Abstract
Suicide prevention efforts in reducing risk factors have been found to be more beneficial to older women than men, suggesting potential gender differences in effective prevention. The study aimed to examine gender difference in resilience for suicidal behavior in a community sample of older adults in Korea. A community-based survey was conducted to investigate resilience and risk factors of suicidal behavior using the Suicidal Behaviors Questionnaire-Revised, Connor-Davidson Resilience Scale, Center for Epidemiologic Studies Depression Scale (CES-D), as well as questions regarding physical illness and depression history. After accounting for well-known risk factors, resilience was inversely associated with suicidal behavior, but this protective role of resilience was applicable to men only. The findings of this study indicated gender difference in resilience against suicidal behavior in the elderly population. Gender-specific preventive intervention strategies need to be developed for community-based suicide prevention for older adults.
Highlights
Suicide rates in older adults have increased at a faster pace than any other age group over the past decades in Korea (World Health Organization [WHO], 2014)
Informed by previous intervention studies indicating gender differences in potentially effective programs to reduce suicide risk among the elderly, it was hypothesized that the protective role of resilience against suicidal behavior would be stronger for older men as compared to older women
This study examined whether resilience would protect against suicidal behavior above and beyond well-known risk factors in older adults, and further such protective function of resilience would differ by gender
Summary
Suicide rates in older adults have increased at a faster pace than any other age group over the past decades in Korea (World Health Organization [WHO], 2014). The study aimed to examine gender difference in the protective role of resilience against suicidal behavior among the elderly, especially after controlling for common risk factors associated with elderly suicide, such as sociodemographic risk factors, depression, and physical illness. Informed by previous intervention studies indicating gender differences in potentially effective programs to reduce suicide risk among the elderly, it was hypothesized that the protective role of resilience against suicidal behavior would be stronger for older men as compared to older women
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