ABSTRACT
Both social disconnection and suicide are significant public health concerns
among older adults, and social disconnection is associated with greater risk for
suicide-related thoughts and behaviors in late life. We present a synthesis of
research discussed during a workshop hosted by the National Institute of Mental
Health on social disconnection and late-life suicide. Social disconnection is related
to suicide risk in late life via a variety of mechanisms, including biological,
behavioral, and psychological correlates. Researchers in several scientific fields
have begun to establish these connections and identify targets for interventions
to reduce risk in late life. While research has demonstrated that social connection
is amenable to change, there is little research to date on the most evidence-based
interventions to mitigate social disconnection or the related risks. However, there
are several promising biological, behavioral, and psychological interventions that
may target various mechanisms, as well as social disconnection itself. With a
relative paucity of research in this area, these lines of study are ripe for innovative
investigation. In order to most effectively advance the field, we must establish
more consistent definitions of social connection and disconnection; more
accurately measure and assess older adults’ social needs; examine the most
effective approaches and modalities for assessment and intervention; take into
account important contextual factors; and apply a translational, convergent
scientific approach.
Key Words
Older adults
geriatric
social connectedness
loneliness
isolation
depression