Evidence map›Paper›PMID 37086804›Full record

ArticleJournal of affective disorders2023

A 50-state survey study of thoughts of suicide and social isolation among older adults in the United States.

Nili Solomonov, Jon Green, Alexi Quintana, Jennifer Lin, Katherine Ognyanova, Mauricio Santillana, James N Druckman, Matthew A Baum, David Lazer, Faith M Gunning and 1 more

Abstract read
In one paragraph

Article in Journal of affective disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. The Sociology of Suicide After COVID-19: Assessment of the Spanish Case.Behavioral sciences (Basel, Switzerland) · 2025
    Review
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Nili SolomonovWeill Cornell Institute of Geriatric Psychiatry, Weill Cornell Medicine, New York, NY, United States of America.
Jon GreenNortheastern University, Boston, MA, United States of America.
Alexi QuintanaNortheastern University, Boston, MA, United States of America.
Jennifer LinNorthwestern University, Evanston, IL, United States of America.
Katherine OgnyanovaRutgers University, New Brunswick, NJ, United States of America.
Mauricio SantillanaHarvard Medical School, Boston, MA, United States of America; Boston Children's Hospital, Boston, MA, United States of America.
James N DruckmanNorthwestern University, Evanston, IL, United States of America.
Matthew A BaumMassachusetts General Hospital, Boston, MA, United States of America.
David LazerNorthwestern University, Evanston, IL, United States of America.
Faith M GunningWeill Cornell Institute of Geriatric Psychiatry, Weill Cornell Medicine, New York, NY, United States of America.
Roy H PerlisHarvard University, Cambridge, MA, United States of America; Harvard Medical School, Boston, MA, United States of America; Massachusetts General Hospital, Boston, MA, United States of America. Electronic address: rperlis@mgh.harvard.edu.

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Data-driven subtyping in major depressive disorderR01MH123804 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI PERLIS, ROY H. · 2021 to 2024
$3.1M
Development of an Open-Source and Data-Driven Modeling Platform to Monitor and Forecast Disease ActivityR01GM130668 · NIGMS · NORTHEASTERN UNIVERSITY · PI SANTILLANA, MAURICIO · 2018 to 2022
$1.9M
Depression, Isolation, and Social Connectivity Online (DISCO)RF1MH132335 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI PERLIS, ROY H. · 2022 to 2022
$1.9M
1/2 Leveraging electronic health records for pharmacogenomics of psychiatric disordersR01MH116270 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI PERLIS, ROY H. · 2019 to 2022
$1.7M
Positive valence systems engagement during social reward exposure psychotherapy for mid- and late-life depressionK23MH123864 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI SOLOMONOV, NILI · 2020 to 2024
$954k
NCATS NIH HHS UL1 TR001873NCATS NIH HHS UL1 TR002384NIGMS NIH HHS R01 GM130668NIMH NIH HHS K23 MH123864NIMH NIH HHS R01 MH116270NIMH NIH HHS R01 MH123804NIMH NIH HHS RF1 MH132335
6 · The paper itself

Abstract

backgroundWe aimed to characterize the prevalence of social disconnection and thoughts of suicide among older adults in the United States, and examine the association between them in a large naturalistic study.

methodsWe analyzed data from 6 waves of a fifty-state non-probability survey among US adults conducted between February and December 2021. The internet-based survey collected the PHQ-9, as well as multiple measures of social connectedness. We applied multiple logistic regression to analyze the association between presence of thoughts of suicide and social disconnection. Exploratory analysis, using generalized random forests, examined heterogeneity of effects across sociodemographic groups.

resultsOf 16,164 survey respondents age 65 and older, mean age was 70.9 (SD 5.0); the cohort was 61.4 % female and 29.6 % male; 2.0 % Asian, 6.7 % Black, 2.2 % Hispanic, and 86.8 % White. A total of 1144 (7.1 %) reported thoughts of suicide at least several days in the prior 2 week period. In models adjusted for sociodemographic features, households with 3 or more additional members (adjusted OR 1.73, 95 % CI 1.28-2.33) and lack of social supports, particularly emotional supports (adjusted OR 2.60, 95 % CI 2.09-3.23), were independently associated with greater likelihood of reporting such thoughts, as was greater reported loneliness (adjusted OR 1.75, 95 % CI 1.64-1.87). The effects of emotional support varied significantly across sociodemographic groups.

conclusionsThoughts of suicide are common among older adults in the US, and associated with lack of social support, but not with living alone.

trial registrationNA.

Indexed as

Social IsolationSuicidal IdeationSuicideAgedFemaleHumansLonelinessMaleUnited StatesCohortGeriatric psychiatryLonelinessOlder adultsSocial networkSocial supportSuicidalitySuicideSurvey

Identifiers

PMID37086804
PMCPMC10751855

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.