Construction of suicidal risk attitudes throughout the life course: a perspective from older adults in Santiago, Chile

Authors

DOI:

https://doi.org/10.15517/f1ssds27

Keywords:

suicide, older adults, life course, protective factors, risk factors

Abstract

Introduction: Suicide in old age is a complex phenomenon built over the life course, shaped by cumulative biopsychosocial factors. Objective: To explore protective and risk factors shaping the risk attitude towards suicide attempts among older adults enrolled in the Older Adult Health Program (PSAM) at a Family Health Center in Santiago, Chile. Methodology: A qualitative, exploratory study with a narrative approach, using the biographical method. Twenty-seven in-depth interviews were conducted with individuals aged 65 to 91, analyzing experiences from childhood to late adulthood. Results: Protective factors included emotional support, community engagement, self-care, and stable support networks. Risk factors comprised abandonment, violence, significant losses, isolation, and chronic illness. In at-risk life trajectories, adversities accumulated from early stages, increasing vulnerability in old age. Conclusions: The suicidal risk attitude develops relationally and cumulatively, making it essential to address life histories and social determinants in prevention strategies. Findings highlight the need to strengthen support networks, promote emotional well-being, and implement comprehensive primary care interventions.

Downloads

Download data is not yet available.

References

Arruda, V. L. de, Freitas, B. H. B. M. de, Marcon, S. R., Fernandes, F. Y., Lima, N. V. P. de, y Bortolini, J. (2021). Suicídio em adultos jovens brasileiros: Série temporal de 1997 a 2019. Ciência y Saúde Coletiva, 26, 2699-2708. https://doi.org/10.1590/1413-81232021267.08502021 DOI: https://doi.org/10.1590/1413-81232021267.08502021

Ati, N. A. L., Paraswati, M. D., y Windarwati, H. D. (2021). What are the risk factors and protective factors of suicidal behavior in adolescents? A systematic review. Journal of Child and Adolescent Psychiatric Nursing, 34(1), 7-18. https://doi.org/10.1111/jcap.12295 DOI: https://doi.org/10.1111/jcap.12295

Bakken, V., Lydersen, S., Skokauskas, N., Sund, A. M., y Kaasbøll, J. (2024). Protective factors for suicidal ideation: A prospective study from adolescence to adulthood. European Child y Adolescent Psychiatry, 33(9), 3079-3089. https://doi.org/10.1007/s00787-024-02379-w DOI: https://doi.org/10.1007/s00787-024-02379-w

Beghi, M., Butera, E., Cerri, C. G., Cornaggia, C. M., Febbo, F., Mollica, A., Berardino, G., Piscitelli, D., Resta, E., Logroscino, G., Daniele, A., Altamura, M., Bellomo, A., Panza, F., y Lozupone, M. (2021). Suicidal behaviour in older age: A systematic review of risk factors associated to suicide attempts and completed suicides. Neuroscience y Biobehavioral Reviews, 127, 193-211. https://doi.org/10.1016/j.neubiorev.2021.04.011 DOI: https://doi.org/10.1016/j.neubiorev.2021.04.011

Calderón-Cholbi, A., Mateu-Mollá, J., y Lacomba-Trejo, L. (2021). Factores de riesgo y protección del suicidio en personas mayores: Una revisión sistemática. INFORMACIO PSICOLOGICA, (121), 85-105. https://doi.org/10.14635/IPSIC.121.3 DOI: https://doi.org/10.14635/IPSIC.121.3

Cho, Y.-J. (2020). Are Korean children free from suicide? Risk and protective factors within a transactional–ecological perspective. Journal of Child Health Care, 24(3), 473-485. https://doi.org/10.1177/1367493519874969 DOI: https://doi.org/10.1177/1367493519874969

Choi, B., Jun, H. J., y Lee, S. A. (2020). Social Exclusion and Suicidal Ideation: Analysis of the Bereaved Living Alone. Innovation in Aging, 4(Supplement_1), 69. https://doi.org/10.1093/geroni/igaa057.225 DOI: https://doi.org/10.1093/geroni/igaa057.225

Cohler, B. J., y Jenuwine, M. J. (1995). Suicide, Life Course, and Life Story. International Psychogeriatrics, 7(2), 199-219. https://doi.org/10.1017/S1041610295001979 DOI: https://doi.org/10.1017/S1041610295001979

Comisión Económica para América Latina y el Caribe. (2021). Derechos humanos de las personas mayores en Chile en tiempos de pandemia: Acciones de promoción desde el Servicio Nacional del Adulto Mayor (SENAMA) | CEPAL. https://www.cepal.org/es/enfoques/derechos-humanos-personas-mayores-chile-tiempos-pandemia-acciones-promocion-servicio

Escobedo-Aedo, P. J., Méndez, P., Álvarez, R., Baca-García, E., y Porras-Segovia, A. (2025). Predictors of Suicide Attempts and Reattempts in a Sample of Chilean Adolescents. Early Intervention in Psychiatry, 19(3), e70024. https://doi.org/10.1111/eip.70024 DOI: https://doi.org/10.1111/eip.70024

González, S. (2021). INTENTO DE AUTOLIMITACIÓN, FACTORES DE RIESGO EXPRESADOS POR ADULTOS MAYORES [UNIVERSIDAD DE LA REPÚBLICA]. https://www.bvsenf.org.uy/local/tesis/2021/FE-0077TM.pdf

Guerrero-Castañeda, R. F., Menezes, T. M. D. O., Prado, M. L. D., y Galindo-Soto, J. A. (2019). Spirituality and religiosity for the transcendence of the elderly being. Revista Brasileira de Enfermagem, 72(suppl 2), 259-265. https://doi.org/10.1590/0034-7167-2018-0840 DOI: https://doi.org/10.1590/0034-7167-2018-0840

Guimarães, M. E. A., Derhon, V., Signori, L. U., Seiffer, B. A., Wolf, S., y Schuch, F. B. (2024). Acute and chronic effects of physical exercise in inflammatory biomarkers in people with depression: A systematic review with meta-analysis. Journal of Psychiatric Research, 179, 26-32. https://doi.org/10.1016/j.jpsychires.2024.08.025 DOI: https://doi.org/10.1016/j.jpsychires.2024.08.025

Hernández-Sampieri, D. R. (2018). METODOLOGÍA DE LA INVESTIGACIÓN: LAS RUTAS CUANTITATIVA, CUALITATIVA Y MIXTA.

