The wish to die in older people who are tired of living and the possibilities to organize death are currently being discussed within the debate on self-determination and physician-assisted suicide. Until now insight into the experiences and thoughts of people who are tired of life but not suffering from a severe depression or a life-threatening disease is lacking. Studies focussing specifically on this topic are rare. This review provides an overview of this research area in its infancy. The existential impact of age-related loss experiences play an important role in developing a wish to die. Other influencing factors are: personal characteristics, biographical factors, social context, perceptions and values. Further research to experiences and motivations underlying these specific age-related wishes to die and the existential impact of the loss-experiences seems necessary to deepen the understanding of this group of older people and for the development of policy and good care.
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References
1.
AlexopoulosG. S. (1991). Psychological autopsy of an elderly suicide. International Journal of Geriatric Psychiatry, 6(1), 45–50.
2.
BarnowS., & LindenM. (1997). Suicidality and tiredness of life among very old persons: Results from the Berlin Aging Study (BASE). Archives of Suicide Research, 3(3), 171–182. doi: 10.1023/a:1009689431168
3.
BarnowS., & LindenM. (2000). Epidemiology and psychiatric morbidity of suicidal ideation among the elderly. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 21(4), 171–180.
4.
BarnowS.LindenM., & FreybergerH. J. (2004). The relation between suicidal feelings and mental disorders in the elderly: Results from the Berlin Aging Study (BASE). Psychological Medicine, 34(4), 741–746.
5.
BattinM. P. (1999). Can suicide be rational? Yes, sometimes. In WerthJ. L. (Ed.), Contemporary perspectives on rational suicide (pp. 13–21). Philadelphia, PA: Taylor & Francis.
6.
BonnewynA.ShahA., & DemyttenaereK. (2009). Suicidality and suicide in older people. Reviews in Clinical Gerontology, 19(4), 271–294.
7.
BuitingH. M.DeegD. J. H.KnolD. L.ZiegelmannJ. P.PasmanH. R. W.WiddershovenG. A. M. (2012). Older peoples' attitudes towards euthanasia and an end-of-life pill in The Netherlands: 2001–2009. Journal of Medical Ethics.
8.
ChabotB. E. (2007). Auto-euthanasie. Verborgen stervenswegen in gesprek met naasten. Amsterdam: Uitgeverij Bert Bakker.
9.
ChabotB. E., & GoedhartA. (2009). A survey of self-directed dying attended by proxies in the Dutch population. Social Science & Medicine, 68(10), 1745–1751.
10.
CourageM. M.GodbeyK. L.IngramD. A.SchrammL. L., & HaleW. E. (1993). Suicide in the elderly: Staying in control. Journal of Psychosocial Nursing in Mental Health Services, 31(1), 26–31.
11.
CrockerL.ClareL., & EvansK. (2006). Giving up or finding a solution? The experience of attempted suicide in later life. Aging and Mental Health, 10(6), 638–647.
12.
DeldenJ. J. M. v.HeideA. v. d.VathorstS. v. d.WeyersH., & (red.), v. TolD. G. (red.). (2011). Kennis en opvattingen van publiek en professionals over medische besluitvorming en behandeling rond het einde van het leven; Het KOPPEL-onderzoek (pp. 291). Den Haag: ZonNw.
13.
Dixon-WoodsM.CaversD.AgarwalS.AnnandaleE.ArthurA.HarveyJ. (2006). Conducting a critical interpretive synthesis of the literature on access to healthcare by vulnerable groups. BMC Medical Research Methodology, 6(1), 35.
14.
DrionH. (1992). Het zelfgewilde einde van oude mensen. Amsterdam: Balans.
15.
ForsellY.JormA. F., & WinbladB. (1997). Suicidal thoughts and associated factors in an elderly population. Acta Psychiatrica Scandinavica, 95(2), 108–111.
16.
HarwoodD.HawtonK.HopeT., & JacobyR. (2001). Psychiatric disorder and personality factors associated with suicide in older people: A descriptive and case-control study. International Journal of Geriatric Psychiatry, 16(2), 155–165.
17.
HarwoodD.HawtonK.HopeT., & JacobyR. (2006). Suicide in older people without psychiatric disorder. International Journal of Geriatric Psychiatry, 21(4), 363–367.
18.
HarwoodD. M. J.HawtonK.HopeT.HarrissL., & JacobyR. (2006). Life problems and physical illness as risk factors for suicide in older people: A descriptive and case-control study. Psychological Medicine, 36(9), 1265–1274.
