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A meta-analytic review on social relationships and suicidal ideation among older adults

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  • Chang, Qingsong
  • Chan, Chee Hon
  • Yip, Paul S.F.

Abstract

Social relationships play an important role in mental health as well as suicidal ideation in later life. In contrast with the other well-established risk factors, despite an increasing number of related studies, no meta-analyses focusing on social relationships and late-life suicidal ideation have been published. Synthesis of data across the studies using different measurements of social relationships would allow for comparison of the effects on late-life suicidal ideation that have not been studied before. Therefore, we conducted a meta-analysis on the studies published between January 1, 2000 and November 31, 2016 extracted from 7 medical and social science databases. 31 studies with 83 estimates of Odds Ratios (“ORs”) on the associations between social relationships and late-life suicidal ideation were identified to compute effect sizes using a random-effect model. Sensitivity analyses were also performed to evaluate their heterogeneity and bias. Moderator analyses were further conducted to determine moderating factors of the associations. Eventually, across the 31 studies (203,152 participants), the overall random effect size was OR = 1.57(95% CI [1.40, 1.76]), indicating a 57% likelihood increase of suicidal ideation for elderly participants with discordant social relationships. The functional measures (OR = 1.77; 95%CI [1.48, 2.10]) of social relationships, however, were more predictive than structural measures (OR = 1.37; 95%CI [1.25, 1.51]). Among all the measures of social relationships, elderly mistreatment (OR = 2.31; 95%CI [1.81, 2.94]) had the strongest effect size, followed by perceived loneliness (OR = 2.24; 95%CI [1.73, 2.90]) and poorly perceived social support (OR = 1.59; 95% CI [1.37, 1.83]). The associations between social relationships and late-life suicidal ideation were moderated by country income levels, social-cultural context, study types, and various measurements of social relationships. More importantly, our study is the first meta-analysis to provide significant evidence for improving social relationships, especially in perceived bonds, is a promising strategy in reducing late-life suicide risks.

Suggested Citation

  • Chang, Qingsong & Chan, Chee Hon & Yip, Paul S.F., 2017. "A meta-analytic review on social relationships and suicidal ideation among older adults," Social Science & Medicine, Elsevier, vol. 191(C), pages 65-76.
    • Handle: RePEc:eee:socmed:v:191:y:2017:i:c:p:65-76
    DOI: 10.1016/j.socscimed.2017.09.003
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    1. Rebecca L. Utz & Kristin L. Swenson & Michael Caserta & Dale Lund & Brian deVries, 2014. "Feeling Lonely Versus Being Alone: Loneliness and Social Support Among Recently Bereaved Persons," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 69(1), pages 85-94.
    2. Sue Duval & Richard Tweedie, 2000. "Trim and Fill: A Simple Funnel-Plot–Based Method of Testing and Adjusting for Publication Bias in Meta-Analysis," Biometrics, The International Biometric Society, vol. 56(2), pages 455-463, June.
    3. Berkman, Lisa F. & Glass, Thomas & Brissette, Ian & Seeman, Teresa E., 2000. "From social integration to health: Durkheim in the new millennium," Social Science & Medicine, Elsevier, vol. 51(6), pages 843-857, September.
    4. Julianne Holt-Lunstad & Timothy B Smith & J Bradley Layton, 2010. "Social Relationships and Mortality Risk: A Meta-analytic Review," PLOS Medicine, Public Library of Science, vol. 7(7), pages 1-1, July.
    5. Thomas Saïas & François Beck & Julie Bodard & Romain Guignard & Enguerrand du Roscoät, 2012. "Social Participation, Social Environment and Death Ideations in Later Life," PLOS ONE, Public Library of Science, vol. 7(10), pages 1-8, October.
    6. Manzoli, Lamberto & Villari, Paolo & M Pirone, Giovanni & Boccia, Antonio, 2007. "Marital status and mortality in the elderly: A systematic review and meta-analysis," Social Science & Medicine, Elsevier, vol. 64(1), pages 77-94, January.
    7. Conklin, Annalijn I. & Forouhi, Nita G. & Surtees, Paul & Khaw, Kay-Tee & Wareham, Nicholas J. & Monsivais, Pablo, 2014. "Social relationships and healthful dietary behaviour: Evidence from over-50s in the EPIC cohort, UK," Social Science & Medicine, Elsevier, vol. 100(C), pages 167-175.
    8. Erwin Stolz & Beat Fux & Hannes Mayerl & Éva Rásky & Wolfgang Freidl, 2016. "Passive Suicide Ideation Among Older Adults in Europe: A Multilevel Regression Analysis of Individual and Societal Determinants in 12 Countries (SHARE)," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 71(5), pages 947-958.
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    3. Ying Yang & Shizhen Wang & Borui Hu & Jinwei Hao & Runhu Hu & Yinling Zhou & Zongfu Mao, 2020. "Do Older Adults with Parent(s) Alive Experience Higher Psychological Pain and Suicidal Ideation? A Cross-Sectional Study in China," IJERPH, MDPI, vol. 17(17), pages 1-11, September.
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    5. Qingsong Chang & Feng Sha & Chee Hon Chan & Paul S F Yip, 2018. "Validation of an abbreviated version of the Lubben Social Network Scale (“LSNS-6”) and its associations with suicidality among older adults in China," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-11, August.

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