https://doi.org/10.1016/j.psc.2008.01.004
- Canetto SS. Suicide: Why Are Older Men So Vulnerable? Men and Masculinities. 2015; 22: 1-19. https://doi.org/10.1177/1097184X15613832
- Joo Y. Spatiotemporal study of elderly suicide in Korea by age cohort. Public Health. 2017; 142: 144-51. https://doi.org/10.1016/j.puhe.2016.07.016
- Shah A, Bhat R, Zarate-Escudero S, DeLeo D, Erlangsen A. Suicide rates in five-year age-bands after the age of 60 years: the international landscape. Aging Ment Health. 2016; 20(2): 131-8. https://doi.org/10.1080/13607863.2015.1055552
- Karbeyaz K, Çelikel A, Emiral E, Emiral GÖ. Elderly suicide in Eskisehir, Turkey. J Forensic Leg Med. 2017; 52: 12-5. https://doi.org/10.1016/j.jflm.2017.06.004
- Liu BP, Qin P, Jia CX. Behavior Characteristics and Risk Factors for Suicide Among the Elderly in Rural China. J Nerv Ment Dis. 2018; 206(3): 195-201. https://doi.org/10.1097/NMD.0000000000000728
- Rahimi R, Ali N, Md Noor S, Mahmood MS, Zainun KA. Suicide in the elderly in Malaysia. Malays J Pathol. 2015; 37(3): 259-63.
- Torresani S, Toffol E, Scocco P, Fanolla A. Suicide in elderly South Tyroleans in various residential settings at the time of death: a psychological autopsy study. Psychogeriatrics. 2014; 14(2): 101-9. https://doi.org/10.1111/psyg.12046
- Özer E, Gümüş B, Balandiz H, Kırcı GS, Aydoğdu Hİ, Tetikçok R. Evaluation of geriatric suicides in Turkey. J Forensic Leg Med. 2016; 44: 158-61. https://doi.org/10.1016/j.jflm.2016.10.016
- Zhong BL, Chiu HFK, Conwell Y. Rates and characteristics of elderly suicide in China, 2013-14. J Affect Disord. 2016; 206: 273-9. https://doi.org/10.1016/j.jad.2016.09.003
- Altınöz AE, Yenilmez Ç, Öner SK, Yıldız P. Completed suicide rates of older adults in 5-year age bands in Turkey between 2002 and 2013: A retrospective study. Geriatr Gerontol Int. 2019; 19(1): 66-9. https://doi.org/10.1111/ggi.13569
- Kuwabara H, Shioiri T, Nishimura A, et al. Differences in characteristics between suicide victims who left notes or not. J Affect Disord. 2006; 94(1-3): 145-9. https://doi.org/10.1016/j.jad.2006.03.023
- Chiu HF, Yip PS, Chi I, et al. Elderly suicide in Hong Kong-a case-controlled psychological autopsy study. Acta Psychiatr Scand. 2004; 109(4): 299-305. https://doi.org/10.1046/j.1600-0447.2003.00263.x
- Wiktorsson S, Runeson B, Skoog I, Ostling S, Waern M. Attempted suicide in the elderly: characteristics of suicide attempters 70 years and older and a general population comparison group. Am J Geriatr Psychiatry. 2010; 18(1): 57-67. https://doi.org/10.1097/JGP.0b013e3181bd1c13
- Waern M, Rubenowitz E, Wilhelmson K. Predictors of suicide in the old elderly. Gerontology. 2003; 49(5): 328-34. https://doi.org/10.1159/000071715
- Juurlink DN, Herrmann N, Szalai JP, Kopp A, Redelmeier DA. Medical illness and the risk of suicide in the elderly. Arch Intern Med. 2004; 164(11): 1179-84. https://doi.org/10.1001/archinte.164.11.1179
- Avci D, Selcuk KT, Dogan S. Suicide Risk in the Hospitalized Elderly in Turkey and Affecting Factors. Arch Psychiatr Nurs. 2017; 31(1): 55-61. https://doi.org/10.1016/j.apnu.2016.08.002
- Zengin Y, Gündüz E, İçer M, et al. Socio-demographic and clinical factors related to mortality among the geriatric suicide attempters admitted to the emergency department. Dicle Medical Journal. 2015; 42(3): 279-83.