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date: 18 November 2019

Abstract and Keywords

This chapter reviews the clinical risk factors for suicide in older adults and offers a person-centered approach to prevention, one that focuses less on biomedical concepts such as “disease” and more on decision-making concepts related to personologic and motivational processes, such as risk detection, treatment seeking, and treatment adherence. Person-centered approaches to primary prevention are theorized to succeed when they are perceived as posing little threat to self-determination. Person-centered approaches to secondary prevention are theorized to succeed when they are perceived as enhancing the autonomous decision making of at-risk individuals, their family members, and the individual(s) from whom help is sought. A person-centered framework could advance suicidology and complement rapidly developing research in basic and applied decision making.

Keywords: decision making, depression, humanistic, older adults, personality, prevention, public health, public policy, suicide

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