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Suicide among older people in relation to their subjective and objective well-being in different European regions

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Abstract

The aim of this study was to establish how different types of welfare states shape the context of the everyday life of older people by influencing their subjective well-being, which in turn might manifest itself in suicide rates. Twenty-two European countries studied were divided into Continental, Nordic, Island, Southern, and post-socialist countries, which were subdivided into Baltic, Slavic, and Central-Eastern groups based on their socio-political and welfare organization. Suicide rates, subjective well-being data, and objective well-being data were used as parameters of different welfare states and obtained from the World Health Organization European Mortality Database, European Social Survey, and Eurostat Database. This study revealed that the suicide rates of older people were the highest in the Baltic countries, while in the Island group, the suicide rate was the lowest. The suicide rate ratios between the age groups 65+ and 0–64 were above 1 (from 1.2 to 2.5), except for the group of the Island countries with a suicide rate ratio of 0.8. Among subjective well-being indicators, relatively high levels of life satisfaction and happiness were revealed in Continental, Nordic, and Island countries. Objective well-being indicators like old age pension, expenditure on old age, and social protection benefits in GDP were the highest in the Continental countries. The expected inverse relationship between subjective well-being indicators and suicide rates among older people was found across the 22 countries. We conclude that welfare states shape the context and exert influence on subjective well-being, and thus may lead to variations in risk of suicide at the individual level.

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References

  • Aidukaite J (2004) The emergence of the post-socialist welfare state—the case of the baltic states: Estonia Latvia and Lithuania. Dissertation: Södertörn University College

  • Albert I, Labs K, Trommsdorff G (2010) Are older adult German women satisfied with their lives? On the role of life domains, partnership status, and self-construal. GeroPsych 23(1):39–49

    Google Scholar 

  • Bodner E, Cohen-Fridel S (2010) Relations between attachment styles, ageism and quality of life in late life. Int Psychogeriatr 22(8):1353–1361

    Article  Google Scholar 

  • Bonnewyn A, Shah A, Demyttenaere K (2009) Suicidality and suicide in older people. Rev Clin Gerontol 19:271–294

    Article  Google Scholar 

  • Bonoli G, Palier B (2001) How do welfare states change? Institutions and their impact on the politics of welfare state reform in Western Europe. In: Leibfried S (ed) Welfare state futures. Cambridge University Press, Cambridge, pp 57–76

    Google Scholar 

  • Botev N (2012) Population ageing in Central and Eastern Europe and its demographic and social context. Eur J Ageing 9(1):69–79

    Article  Google Scholar 

  • Cerami A (2010) The politics of social security reforms in the Czech Republic, Hungary, Poland and Slovakia. In: Palier B (ed) A long goodbye to Bismarck? The politics of welfare reforms in Continental Europe. Amsterdam University Press, Amsterdam, pp 233–254

    Google Scholar 

  • Conwell Y (2009) Suicide prevention in later life: A glass half full, or half empty? Am J Psychiatry 166(8):845–848

    Article  Google Scholar 

  • Cozman D (2006) Synopsis of suicidology. Science Book Publishing House, Cluj-Napoca

    Google Scholar 

  • Cozman D (2009) Suicide prevention in Romania. In: Wasserman D, Wasserman C (eds) Oxford textbook of suicidology and suicide prevention. Oxford University Press, Oxford, pp 807–809

    Google Scholar 

  • De Leo D (1998) Is suicide prediction in old age really easier? Crisis 19(2):60–61

    Article  Google Scholar 

  • De Leo D (1999) Cultural issues in suicide and old age. Crisis 20(2):53–55

    Article  Google Scholar 

  • De Leo D, Spathonis K (2003) Culture and suicide in late life. Psychiatric Times 20:14–17

    Google Scholar 

  • De Leo D, Krysinska K, Bertolote JM, Fleischman A, Wasserman D (2009) Suicidal behaviors on all the continents among the elderly. In: Wasserman D, Wasserman C (eds) Oxford textbook of suicidology and suicide prevention. Oxford University Press, Oxford, pp 693–701

    Google Scholar 

  • De Mendonca Lima CA, Bertolote JM, Simeone I, Camus V (2001) Suicide in old age: Swiss perspectives. In: De Leo D (ed) Suicide and euthanasia in older adults: a transcultural journey. Hogrefe & Huber, Göttingen, pp 57–76

    Google Scholar 

  • Diener E (1984) Subjective well-being. Psychol Bull 95(3):542–575

    Article  Google Scholar 

  • Diener E, Suh EM, Lucas RE, Smith HL (1999) Subjective well-being: three decades of progress. Psychol Bull 125:276–302

    Article  Google Scholar 

  • Durkheim E (1897–1951) Suicide: a study in sociology. Free Press, New York

    Google Scholar 

  • Ervasti H, Goul Andersen J, Friberg T, Ringdal K (2012) The future of the welfare state. Edward Elgar Publishing Limited, Cheltenham

