RATIONAL SUICIDE IN THE ELDERLY. CLINICAL, ETHICAL, AND SOCIOCULTURAL ASPECTS

1. Introduction (McCue)
2. Elderly suicide through history (McCue)
3. Acceptability of elderly suicide across cultures
4. Baby boomers and the wish to control life and death
5. Can suicide in the elderly be rational? (Lawrence Nelson)
6. Clinical criteria for rational suicide in the elderly
7. Who are the elderly who want to end their lives?
8. Existential issues in late-life rational suicide
9. Psychological issues in late-life rational suicide (Elissa Kolva)
10. Psychodynamic issues in late-life rational suicide (Balasubramaniam)
11. Terminal mental illness and the wish to die (Barbara Sommer)
12. The impact of spirituality on the rationality of suicide
13. The impact of psychotherapy on the rationality of suicide (Elissa Kolva)
14. The impact of psychopharmacology on the rationality of suicide (Balasubramaniam)
15. Commentary.

This book provides a comprehensive view of rational suicide in the elderly, a group that has nearly twice the rate of suicide when chronically ill than any other demographic. Its frame of reference does not endorse a single point-of-view about the legitimacy of rational suicide, which is evolving across societies with little guidance for geriatric mental health professionals. Instead, it serves as a resource for both those clinicians who agree that older people may rationally commit suicide and those who believe that this wish may require further assessment and treatment. The first chapters of the book provides an overview of rational suicide in the elderly, examining it through history and across cultures also addressing the special case of baby boomers. This book takes an ethical and philosophical look at whether suicide can truly be rational and whether the nearness of death in late-life adults means that suicide should be considered differently than in younger adults. Clinical criteria for rational suicide in the elderly are proposed in this book for the first time, as well as a guidelines for the psychosocial profile of an older adult who wants to commit rational suicide. Unlike any other book, this text examines the existential, psychological, and psychodynamic perspectives. A chapter on terminal mental illness and a consideration of suicide in that context and proposed interventions even without a diagnosable mental illness also plays a vital role in this book as these are key issues in within the question of suicide among the elderly. This book is the first to consider all preventative measures, including the spiritual as well as the psychotherapeutic, and pharmacologic. A commentary on modern society, aging, and rational suicide that ties all of these elements together, making this the ultimate guide for addressing suicide among the elderly.
Rational Suicide in the Elderly is an excellent resource for all medical professionals with potentially suicidal patients, including geriatricians, geriatric and general psychiatrists, geriatric nurses, social workers, and public health officials.

Features
• Written by experts in the field
• The first book to consider all aspects of suicide in the elderly in all contexts
• The only text that discusses a neutral approach to clinical criteria current psychopharmacological and psychodynamic guidelines for rational suicide in the elderly

Authors
• Robert E. McCue, M.D. Clinical Associate Professor of Psychiatry; Program Director, Fellowship in Geriatric Psychiatry; New York University School of Medicine
• Meera Balasubramaniam, M.D., MPH Clinical Assistant Professor of Psychiatry, New York University School of Medicine