Pr. Duberstein et al., SUICIDE IN WIDOWED PERSONS - A PSYCHOLOGICAL AUTOPSY COMPARISON OF RECENTLY AND REMOTELY BEREAVED OLDER SUBJECTS, The American journal of geriatric psychiatry, 6(4), 1998, pp. 328-334
Using the psychological autopsy method, the authors sought to determin
e whether widowed people who commit suicide more than 4 years after th
eir spouse's death (n=21) can be clinically distinguished from those w
ho commit suicide after a shorter period of widowhood (n = 14). The la
tter had a higher rate of psychiatric treatment (P=0.018), early loss/
separation (P=0.03), and a nonsignificantly higher rate of lifetime su
bstance abuse (P = 0.07). Spousal bereavement increases the likelihood
of physician visits, so the recently widowed represent a population f
or whom interventions may be readily implemented. Clinicians should mo
nitor suicide risk in their widowed patients, especially those with ps
ychiatric, substance abuse, and/or early loss/separation histories.