15 research outputs found

    Minutes of the Meeting of the Board of Directors of Fannie Mae - on the OFHEO

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    Also participating were Mr. Smith, Messrs. Levin and Weber, and Ms. Kappler of Fannie Mae, and Messrs. Brome and loffe of Cravath, Swaine Moore LLP as counsel to the non-management directors. Messrs. Williams and Duncan of Fannie Mae were present for parts of the meeting

    Reasons for Living, Hopelessness, and Suicide Ideation Among Depressed Adults 50 Years or Older

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    OBJECTIVE: Adults with mood disorders are at elevated risk for suicide. Psychological features such as hopelessness increase their risk for suicide ideation. Few studies have examined psychological constructs posited to lower risk for suicide ideation. The authors tested the hypothesis that reasons for living (RFL) are inversely related to suicide ideation. DESIGN: This report is a secondary analysis of cross-sectional data. SETTING: Participants were recruited from the clinical services of three teaching hospitals in Rochester, NY. PARTICIPANTS: The sample consisted of 125 adults 50 years or older receiving treatment for a mood disorder. MEASUREMENTS: A diagnostic interview and measures of suicide ideation, depression, hopelessness, and RFL were included in the assessment battery. Dependent variables were presence and severity of suicide ideation. Data were analyzed using multivariate logistic and linear regressions. RESULTS: Patients who reported higher levels of fear of suicide were less likely to report suicide ideation. The relationships between hopelessness and both the presence and severity of suicide ideation were stronger among those who reported greater levels of responsibility to family. CONCLUSIONS: Clinicians working with at-risk older adults are encouraged to explore their patients\u27 RFL. These cross-sectional findings point to the need for prospective research examining the associations among different RFL, hopelessness, and suicide ideation in depressed older adults

    Health Status and Suicide in the Second Half of Life

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    Objective: To examine the associations of suicide in the second half of life with medical and psychiatric illness, functional limitations, and reported use of inpatient, ambulatory, and home health care services. Method:A retrospective case-control design was used to compare 86 people over age 50 years who died by suicide with a comparison group of 86 living community participants that were individually matched on age, gender, race, and county of residence. Results: Suicide decedents had more Axis I diagnoses, including current mood and anxiety disorders, worse physical health status, and greater impairment in functional capacity. They were more likely to have required psychiatric treatment, medical, or surgical hospitalization in the last year, and visiting nurse or home health aide services. In a multivariate model, the presence of any active Axis I disorder and any impairment in instrumental activities of daily living (IADL) made independent contributions to suicide risk. Conclusions: Mental illness, physical illness, and associated functional impairments represent domains of risk for suicide in this age group. In addition to individuals with psychiatric illness, those with severe or comorbid physical illness and functional disability who require inpatient and home care services should be targeted for screening and preventive interventions

    Reasons for Living, Hopelessness, and Suicide Ideation Among Depressed Adults 50 Years or Older

    No full text
    OBJECTIVE: Adults with mood disorders are at elevated risk for suicide. Psychological features such as hopelessness increase their risk for suicide ideation. Few studies have examined psychological constructs posited to lower risk for suicide ideation. The authors tested the hypothesis that reasons for living (RFL) are inversely related to suicide ideation. DESIGN: This report is a secondary analysis of cross-sectional data. SETTING: Participants were recruited from the clinical services of three teaching hospitals in Rochester, NY. PARTICIPANTS: The sample consisted of 125 adults 50 years or older receiving treatment for a mood disorder. MEASUREMENTS: A diagnostic interview and measures of suicide ideation, depression, hopelessness, and RFL were included in the assessment battery. Dependent variables were presence and severity of suicide ideation. Data were analyzed using multivariate logistic and linear regressions. RESULTS: Patients who reported higher levels of fear of suicide were less likely to report suicide ideation. The relationships between hopelessness and both the presence and severity of suicide ideation were stronger among those who reported greater levels of responsibility to family. CONCLUSIONS: Clinicians working with at-risk older adults are encouraged to explore their patients’ RFL. These cross-sectional findings point to the need for prospective research examining the associations among different RFL, hopelessness, and suicide ideation in depressed older adults
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