Narcissistic Personality and Vulnerability to Late-Life Suicidality
Objective Narcissistic personality (NP) has been implicated as a potential vulnerability factor for late-life suicide. The present study investigated whether NP increases vulnerability to suicidal ideation and behavior among geriatric depression day-hospital patients. Methods Using a retrospective d...
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| Veröffentlicht in: | The American journal of geriatric psychiatry 2007-09, Vol.15 (9), p.734-741 |
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| creator | Heisel, Marnin J., Ph.D Links, Paul S., M.D., FRCP(C) Conn, David, M.B., FRCP(C) van Reekum, Robert, M.D., FRCP(C) Flett, Gordon L., Ph.D |
| description | Objective Narcissistic personality (NP) has been implicated as a potential vulnerability factor for late-life suicide. The present study investigated whether NP increases vulnerability to suicidal ideation and behavior among geriatric depression day-hospital patients. Methods Using a retrospective database analysis, the authors examined demographic data, diagnostic information, and scores on self-report (Geriatric Depression Scale [GDS]) and clinician-rated depression measures (Hamilton Rating Scale for Depression [HAM-D]), for 608 geriatric psychiatry patients 65 years or older. Results Of the 538 patients meeting study inclusion criteria, 20 had NP, defined as either narcissistic personality disorder (n = 13) or narcissistic personality traits (n = 7). Patients with NP were rated significantly higher on the HAM-D suicide item than those without NP, controlling for age, sex, depression (GDS), and cognitive functioning. Conclusion Findings suggest that NP may be a clinical marker of elevated suicide risk among depressed older adults. Clinicians are advised to assess the presence of self-pathology and its potential impact upon psychological functioning in depressed older patients, and to incorporate discussions of life transitions into therapeutic work with those at-risk for suicide. |
| doi_str_mv | 10.1097/01.JGP.0000260853.63533.7d |
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The present study investigated whether NP increases vulnerability to suicidal ideation and behavior among geriatric depression day-hospital patients. Methods Using a retrospective database analysis, the authors examined demographic data, diagnostic information, and scores on self-report (Geriatric Depression Scale [GDS]) and clinician-rated depression measures (Hamilton Rating Scale for Depression [HAM-D]), for 608 geriatric psychiatry patients 65 years or older. Results Of the 538 patients meeting study inclusion criteria, 20 had NP, defined as either narcissistic personality disorder (n = 13) or narcissistic personality traits (n = 7). Patients with NP were rated significantly higher on the HAM-D suicide item than those without NP, controlling for age, sex, depression (GDS), and cognitive functioning. Conclusion Findings suggest that NP may be a clinical marker of elevated suicide risk among depressed older adults. Clinicians are advised to assess the presence of self-pathology and its potential impact upon psychological functioning in depressed older patients, and to incorporate discussions of life transitions into therapeutic work with those at-risk for suicide.</description><identifier>ISSN: 1064-7481</identifier><identifier>EISSN: 1545-7214</identifier><identifier>DOI: 10.1097/01.JGP.0000260853.63533.7d</identifier><identifier>PMID: 17804827</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; Comorbidity ; Day Care, Medical ; depression ; Depressive Disorder - diagnosis ; Depressive Disorder - epidemiology ; Depressive Disorder - psychology ; Female ; Geriatric Assessment - statistics & numerical data ; Humans ; Internal Medicine ; Male ; Mass Screening - statistics & numerical data ; narcissistic personality ; Ontario ; Personality Disorders - diagnosis ; Personality Disorders - epidemiology ; Personality Disorders - psychology ; Personality Inventory - statistics & numerical data ; Psychometrics ; Risk Assessment ; Risk Factors ; suicidal behavior ; Suicide - psychology ; Suicide - statistics & numerical data ; Suicide ideation ; Suicide, Attempted - psychology ; Suicide, Attempted - statistics & numerical data</subject><ispartof>The American journal of geriatric psychiatry, 2007-09, Vol.15 (9), p.734-741</ispartof><rights>American Association for Geriatric Psychiatry</rights><rights>2007 American Association for Geriatric Psychiatry</rights><rights>Copyright American Psychiatric Publishing, Inc. Sep 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-8f4eea65c3261e0198b796adef512fdc0265963306121dcdd61a6eba6cd823a03</citedby><cites>FETCH-LOGICAL-c375t-8f4eea65c3261e0198b796adef512fdc0265963306121dcdd61a6eba6cd823a03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/195985480?