Aging with Honor: Examining Ambivalent Ageism and Interpersonal Risk-Factors for Suicide as Explanations for the Honor-Suicide Link
Published Online:November 2019https://doi.org/10.1521/jscp.2019.38.9.721
Abstract
Introduction: Prior research has demonstrated that rates of suicide are greater in more honor-oriented regions of the U.S. (particularly among White men), and that this difference in suicide rates becomes greater as men enter older adulthood. Research into the honor-suicide link has suggested explanatory factors that coincide with the interpersonal theory of suicide, such as untreated depression, heightened risk-taking, and the use of firearms in suicide.
Method: The present study exam-ined ambivalent ageism, permissive attitudes toward suicide, and interpersonal risk factors for suicide as explanations for the honor-suicide link among a sample of 201 American men in midlife and above.
Results: After controlling for participant age and religiosity, participants with greater endorsement of honor ideology but lower levels of honor fulfillment expressed heightened levels of thwarted belongingness—an established interpersonal risk factor for suicide. Additionally, lower levels of honor fulfillment predicted greater anxiety about aging, greater perceived burdensomeness, and more positive implicit attitudes toward youth. Conversely, greater levels of honor fulfillment also predicted more positive attitudes toward older adults.
Discussion: Our results extend previous research on the honor-suicide relationship by demonstrating the utility of integrating the inter-personal theory of suicide with research on cultures of honor.
REFERENCES
- (2015). Ageism as a risk factor for chronic disease. The Gerontologist, 56, 610–614. https://doi.org/10.1093/geront/gnu158 Crossref, Google Scholar
- (2016). The importance of assessing clinical phenomena in Mechanical Turk research. Psychological Assessment, 28, 684–691. https://doi.org/10.1037/pas0000217 Crossref, Google Scholar
- (2016). Ageism and depression: Perceptions of older people as a burden in China. Journal of Social Issues, 72(1), 26–46. https://doi.org/10.1111/josi.12154 Crossref, Google Scholar
- (1996). Automaticity of social behavior: Direct effects of trait construct and stereotype activation on action. Journal of Personality and Social Psychology, 71, 230–244. https://doi.org/10.1037/0022-3514.71.2.230 Crossref, Google Scholar
- (2014). My country, my self: Honor, identity, and defensive responses to national threats. Self and Identity, 13, 638–662. https://doi.org/10.1080/15298868.2014.892529 Crossref, Google Scholar
- (2012). Don't tread on me: Masculine honor ideology in the US and militant responses to terrorism. Personality and Social Psychology Bulletin, 38, 1018–1029. https://doi.org/10.1177/0146167212443383 Crossref, Google Scholar
- (2012). Living dangerously: Culture of honor, risk-taking, and the non-randomness of “accidental” deaths. Social Psychology and Personality Science, 3, 100–107. https://doi.org/10.1177/1948550611410440 Crossref, Google Scholar
- (1995). The need to belong: Desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin, 117, 497–529. https://doi.org/10.1037/0033-2909.117.3.497 Crossref, Google Scholar
- (2019). The role of ambivalent ageism in explaining the honor-suicide link. Poster presentation at the annual meeting of the Society for Personality and Social Psychology, Portland, OR. Google Scholar
- (2009). Precarious manhood and displays of physical aggression. Personality and Social Psychology Bulletin, 35, 623–634. https://doi.org/10.1177/0146167208331161 Crossref, Google Scholar
- (2016). Honor bound: How a cultural ideal has shaped the American psyche. New York: Oxford University Press. Google Scholar
- (2018). Culture, masculine honor, and violence toward women. Personality and Social Psychology Bulletin, 44(4), 538–549. https://doi.org/10.1177/0146167217744195. Crossref, Google Scholar
