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Chronic medical problems and distressful thoughts of suicide in primary care patients: mitigating role of happiness
Author(s) -
Hirsch Jameson K.,
Duberstein Paul R.,
Unützer Jürgen
Publication year - 2009
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.2174
Subject(s) - happiness , suicidal ideation , distress , context (archaeology) , feeling , clinical psychology , psychology , suicide prevention , psychiatry , depression (economics) , poison control , injury prevention , medicine , psychotherapist , medical emergency , social psychology , paleontology , macroeconomics , economics , biology
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 © 2009 John Wiley & Sons, Ltd.