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,64362,64364,64366,72216</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17804827$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Heisel, Marnin J., Ph.D</creatorcontrib><creatorcontrib>Links, Paul S., M.D., FRCP(C)</creatorcontrib><creatorcontrib>Conn, David, M.B., FRCP(C)</creatorcontrib><creatorcontrib>van Reekum, Robert, M.D., FRCP(C)</creatorcontrib><creatorcontrib>Flett, Gordon L., Ph.D</creatorcontrib><title>Narcissistic Personality and Vulnerability to Late-Life Suicidality</title><title>The American journal of geriatric psychiatry</title><addtitle>Am J Geriatr Psychiatry</addtitle><description>Objective Narcissistic personality (NP) has been implicated as a potential vulnerability factor for late-life suicide. The present study investigated whether NP increases vulnerability to suicidal ideation and behavior among geriatric depression day-hospital patients. Methods Using a retrospective database analysis, the authors examined demographic data, diagnostic information, and scores on self-report (Geriatric Depression Scale [GDS]) and clinician-rated depression measures (Hamilton Rating Scale for Depression [HAM-D]), for 608 geriatric psychiatry patients 65 years or older. Results Of the 538 patients meeting study inclusion criteria, 20 had NP, defined as either narcissistic personality disorder (n = 13) or narcissistic personality traits (n = 7). Patients with NP were rated significantly higher on the HAM-D suicide item than those without NP, controlling for age, sex, depression (GDS), and cognitive functioning. Conclusion Findings suggest that NP may be a clinical marker of elevated suicide risk among depressed older adults. Clinicians are advised to assess the presence of self-pathology and its potential impact upon psychological functioning in depressed older patients, and to incorporate discussions of life transitions into therapeutic work with those at-risk for suicide.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Comorbidity</subject><subject>Day Care, Medical</subject><subject>depression</subject><subject>Depressive Disorder - diagnosis</subject><subject>Depressive Disorder - epidemiology</subject><subject>Depressive Disorder - psychology</subject><subject>Female</subject><subject>Geriatric Assessment - statistics & numerical data</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Mass Screening - statistics & numerical data</subject><subject>narcissistic personality</subject><subject>Ontario</subject><subject>Personality Disorders - diagnosis</subject><subject>Personality Disorders - epidemiology</subject><subject>Personality Disorders - psychology</subject><subject>Personality Inventory - statistics & numerical data</subject><subject>Psychometrics</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>suicidal behavior</subject><subject>Suicide - psychology</subject><subject>Suicide - statistics & numerical data</subject><subject>Suicide ideation</subject><subject>Suicide, Attempted - psychology</subject><subject>Suicide, Attempted - statistics & numerical data</subject><issn>1064-7481</issn><issn>1545-7214</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkU1r3DAQhkVpaNKkf6GYHHqzq9G3eyiUTZumLEkgba9CK41BqddOJTuw_77aD1jIqbpIiGfeYZ4h5BJoA7TVHyk0P67vG1oOU9RI3iguOW90eEXOQApZawbidXlTJWotDJyStzk_Fl61Srwhp6ANFYbpM7K4dcnHnGOeoq_uMeVxcH2cNpUbQvV77gdMbhV3P9NYLd2E9TJ2WD3M0cewQy_ISef6jO8O9zn59e3rz8X3enl3fbP4sqw913KqTScQnZKeMwVIoTUr3SoXsJPAuuDLMLJVnFMFDIIPQYFTuHLKB8O4o_ycfNjnPqXx74x5suuYPfa9G3Ccs1WGCdZqU8DLF-DjOKcyV7bQytZIYbZpn_aQT2POCTv7lOLapY0FareeLQVbPNujZ7vzbHUoxe8PHebVGsOx9CC2AFd7AIuQ54jJZh9x8BhiQj_ZMMb_6_P5RYzv4xC96__gBvNxLJuZpfZhu_HtwqEESeCM_wMkL6Nc</recordid><startdate>200709</startdate><enddate>200709</enddate><creator>Heisel, Marnin J., Ph.D</creator><creator>Links, Paul S., M.D., FRCP(C)</creator><creator>Conn, David, M.B., FRCP(C)</creator><creator>van Reekum, Robert, M.D., FRCP(C)</creator><creator>Flett, Gordon L., Ph.D</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>4T-</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2R</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>200709</creationdate><title>Narcissistic Personality and Vulnerability to Late-Life Suicidality</title><author>Heisel, Marnin J., Ph.D ; Links, Paul S., M.D., FRCP(C) ; Conn, David, M.B., FRCP(C) ; van Reekum, Robert, M.D., FRCP(C) ; Flett, Gordon L., Ph.