@article{ref1,
title="When life has run its course: Understanding the reasons of elder rational suicide",
journal="Psychiatria Danubina",
year="2006",
author="Sheerin, MJ",
volume="18",
number="Suppl 1",
pages="149-149",
abstract="In the United States every 90 minutes someone 65 or older commits suicide and the rate is increasing. Only a fraction (2-4%) had been chronically ill. This study, written by an elder layperson, examines the reasons for the decision and seeks a better understanding of what &quot;real&quot; people feel which sometimes differ from &quot;expert&quot; theories. The methods used involved discussions with peers, visits to nursing homes and reviewing related research. The results indicate that the motivations for elder suicides are (1) lacking reasons for living, (2) avoiding personal diminishment, and (3) dreading loss of autonomy. The decision is reinforced by fear of confinement in a nursing home, a lack of communication with physicians, often half the age of the patient, and depression. The ultimate goal is to have a &quot;dignified&quot; death. This requires correct timing and sometimes outside assistance. Elder suicide must remain an option of last resort. Presently medical and social reforms are in progress which may reverse suicidal intent. To be born was not our choice; therefore the final decision of those elderly who choose to die sooner rather than survive as a lessened other should be met with understanding and empathy.<p /> <p>Language: en</p>",
language="en",
issn="0353-5053",
doi="",
url="http://dx.doi.org/"
}