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To end life or to save life: ageism moderates the effect of message framing on attitudes towards older adults’ suicide

Published online by Cambridge University Press:  21 April 2016

Eyal Gamliel*
Affiliation:
Behavioral Sciences Department, Ruppin Academic Center, Emek Hefer, Israel
Yossi Levi-Belz
Affiliation:
Head of Behavioral Sciences Department, Ruppin Academic Center, Emek Hefer, Israel
*
Correspondence should be addressed to: Eyal Gamliel, Ruppin Academic Center, Emek Hefer, 4025000, Israel. Phone: +972-9-8983027; Fax: +972-9-8981317. Email: eyalg@ruppin.ac.il.

Abstract

Background:

Global suicide rates among older adults are very high. Public attitudes towards older adults’ suicide may affect older adults upon their contemplating such an act. Previous research has demonstrated that message framing affects persons’ judgments and decision making. Thus, message framing may have particular significance in the context of attitudes towards end-of-life phenomena, such as physician-aided suicide. This study examined the possible role of ageism in moderating the effect of message framing on attitudes towards older adults’ suicide.

Methods:

Two studies examined the association between ageism and attitudes towards older adults’ suicide. Study 1 assessed both variables by self-administered questionnaires; Study 2 further examined these variables, incorporating participants’ responses to a suicide-related vignette, and evaluating the possible effect of message framing, using a between-participants design.

Results:

High-ageism participants expressed greater acceptance for older adults’ suicide, whereas low-ageism participants expressed a less permissive approach to it (Study 1). In addition, ageism moderated the effect of message framing on attitudes towards older adults’ suicide: High-ageism participants revealed a more permissive attitude towards older adults’ suicide when the issue was presented in positive terms of not prolonging life, relative to a negative presentation of ending life; a similar effect was not found for low-ageism participants (Study 2).

Conclusions:

The moderating effect of ageism on attitudes towards older adults’ suicide has both theoretical and practical implications. We discuss these implications with respect to suicide prevention among older adults, and suggest future research.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2016 