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-8f4eea65c3261e0198b796adef512fdc0265963306121dcdd61a6eba6cd823a03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Comorbidity</topic><topic>Day Care, Medical</topic><topic>depression</topic><topic>Depressive Disorder - diagnosis</topic><topic>Depressive Disorder - epidemiology</topic><topic>Depressive Disorder - psychology</topic><topic>Female</topic><topic>Geriatric Assessment - statistics & numerical data</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Mass Screening - statistics & numerical data</topic><topic>narcissistic personality</topic><topic>Ontario</topic><topic>Personality Disorders - diagnosis</topic><topic>Personality Disorders - epidemiology</topic><topic>Personality Disorders - psychology</topic><topic>Personality Inventory - statistics & numerical data</topic><topic>Psychometrics</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>suicidal behavior</topic><topic>Suicide - psychology</topic><topic>Suicide - statistics & numerical data</topic><topic>Suicide ideation</topic><topic>Suicide, Attempted - psychology</topic><topic>Suicide, Attempted - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Heisel, Marnin J., Ph.D</creatorcontrib><creatorcontrib>Links, Paul S., M.D., FRCP(C)</creatorcontrib><creatorcontrib>Conn, David, M.B., FRCP(C)</creatorcontrib><creatorcontrib>van Reekum, Robert, M.D., FRCP(C)</creatorcontrib><creatorcontrib>Flett, Gordon L., Ph.D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Social Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of geriatric psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Heisel, Marnin J., Ph.D</au><au>Links, Paul S., M.D., FRCP(C)</au><au>Conn, David, M.B., FRCP(C)</au><au>van Reekum, Robert, M.D., FRCP(C)</au><au>Flett, Gordon L., Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Narcissistic Personality and Vulnerability to Late-Life Suicidality</atitle><jtitle>The American journal of geriatric psychiatry</jtitle><addtitle>Am J Geriatr Psychiatry</addtitle><date>2007-09</date><risdate>2007</risdate><volume>15</volume><issue>9</issue><spage>734</spage><epage>741</epage><pages>734-741</pages><issn>1064-7481</issn><eissn>1545-7214</eissn><abstract>Objective Narcissistic personality (NP) has been implicated as a potential vulnerability factor for late-life suicide. The present study investigated whether NP increases vulnerability to suicidal ideation and behavior among geriatric depression day-hospital patients. Methods Using a retrospective database analysis, the authors examined demographic data, diagnostic information, and scores on self-report (Geriatric Depression Scale [GDS]) and clinician-rated depression measures (Hamilton Rating Scale for Depression [HAM-D]), for 608 geriatric psychiatry patients 65 years or older. Results Of the 538 patients meeting study inclusion criteria, 20 had NP, defined as either narcissistic personality disorder (n = 13) or narcissistic personality traits (n = 7). Patients with NP were rated significantly higher on the HAM-D suicide item than those without NP, controlling for age, sex, depression (GDS), and cognitive functioning. Conclusion Findings suggest that NP may be a clinical marker of elevated suicide risk among depressed older adults. Clinicians are advised to assess the presence of self-pathology and its potential impact upon psychological functioning in depressed older patients, and to incorporate discussions of life transitions into therapeutic work with those at-risk for suicide.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>17804827</pmid><doi>10.1097/01.JGP.0000260853.63533.7d</doi><tpages>8</tpages></addata></record> |
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| subjects | Age Factors Aged Aged, 80 and over Comorbidity Day Care, Medical depression Depressive Disorder - diagnosis Depressive Disorder - epidemiology Depressive Disorder - psychology Female Geriatric Assessment - statistics & numerical data Humans Internal Medicine Male Mass Screening - statistics & numerical data narcissistic personality Ontario Personality Disorders - diagnosis Personality Disorders - epidemiology Personality Disorders - psychology Personality Inventory - statistics & numerical data Psychometrics Risk Assessment Risk Factors suicidal behavior Suicide - psychology Suicide - statistics & numerical data Suicide ideation Suicide, Attempted - psychology Suicide, Attempted - statistics & numerical data |
| title | Narcissistic Personality and Vulnerability to Late-Life Suicidality |
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