- (2014). Honor and the stigma of mental healthcare. Personality and Social Psychology Bulletin, 40, 1119–1131. https://doi.org/10.1177/0146167214536741 Crossref, Google Scholar
- (2014). Gun culture: Mapping a peculiar preference for firearms in the commission of suicide. Basic and Applied Social Psychology, 36, 164–175. https://doi.org/10.1080/01973533.2014.882259 Crossref, Google Scholar
- (2009). School violence and the culture of honor. Psychological Science, 20, 1400–1405. https://doi.org/10.1111/j.1467-9280.2009.02456.x Crossref, Google Scholar
- (2017). The ambivalent ageism scale: Developing and validating a scale to measure benevolent and hostile ageism. The Gerontologist, 57(2), e27–e36. https://doi.org/10.1093/geront/gnw118 Google Scholar
Center for Disease Control & Prevention . (2018). Vital signs: Suicide rising across the US. Retrieved from https://www.cdc.gov/vitalsigns/pdf/vs-0618-suicide-H.pdf Google Scholar- (2016). Conducting clinical research using crowd-sourced convenience samples. Annual Review of Clinical Psychology, 12, 53–81. https://doi.org/10.1146/annurev-clinpsy-021815-093623 Crossref, Google Scholar
- (2017). The interpersonal theory of suicide: A systematic review and meta-analysis of a decade of cross-national research. Psychological Bulletin, 143, 1313–1345. https://doi.org/10.1037/bul0000123 Crossref, Google Scholar
- (1998). Culture, social organization, and patterns of violence. Journal of Personality and Social Psychology, 75, 408–419. https://doi.org/10.1037/0022-3514.75.2.408 Crossref, Google Scholar
- (1994). Self-protection and the culture of honor: Explaining southern violence. Personality and Social Psychology Bulletin, 20, 551–567. https://doi.org/10.1177/0146167294205012 Crossref, Google Scholar
- (1996). Insult, aggression, and the southern culture of honor: An “experimental ethnography.” Journal of Personality and Social Psychology, 70, 945–960. https://doi.org/10.1037/0022-3514.70.5.945 Crossref, Google Scholar
- (2001). Honor and “faking” honorability. In Nesse R. (Ed.), Evolution and the capacity for commitment (pp. 163–185). New York: Russell Sage. Google Scholar
- (1999). “When you call me that, smile!” How norms for politeness, interaction styles, and aggression work together in southern culture. Social Psychology Quarterly, 20, 257–275. https://doi.org/10.2307/2695863 Crossref, Google Scholar
- (2014). Untreated depression predicts higher suicide rates in US honor cultures. Journal of Cross-Cultural Psychology, 45, 1145–1161. https://doi.org/10.1177/0022022114534915 Crossref, Google Scholar
- (2018). Cultural differences in shame and guilt as understandable reasons for suicide. Psychological Reports, 121, 396–429. https://doi.org/10.1177/0033294117728288 Crossref, Google Scholar
- (2005). This old stereotype: The pervasiveness and persistence of the elderly stereotype. Journal of Social Issues, 61, 267–285. https://doi.org/10.1111/j.1540-4560.2005.00405.x Crossref, Google Scholar
- (2007). G∗ Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191. https://doi.org/10.3758/BF03193146 Crossref, Google Scholar
- (1989). Albion's seed: Four British folkways in America. New York: Oxford University Press. Google Scholar
- (2016). To end life or to save life: Ageism moderates the effect of message framing on attitudes towards older adults' suicide. International Psychogeriatrics, 28, 1383–1390. https://doi.org/10.1017/S1041610216000636 Crossref, Google Scholar
- (2003). The impact of stereotype threat on age differences in memory performance. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 58, P3–P11. https://doi.org/10.1093/geronb/58.1.P3 Crossref, Google Scholar
- (2007). A bumpy train ride: A field experiment on insult, honor, and emotional reactions. Emotion, 7, 869–875. https://doi.org/10.1037/1528-3542.7.4.869 Crossref, Google Scholar
- (2015). Escaping from quixotic cultural expectations: The consequences of failing to live up to honor-culture ideals (Doctoral dissertation). Retrieved from https://shareok.org/bitstream/handle/11244/14446/2015_Imura_Mikiko_Dissertation.pdf?sequence=5 Google Scholar
