ISBN: 978-0-87101-540-2. 2019. Item #5402. 184 pages.
Suicide among the elderly occurs at a higher rate than those of other age cohorts, is more successful, and has the lowest rates of failed attempts. Gerontological practitioners must be aware of what leads to elder suicide, as the victims are unlikely to call attention to the matter themselves before they make an attempt.
Stephen Marson has spent over 40 years as a practicing social work gerontologist, studying the sociological theories for suicide intervention of elderly clients. Ultimately, Marson determined that Emile Durkheim’s theory of suicide was the perfect fit for understanding suicidal distress in the elderly. Rather than focusing on psychological diagnoses, he uses Durkheim’s theory to identify fatalistic, anomic, egoistic, and altruistic environmental circumstances that create suicide potential.
Marson addresses these four dimensions, and explores the gerontological research and social history that illustrate the evidence. He then presents various intervention strategies that will help practitioners to identify social factors (for example, age, gender, education, and marriage) that provide clues into the potentially suicidal patient and establish an intervention strategy to address suicide based on the social environment.
Chapter 1: Durkheim’s Suicide in the 21st Century 1
Chapter 2: Fatalistic Suicide 17
Chapter 3: Anomic Suicide 35
Chapter 4: Egoistic Suicide 55
Chapter 5: Altruistic Suicide 73
Chapter 6: Assessment and Measurement 89
Chapter 7: Miscellaneous, Conclusion, and Summary 105
About the Author 157
Daniel Pollack, JD, MSSA, MSW
Professor, School of Social Work
Yeshiva University, New York
"This is a novel modern development of classic theory - the text provides a set of applied social work and geriatric care practices to prevent suicide among elders; practices that are informed by experience, modern geriatric and social work practices and classical theory. Marson’s development of Durkheim’s theory provides for both identification of suicidal risk and theoretically informed intervention. The seemingly, patently individual act of suicide is a result of social phenomena - and the burgeoning geriatric population is at risk. This text provides theoretically informed methods for detection and prevention of suicide. A very well researched book perfect for social work, sociological theory, and gerontology courses; human services practitioners; and fans of Durkheim."
J. Porter Lillis, PhD
Assistant Chair and Gerontology Director
Department of Sociology and Criminal Justice
University of North Carolina at Pembroke
"Deconstructing the taboo that is suicide requires the willingness to understand, and exploration of the human psyche. Marson’s book explores practice issues that practitioners may encounter when working with elders. This easy-to-read book provides considerations when identifying and preventing suicide in a population struggling with social and physical changes. Marson highlights interventions framed by Durkheim’s suicide theory to guide readers. Case studies detail diverse life experiences that lead up to the disconsolate decision to end one’s own life. An insightful read for health care workers and human services practitioners working with this vulnerable, yet dynamic group."
Mara Hunt RN-BSN, MSW
Oncology Nurse, FirstHealth Moore Regional Hospital
"In this authoritative work, Marson tackles the silent epidemic of suicide among America’s older adults. With readable and engaging prose he explicates Durkheim’s theory of suicide, demonstrating how its application can inform both assessment and intervention with this vulnerable population. Case studies from his practice offer rich illustrations of key principles. By raising awareness and deepening our understanding of late-life suicide, this book will be valuable for anyone who works with or cares for older adults."
Amanda Barusch, PhD
Department of Sociology, Gender & Social Work
University of Otago, New Zealand