Huchim Aguilar, D., y Reyes Chávez, R. (2013). La investigación biográfico-narrativa, una alternativa para el estudio de los docentes. Actualidades Investigativas en Educación, 13(3), 392-419. DOI: https://doi.org/10.15517/aie.v13i3.12026

Janiri, D., Doucet, G. E., Pompili, M., Sani, G., Luna, B., Brent, D. A., y Frangou, S. (2020). Risk and protective factors for childhood suicidality: A US population-based study. The Lancet Psychiatry, 7(4), 317-326. https://doi.org/10.1016/S2215-0366(20)30049-3 DOI: https://doi.org/10.1016/S2215-0366(20)30049-3

Molina Linares, I. I., Mora Marcial, G. R., Carvajal Herrera, A., Marrero Salazar, M., García Triana, G., Molina Linares, I. I., Mora Marcial, G. R., Carvajal Herrera, A., Marrero Salazar, M., y García Triana, G. (2020). Factores de riesgo asociados a la conducta suicida en el adulto mayor. Medicentro Electrónica, 24(1), 54-67.

Moral, J., y Ortega, M.-E. (2009). Representación social de la sexualidad y actitudes en estudiantes universitarios mexicanos. International Journal of Social Psychology, 24(1), 65-79. https://doi.org/10.1174/021347409786922998 DOI: https://doi.org/10.1174/021347409786922998

Nielassoff, E., Le Floch, M., Avril, C., Gohier, B., Duverger, P., y Riquin, E. (2023). Protective factors of suicidal behaviors in children and adolescents/young adults: A literature review. Archives de Pédiatrie, 30(8), 607-616. https://doi.org/10.1016/j.arcped.2023.07.006 DOI: https://doi.org/10.1016/j.arcped.2023.07.006

Núñez, L. S. (2019). L’entrevista i la història de vida. (Primera). https://openaccess.uoc.edu/server/api/core/bitstreams/ef37ffc3-eadc-4cef-94cc-e68ef2a64998/content

Paz-Soto, P., Games-Díaz, L., y Ramírez-Santana, M. (2024). Characterization of suicidal behavior in Coquimbo, Chile, between 2018 and 2020. Medwave, 24(02), e2770-e2770. https://doi.org/10.5867/medwave.2024.02.2770 DOI: https://doi.org/10.5867/medwave.2024.02.2770

Ramírez Arango, Y. C., Flórez Jaramillo, H. M., Cardona Arango, D., Segura Cardona, Á. M., Segura Cardona, A., Muñoz Rodríguez, D. I., Lizcano Cardona, D., Morales Mesa, S. A., Arango Álzate, C., y Agudelo Cifuentes, M. C. (2020). Factores asociados con la ideación suicida del adulto mayor en tres ciudades de Colombia, 2016. Revista Colombiana de Psiquiatría, 49(3), 142-153. https://doi.org/10.1016/j.rcp.2018.09.004 DOI: https://doi.org/10.1016/j.rcp.2018.09.004

Salvo G., L., Florenzano U., R., Gómez Ch., A., Salvo G., L., Florenzano U., R., y Gómez Ch., A. (2021). Evaluación y manejo inicial de las ideas e intentos de suicidio en atención primaria. Revista médica de Chile, 149(6), 913-919. https://doi.org/10.4067/s0034-98872021000400913 DOI: https://doi.org/10.4067/s0034-98872021000400913

San Martín Petersen, C. (2008). La espiritualidad en el proceso de envejecimiento del adulto mayor. Hologramática, 8(8), 103-120. DOI: https://doi.org/10.18682/pd.v8i0.420

Sánchez-Teruel, D., Robles-Bello, M. A., y Sarhani-Robles, A. (2022). Suicidal vulnerability in older adults and the elderly: Study based on risk variables. BJPsych Open, 8(3), e77. https://doi.org/10.1192/bjo.2022.42 DOI: https://doi.org/10.1192/bjo.2022.42

Segal, D. (2025). Suicidal Ideation in Older Adults: Exploring the Role of Depression, Hopelessness, Perceived Burdensomeness, and Thwarted Belongingness. https://doi.org/10.1177/00332941251340310 DOI: https://doi.org/10.1177/00332941251340310

Tello-Zuluaga, J. (2023). Historia y desarrollo de la investigación sobre las actitudes humanas en la Psicología Social. Revista Sul-Americana de Psicologia, 11, 37-58. https://doi.org/10.29344/2318650X.1.3506 DOI: https://doi.org/10.29344/2318650X.1.3506

Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., y Joiner Jr., T. E. (2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575-600. https://doi.org/10.1037/a0018697 DOI: https://doi.org/10.1037/a0018697

Zhu, S., Li, X., y Wong, P. W. C. (2023). Risk and protective factors in suicidal behaviour among young people in Hong Kong: A comparison study between children and adolescents. Psychiatry Research, 321, 115059. https://doi.org/10.1016/j.psychres.2023.115059 DOI: https://doi.org/10.1016/j.psychres.2023.115059

Downloads

Published

2026-10-14