TY - JOUR KW - Aged KW - Attitude to Health KW - Cross-Sectional Studies KW - Depressive Disorder/psychology KW - Humans KW - Male KW - Men/psychology KW - Middle Aged KW - Patient Participation KW - Poverty KW - Primary Health Care KW - Qualitative Research KW - Religion KW - role KW - Self Concept KW - Suicide/prevention & control KW - Counseling KW - late-life suicide KW - primary care AU - Steven Vannoy AU - Mijung Park AU - Meredith R. Maroney AU - Jurgen Unutzer AU - Ester Carolina Apesoa-Varano AU - Ladson Hinton A1 - AB - BACKGROUND: Suicide rates in older men are higher than in the general population, yet their utilization of mental health services is lower. AIMS: This study aimed to describe: (a) what primary care providers (PCPs) can do to prevent late-life suicide, and (b) older men's attitudes toward discussing suicide with a PCP. METHOD: Thematic analysis of interviews focused on depression and suicide with 77 depressed, low-socioeconomic status, older men of Mexican origin, or US-born non-Hispanic whites recruited from primary care. RESULTS: Several themes inhibiting suicide emerged: it is a problematic solution, due to religious prohibition, conflicts with self-image, the impact on others; and, lack of means/capacity. Three approaches to preventing suicide emerged: talking with them about depression, talking about the impact of their suicide on others, and encouraging them to be active. The vast majority, 98%, were open to such conversations. An unexpected theme spontaneously arose: "What prevents men from acting on suicidal thoughts?" CONCLUSION: Suicide is rarely discussed in primary care encounters in the context of depression treatment. Our study suggests that older men are likely to be open to discussing suicide with their PCP. We have identified several pragmatic approaches to assist clinicians in reducing older men's distress and preventing suicide. AD - 1 Department of Counseling and School Psychology, University of Massachusetts Boston, MA, USA.; 2 Family Health Care Nursing, University of California San Francisco, CA, USA.; 1 Department of Counseling and School Psychology, University of Massachusetts Boston, MA, USA.; 3 Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.; 4 Betty Irene Moore School of Nursing, University of California Davis, Sacramento, CA, USA.; 4 Betty Irene Moore School of Nursing, University of California Davis, Sacramento, CA, USA. BT - Crisis C5 - Education & Workforce; Healthcare Disparities CP - 5 CY - Canada DO - 10.1027/0227-5910/a000511 IS - 5 JF - Crisis LA - eng M1 - Journal Article N2 - BACKGROUND: Suicide rates in older men are higher than in the general population, yet their utilization of mental health services is lower. AIMS: This study aimed to describe: (a) what primary care providers (PCPs) can do to prevent late-life suicide, and (b) older men's attitudes toward discussing suicide with a PCP. METHOD: Thematic analysis of interviews focused on depression and suicide with 77 depressed, low-socioeconomic status, older men of Mexican origin, or US-born non-Hispanic whites recruited from primary care. RESULTS: Several themes inhibiting suicide emerged: it is a problematic solution, due to religious prohibition, conflicts with self-image, the impact on others; and, lack of means/capacity. Three approaches to preventing suicide emerged: talking with them about depression, talking about the impact of their suicide on others, and encouraging them to be active. The vast majority, 98%, were open to such conversations. An unexpected theme spontaneously arose: "What prevents men from acting on suicidal thoughts?" CONCLUSION: Suicide is rarely discussed in primary care encounters in the context of depression treatment. Our study suggests that older men are likely to be open to discussing suicide with their PCP. We have identified several pragmatic approaches to assist clinicians in reducing older men's distress and preventing suicide. PP - Canada PY - 2018 SN - 2151-2396; 0227-5910 SP - 397 EP - 405 EP - T1 - The Perspective of Older Men With Depression on Suicide and Its Prevention in Primary Care T2 - Crisis TI - The Perspective of Older Men With Depression on Suicide and Its Prevention in Primary Care U1 - Education & Workforce; Healthcare Disparities U2 - 29618265 U3 - 10.1027/0227-5910/a000511 VL - 39 VO - 2151-2396; 0227-5910 Y1 - 2018 Y2 - Sep ER -