Evidence map›Paper›PMID 40447474›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2025

Personality Profiles of Older Suicide Attempters: Cross-Sectional And Prospective Differences From Depressed Nonattempter And Nonpsychiatric Comparisons.

Anna Szücs, Meghan T Wong, Emma J O'Brien, Paulina K Pankowska, Andrea B Maier, Katalin Szanto, Hanga Galfalvy

Abstract read
In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Borderline Traits and the Simplification-Multidimensionality Tradeoff in Personality Profiling of Older Suicide Attempters: A Response to Satapathy and Zhao.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
    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

7 authors.

Anna SzücsDivision of Family Medicine (AS), Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore; Faculty of Behavioural and Movement Sciences (AS, ABM), Vrije Universiteit Amsterdam, Amsterdam, The Netherlands; Academy for Healthy Longevity (ABM), Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. Electronic address: a.szuecs@vu.nl.
Meghan T WongDepartment of Psychiatry (MTW, EJOB, KS), School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Emma J O'BrienDepartment of Psychiatry (MTW, EJOB, KS), School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA; Department of Psychology (EJOB), Louisiana State University, Baton Rouge, Louisiana, USA.
Paulina K PankowskaSociology Department (PKP), Utrecht University, Utrecht, The Netherlands.
Andrea B MaierFaculty of Behavioural and Movement Sciences (AS, ABM), Vrije Universiteit Amsterdam, Amsterdam, The Netherlands; Academy for Healthy Longevity (ABM), Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore; Healthy Longevity Translational Research Program (ABM), Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Katalin SzantoDepartment of Psychiatry (MTW, EJOB, KS), School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Hanga GalfalvyDepartment of Psychiatry (HG), Columbia University, New York, New York, USA.

Funding

Short Term Variability in Affect and Rest Activity Rhythms in Long Term Chronic and Highly Variable Suicidal Ideation in Depressed Older AdultsR01MH085651 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HANGA CSILLA GALFALVY, Swathi Gujral · 2010 to 2026
$9.6M
NIMH NIH HHS R01 MH085651
6 · The paper itself

Abstract

objectivesAssociations between personality and suicide risk in later life have been widely inconsistent, as most traits likely only define subpopulations of older attempters. This study aimed to identify prominent attempter profiles and characterize them clinically.

designExploratory study using latent profile analysis (LPA).

settingLongitudinal Research Program for Late-Life Suicide, Pittsburgh, USA.

participantsThe sample comprised 285 participants (mean age = 63.2 years, SD = 7.3), of which 109 were suicide attempters, 111 depressed nonattempters, and 65 nonpsychiatric comparisons. The personality profiles identified in attempters by LPA were compared to nonattempter groups cross-sectionally (N = 285) and at two-year follow-up (N = 171). MEASUREMENTS: The LPA employed seven personality traits: Big Five dimensions, grandiose narcissism, and need for closure (intolerance to ambiguity).

resultsThe analysis identified three profiles. "Careless labile" attempters (n = 71) scored highest on neuroticism and lower on conscientiousness than other attempters, and had more borderline traits and childhood trauma than comparisons. "Callous narcissistic" attempters (n = 25) scored highest on grandiose narcissism, and lowest on agreeableness; they had the highest planning score at their most serious attempt. "Rigid extraverted" attempters (n = 13) were characterized by higher need for closure and more extraversion than other depressed groups, and were older at their first attempt than other attempters. At two-year follow-up, rigid extraverted attempters showed more improvement of depression severity but steeper cognitive decline than most other depressed groups.

conclusionsAttempter profiles differed from each other and nonattempters on several key suicidal, clinical, and prospective health-related characteristics. If replicated, these profiles could help with earlier detection of vulnerability and person-centered suicide prevention.

Indexed as

DepressionPersonalitySuicide, AttemptedAgedCross-Sectional StudiesFemaleHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesBig fiveintolerance to ambiguitynarcissismneed for closureold agepersonalitysuicidal behaviorsuicide

Identifiers

PMID40447474
PMCPMC12281016

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.