    Book  Google Scholar 

  • Esping-Andersen G (1990) The three worlds of welfare capitalism. Polity Press, Cambridge

    Google Scholar 

  • Esping-Andersen G (1999) Social foundations of post-industrial economies. Oxford University Press, Oxford

    Book  Google Scholar 

  • Esping-Andersen G (2002) Towards the good society, once again? In: Esping-Andersen G, Gallie D, Hemerijck A, Myles J (eds) Why we need a new welfare state?. Oxford University Press, Oxford, pp 1–25

    Chapter  Google Scholar 

  • Esping-Andersen G (2010) Prologue: What does it mean to break with Bismarck? In: Palier B (ed) A long goodbye to Bismarck? The politics of welfare reforms in Continental Europe. Amsterdam University Press, Amsterdam, pp 11–18

    Google Scholar 

  • European Social Survey (2011) http://www.europeansocialsurvey.org/. Accessed Feb 2011

  • Eurostat (2011) Eurostat methodologies and working papers: the European system of integrated social protection statistics manual. Publications Office of the European Union, Luxembourg

  • Eurostat Database (2012) http://epp.eurostat.ec.europa.eu/portal/page/portal/statistics/themes. Accessed Nov 2012

  • Fässberg MM, van Orden KA, Duberstein P, Erlangsen A, Lapierre S, Bodner E, Canetto SS, De Leo D, Szanto K, Waern M (2012) A systematic review of social factors and suicidal behavior in older adulthood. Int J Environ Res Public Health 9:722–745

    Article  Google Scholar 

  • Ferrera M (1996) The Southern model of wlefare in social Europe. J Eur Soc Policy 6(1):17–37

    Article  Google Scholar 

  • Ferrera M, Hemerijck A, Rhodes M (2001) Recasting European welfare states for the 21st century. In: Leibfried S (ed) Welfare state futures. Cambridge University Press, Cambridge, pp 151–170

    Google Scholar 

  • Flavin P, Radcliff B (2009) Public policies and suicide rates in the American states. Soc Indic Res 90(2):195–209

    Article  Google Scholar 

  • Gailiene D (2004) Suicide in Lithuania during the years of 1990–2002. Arch Suicide Res 8(4):389–395

    Article  Google Scholar 

  • Grad OT, Kogoj A, Trontelj J (2001) Elderly suicide in Slovenia. In: De Leo D (ed) Suicide and euthanasia in older adults: a transcultural journey. Hogrefe & Huber, Göttingen, pp 77–88

    Google Scholar 

  • Helliwell JF, Putnam RD (2005) The social context of wellbeing. In: Huppert FA, Baylis N, Keverne B (eds) The science of wellbeing. Oxford University Press, New York, pp 435–459

    Google Scholar 

  • Kahneman D, Krueger AB (2006) Developments in the measurement of subjective well-being. J Econ Perspect 20:3–23

    Article  Google Scholar 

  • Kjolseth I, Ekeberg O, Steihaug S (2009) “Why do they become vulnerable when faced with the challenges of old age?”: Elderly people who committed suicide, described by those who knew them. Int Psychogeriatr 21:903–912

    Article  Google Scholar 

  • Kuhnle S (2001) The Nordic welfare state in a European context: dealing with new economic and ideological challenges in the 1990s. In: Leibfried S (ed) Welfare state futures. Cambridge University Press, Cambridge, pp 103–122

    Google Scholar 

  • McIntosh JL, Santos JF, Hubbard RW, Overholser JC (1994) Elder suicide: research, theory and treatment. American Psychological Association, Washington DC

    Book  Google Scholar 

  • Nelson TD (2004) Ageism: stereotyping and prejudice against older persons. MIT Press, Cambridge

    Google Scholar 

  • Nelson TD (2005) Ageism: prejudice against our feared future self. J Soc Issues 61(2):207–221

    Article  Google Scholar 

  • O’Connell H, Chin AV, Cunningham C, Lawlor BA (2004) Recent developments: suicide in older people. BMJ 329(7471):895–899

    Article  Google Scholar 

  • OECD (2002) Gross domestic product (GDP). http://stats.oecd.org/glossary/detail.asp?ID=1163. Accessed 01 July 2002

  • Office for national statistics measuring national well-being debate website (2011) http://webarchive.nationalarchives.gov.uk/20110422103457/well-being.dxwconsult.com/2011/02/24/objective-vs-subjective-well-being/. Accessed 24 Feb 2011

  • Ogg J (2005) Social exclusion and insecurity among older Europeans: the influence of welfare regimes. Ageing Soc 25:69–90

    Article  Google Scholar 

  • Palier B (2010) Ordering change: understanding the ‘Bismarckian’ welfare reform trajectory. In: Palier B (ed) A long goodbye to Bismarck? The politics of welfare reforms in Continental Europe. Amsterdam University Press, Amsterdam, pp 19–44