19.
JormA. F.HendersonA. S.ScottR.KortenA. E.ChristensenH., & MackinnonA. J. (1995). Factors associated with the wish to die in elderly people. Age and Ageing, 24(5), 389–392.
20.
KjølsethI.EkebergØ., & SteihaugS. (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. International Psychogeriatrics, 21(05), 903–912.
21.
KjølsethI.EkebergO., & SteihougS. (2010). Why suicide? Elderly people who committed suicide and their experience of life in the period before their death. International Psychogeriatrics, 22(2), 209–218.
22.
LakemanR., & FitzGeraldM. (2008). How people live with or get over being suicidal: A review of qualitative studies. Journal of Advanced Nursing, 64(2), 114–126.
23.
LangeF. D. (2007). De mythe van het voltooide leven: Over de oude dag van morgen. Zoetermeer: Meinema.
24.
LeichtentrittR. D., & RettigK. D. (2001). Values underlying end-of-life decisions: A qualitative approach. Health & Social Work, 26(3), 150–159.
25.
LindnerR.FiedlerG.AltenhöferA.GötzeP., & HappachC. (2006). Psychodynamic ideal types of elderly suicidal persons based on counter transference. Journal of Social Work Practice, 20(3), 347–365.
26.
Lloyd-WilliamsM.KennedyV.SixsmithA., & SixsmithJ. (2007). The end of life: A qualitative study of the perceptions of people over the age of 80 on issues surrounding death and dying. Journal of Pain and Symptom Management, 34(1), 60–66.
27.
MooreS. L. (1993). Rational suicide among older adults: A cause for concern?Archives of Psychiatric Nursing, 7(2), 106–110.
28.
MooreS. L. (1997). A phenomenological study of meaning in life in suicidal older adults. Archives of Psychiatric Nursing, 11(1), 29–36.
29.
MossS. Z.MossM. S.BlackH. K., & RubensteinR. L. (2005). How family members respond to residents' wish to die. Omega: Journal of Death & Dying, 51(4), 301–321.
30.
OsgoodN. J. (1985). Suicide in the elderly: A practitioner's guide to diagnosis and mental health intervention. Rockville, MD: Aspen Systems Corp.
31.
PradoC. G. (1998). The last choice: Preemptive suicide in advanced age. Westport, CT: Greenwood Press.
32.
RaueP. J.MeyersB. S.RoweJ. L.HeoM., & BruceM. L. (2007). Suicidal ideation among elderly homecare patients. International Journal of Geriatric Psychiatry, 22(1), 32–37.
33.
RichmanJ. (1992). Rational approach to rational suicide. Suicide and Life-Threatening Behavior, 22(1), 130–141.
34.
RurupM. L.DeegD. J.PoppelaarsJ. L.KerkhofA. J., & Onwuteaka-PhilipsenB. D. (2011). Wishes to die in older people: A quantitative study of prevalence and associated factors. Crisis: Journal of Crisis Intervention & Suicide, 32(4), 194–203.
35.
RurupM. L.Onwuteaka-PhilipsenB. D.Jansen-van der WeideM. C., & van der WalG. (2005). When being “tired of living” plays an important role in a request for euthanasia or physician-assisted suicide: Patient characteristics and the physician's decision. Health Policy, 74(2), 157–166.
36.
RurupM. L.PasmanH. R.GoedhartJ.DeegD. J.KerkhofA. J., & Onwuteaka-PhilipsenB. D. (2011). Understanding why older people develop a wish to die: A qualitative interview study. Crisis: Journal of Crisis Intervention & Suicide, 32(4), 204–216.
37.
RurupM. L.PasmanH. R. W.KerkhofA. J. F. M.DeegD. J. H., & Onwuteaka-PhilipsenB. D. (2011). Older people who are “weary of life”: Their expectations for the future and perceived hopelessness [English Abstract]. [Ouderen die “klaar met leven” zijn: Toekomstverwachtingen en ervaren uitzichtloosheid.]. Tijdschrift voor Gerontologie en Geriatrie, 42(4), 159–169.
38.
ScoccoP.MeneghelG.CaonF.Dello BuonoM., & De LeoD. (2001). Death ideation and its correlates: Survey of an over-65-year-old population. The Journal of Nervous and Mental Disease, 189(4), 210.
39.
SealeC.Addington-HallJ., & McCarthyM. (1997). Awareness of dying: Prevalence, causes and consequences. Social Science & Medicine, 45(3), 477–484.