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References

Abrams, D., Russel, P. S., Vauclair, M. and Swift, H. (2011). Ageism in Europe: Findings from the European Social Survey. London: AgeUK [Internet]. [cited 2016 Feb 21] Available from: http://www.ageuk.org.uk/documents/en-gb/for-professionals/international/ageism_across_europe_report.pdf.Google Scholar
Allen, J. O. (in press). Ageism as a risk factor for chronic disease. The Gerontologist, Advance online publication. doi:10.1093/geront/gnu158 Google Scholar
Arnautovska, U. and Grad, O. T. (2010). Attitudes toward suicide in the adolescent population. Crisis, 31, 2229.Google Scholar
Bevacqua, F. and Kurpius, S. E. R. (2013). Counseling students’ personal values and attitudes toward euthanasia. Journal of Mental Health Counseling, 35, 172188.Google Scholar
Bodner, E., Bergman, Y. S. and Cohen-Fridel, S. (2012). Different dimensions of ageist attitudes among men and women: a multigenerational perspective. International Psychogeriatrics, 24, 895901.Google Scholar
Braithwaite, V. (2002). Reducing ageism. In Nelson, T. D., (ed.), Ageism: Stereotyping and Prejudice Against Older Persons (pp. 311337). Cambridge: MIT press.CrossRefGoogle Scholar
Butler, R. N. (1975). Why Survive? Being Old in America. New York: Harper & Row.Google Scholar
CDC. (2014). WISQARS [Online]. National Center for Injury Prevention and Control, CDC (producer) [Internet; cited 2015 Dec 26] Available from: http://www.cdc.gov/violenceprevention/suicide/statistics/index.html.Google Scholar
Cuddy, A. J. C., Norton, M. I. and Fiske, S. T. (2005). This old stereotype: the pervasiveness and persistence of the elderly stereotype. The Journal of Social Issues, 61, 265285.Google Scholar
Dardis, F. E. and Shen, F. (2008). The influence of evidence type and product involvement on message-framing effects in advertising. Journal of Consumer Behaviour, 7, 222238.Google Scholar
Duberstein, P. R. and Heisel, M. J. (2014). Person-centered prevention of suicide among older adults. In Nock, M. K. (ed.), The Oxford Handbook of Suicide and Self-Injury (pp. 113132). New York: Oxford University Press.Google Scholar
Durkheim, E. (1951). Suicide: A Study in Sociology [1897]. Translated by Spaulding, J. A. and Simpson, G.. Glencoe, Illinois: The Free Press.Google Scholar
Fraboni, M., Saltstone, R. and Hughes, S. (1990). The Fraboni scale of ageism (FSA): an attempt at a more precise measure of ageism. Canadian Journal on Aging/La Revue Canadienne du Vieillissement, 9, 5666.Google Scholar
Gamliel, E. (2013). To end life or not to prolong life: the effect of message framing on attitudes toward euthanasia. Journal of Health Psychology, 18, 693703.CrossRefGoogle ScholarPubMed
Hayes, A. F. (2012). SPSS PROCESS documentation. [Internet] [cited 2016 March 8]. Available from: http://www.processmacro.org/.Google Scholar
Israeli Ministry of Health. (2014). Suicidality in Israel [Internet]. [cited 2016 Feb 29]. Available from: https://www.health.gov.il/publicationsfiles/loss_2014.pdf.Google Scholar
Kodaka, M., Poštuvan, V., Inagaki, M. and Yamada, M. (2011). A systematic review of scales that measure attitudes toward suicide. International Journal of Social Psychiatry, 57, 338361.CrossRefGoogle ScholarPubMed
LeBoeuf, R. A. and Shafir, E. (2003). Deep thoughts and shallow frames: on the susceptibility to framing effects. Journal of Behavioral Decision Making, 16, 7792.Google Scholar
Levin, I. P., Schneider, S. L. and Gaeth, G. J. (1998). All frames are not created equal: a typology and critical analysis of framing effects. Organizational Behavior and Human Decision Processes, 76, 149188.Google Scholar
Levy, B. R. and Banaji, M. R. (2004). Implicit ageism. In Nelson, T. D. (ed.), Ageism: Stereotyping and Prejudice Against Older Persons (pp. 4975). Cambridge: The MIT Press.Google Scholar
Nock, M. K., Borges, G. and Ono, Y. (2012). Suicide: Global Perspectives from the WHO World Mental Health Surveys. Cambridge, UK: Cambridge University Press.Google Scholar
North, M. S. and Fiske, S. T. (2012). An inconvenienced youth? ageism and its potential intergenerational roots. Psychological Bulletin, 138, 982997.Google Scholar
Petty, R. E. and Cacioppo, J. T. (1986). The elaboration likelihood model of persuasion. In Berkowitz, L. (Ed.), Advances in Experimental Social Psychology (vol. 19) (pp. 123205). New York: Academic Press.Google Scholar
Renberg, E. S. and Jacobsson, L. (2003). Development of a questionnaire on attitudes towards suicide (ATTS) and its application in a Swedish population. Suicide and Life-Threatening Behavior, 33, 5264.CrossRefGoogle Scholar
Schwarz, N. (2012). Feelings-as-information theory. In Van Lange Kruglanski, P. A. M. and Higgins, E. T. (eds.), Handbook of Theories of Social Psychology (pp. 289308). Thousand Oaks, CA: Sage.CrossRefGoogle Scholar
Stillion, J. M., White, H., Edwards, P. J. and McDowell, E. E. (1989). Ageism and sexism in suicide attitudes. Death Studies, 13, 247261.Google Scholar
Tversky, A. and Kahneman, D. (1981). The framing of decisions and the psychology of choice. Science, 211, 453458.CrossRefGoogle ScholarPubMed
Vitman, A., Iecovich, E. and Alfasi, N. (2014). Ageism and social integration of older adults in their neighborhoods in Israel. The Gerontologist, 54, 177189.Google Scholar
Yeh, S. C. J. and Lo, S. K. (2004). Living alone, social support, and feeling lonely among the elderly. Social Behavior and Personality: an International Journal, 32, 129138.Google Scholar
Yuryev, A. et al. (2010). Social inclusion affects elderly suicide mortality. International Psychogeriatrics, 22, 13371343.Google Scholar