    Chapter  Google Scholar 

  • Palmore EB (1999) Ageism: negative and positive. Springer, New York

    Google Scholar 

  • Phillips J, Ajrouch K, Hillcoat-Nalletamby S (2010) key concepts in social gerontology. SAGE, London

    Google Scholar 

  • Rubenowitz E, Waern M, Wilhelmson K, Allebeck P (2001) Life events and psychosocial factors in elderly suicides-A case-control study. Psychol Med 31:1193–1202

    Article  Google Scholar 

  • Schwarz B, Albert I, Trommsdorff G, Zheng G, Shi SH, Nelwan PR (2010) Intergenerational support and life satisfaction: a comparison of Chinese, Indonesian, and German elderly mothers. J Cross Cult Psychol 41(5–6):706–722

    Article  Google Scholar 

  • Shah A (2008) A cross-national study of the relationship between elderly suicide rates and urbaninzation. Suicide Life Threat Behav 38(6):714–719

    Article  Google Scholar 

  • Shah A (2009) The relationship between elderly suicide rates and the human development index: a cross-national study of secondary data from the World Health Organization and the United Nations. Int Psychogeriatr 21(1):69–77

    Article  Google Scholar 

  • Shah A, Bhat R, Mackenzie S, Koen C (2008a) A cross-national study of the relationship between elderly suicide rates and life expectancy and markers of socioeconomic status and health care. Int Psychogeriatr 20(2):347–360

    Google Scholar 

  • Shah A, Padayatchi M, Das K (2008b) The relationship between elderly suicide rates and elderly dependency ratios: a cross-national study using data from the WHO data bank. Int Psychogeriatr 20(3):596–604

    Google Scholar 

  • Skrabski A, Kopp M, Kawachi I (2003) Social capital in a changing society: cross sectional associations with middle aged female and male mortality rates. J Epidemiol Community Health 57(2):114–119

    Article  Google Scholar 

  • Skrabski A, Kopp M, Rozsa S, Rethelyi J, Rahe RH (2005) Life meaning: an important correlate of health in the Hungarian population. Int J Behav Med 12(2):78–85

    Article  Google Scholar 

  • Szalai J (1998) Poverty and social policy in Hungary in the, 1990s. In: Festschrift for ivan szelenyi at 60 years. Rutgers Institute for Hungarian Studies, Budapest

    Google Scholar 

  • Tesch-Römer C, Kondratowitz HJv (2006) Comparative ageing research: a flourishing field in need of theoretical cultivation. Eur J Ageing 3:155–167

    Article  Google Scholar 

  • Värnik A, Mokhovikov A (2009) Suicide during transition in the former Soviet Republics. In: Wasserman D, Wasserman C (eds) Oxford textbook of suicidology and suicide prevention. Oxford University Press, Oxford, pp 191–199

    Google Scholar 

  • Waern M, Rubenowitz E, Wilhelmson K (2003) Predictors of suicide in the old elderly. Gerontology 49:328–334

    Article  Google Scholar 

  • Wasserman D (1999–2000) Depression, a common illness. Symptoms, causes and treatment options. Hans Reitzels Förlag, Copenhagen (in Danish) and atur och Kultur, Stockholm, Sweden (in Swedish)

  • Wasserman D, Ringskog S (2001) Suicide among the elderly in Sweden. In: De Leo D (ed) Suicide and euthanasia in older adults: a transcultural journey. Hogrefe & Huber, Göttingen, pp 37–46

    Google Scholar 

  • Wiktorsson S, Runeson B, Skoog I, Ostling S, Waern M (2010) Attempted suicide in the elderly: characteristics of suicide attempters 70 years and older and a general population comparison group. Am J Geriatri Psychiatry 18:57–67

    Article  Google Scholar 

  • World Health Organization (2013) Definition of an older or elderly person. http://www.who.int/healthinfo/survey/ageingdefnolder/en/

  • World Health Organization European Mortality Database (2012) http://data.euro.who.int/hfamdb/. Accessed July 2012

  • Yur’yev A (2012) Dimension-specific impact of social exclusion on suicide mortality in Europe. Dissertation: Tallinn University

  • Yur’yev A, Leppik L, Tooding LM, Sisask M, Värnik P, Wu J, Värnik A (2010) Social inclusion affects elderly suicide mortality. Int Psychogeriatr 22(8):1337–1343

    Article  Google Scholar 

  • Yur’yev A, Värnik A, Värnik P, Sisask M, Leppik L (2012) Role of social welfare in European suicide prevention. Int J Soc Welf 21:26–33

    Article  Google Scholar 

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Acknowledgments

We are especially grateful to the editor-in-chief for providing invaluable suggestions.

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Correspondence to Jing Wu.

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Responsible editor: D. J. H. Deeg.

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Wu, J., Värnik, A., Tooding, LM. et al. Suicide among older people in relation to their subjective and objective well-being in different European regions. Eur J Ageing 11, 131–140 (2014). https://doi.org/10.1007/s10433-013-0297-1

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