- (2005). Why people die by suicide. Cambridge, MA: Harvard University Press. Google Scholar
- (1993). Measurement of aging anxiety: Development of the anxiety about aging scale. The International Journal of Aging and Human Development, 37, 247–259. https://doi.org/10.2190/1U69-9AU2-V6LH-9Y1L Crossref, Google Scholar
- (2011). Within-and between-culture variation: Individual differences and the cultural logics of honor, face, and dignity cultures. Journal of Personality and Social Psychology, 100, 507–526. https://doi.org/10.1037/a0022151 Crossref, Google Scholar
- (2000). To be or not to be: The effects of aging stereotypes on the will to live. Omega-Journal of Death and Dying, 40, 409–420. https://doi.org/10.2190/Y2GE-BVYQ-NF0E-83VR Crossref, Google Scholar
- (2009). The stereotype-matching effect: Greater influence on functioning when age stereotypes correspond to outcomes. Psychology and Aging, 24, 230–233. https://doi.org/10.1037/a0014563 Crossref, Google Scholar
- (2018). Intersectional escape: Older women elude agentic prescriptions more than older men. Personality and Social Psychology Bulletin, 45, 342–359. https://doi.org/10.1177/0146167218784895 Crossref, Google Scholar
- (2012). Analysis of the psychometric properties of the Interpersonal Needs Questionnaire (INQ) among community-dwelling older adults. Journal of Clinical Psychology, 68, 1008–1018. https://doi.org/10.1002/jclp.21877 Crossref, Google Scholar
Millisecond Software . (2017). Inquisit (Version 5.0) [Computer software]. Google Scholar- (1993). Violence and US regional culture. American Psychologist, 48, 441–449. https://doi.org/10.1037/0003-066X.48.4.441 Crossref, Google Scholar
- (1996). Culture of honor: The psychology of violence in the South. Boulder, CO: Westview Press. Google Scholar
- (2015). Modern attitudes toward older adults in the aging world: A cross-cultural meta-analysis. Psychological Bulletin, 141, 993–1021. https://doi.org/10.1037/a0039469 Crossref, Google Scholar
- (2011). Culture of honor and violence against the self. Personality and Social Psychology Bulletin, 37, 1611–1623. https://doi.org/10.1177/0146167211418529 Crossref, Google Scholar
- (2005). An inkblot for attitudes: Affect misattribution as implicit measurement. Journal of Personality and Social Psychology, 89, 277–293. https://doi.org/10.1037/0022-3514.89.3.277 Crossref, Google Scholar
- (1966). Honour and shame: The values of Mediterranean society. Chicago, IL: University of Chicago Press. Google Scholar
- (2003). Development of a questionnaire on attitudes towards suicide (ATTS) and its application in a Swedish population. Suicide and Life-Threatening Behavior, 33, 52–64. https://doi.org/10.1521/suli.33.1.52.22784 Link, Google Scholar
- (2013). Using Mechanical Turk to study clinical populations. Clinical Psychological Science, 1, 213–220. https://doi.org/10.1177/2167702612469015 Crossref, Google Scholar
- (2018). Empirical extension of the interpersonal theory of suicide: Investigating the role of interpersonal hopelessness. Psychiatry Research, 259, 427–432. https://doi.org/10.1016/j.psychres.2017.11.005 Crossref, Google Scholar
- (2003). Male honor and female fidelity: Implicit cultural scripts that perpetuate domestic violence. Journal of Personality and Social Psychology, 84, 997–1010. https://doi.org/10.1037/0022-3514.84.5.997 Crossref, Google Scholar
- (2012). Thwarted belongingness and perceived burdensomeness: Construct validity and psychometric properties of the Interpersonal Needs Questionnaire. Psychological Assessment, 24, 197–215. https://doi.org/10.1037/a0025358 Crossref, Google Scholar
- (2010). The interpersonal theory of suicide. Psychological Review, 117, 575–600. https://doi.org/10.1037/a0018697 Crossref, Google Scholar
- (2017). Permissive beliefs and attitudes about older adult suicide: a suicide enabling script? Aging & Mental Health, 21, 173–181. https://doi.org/10.1080/13607863.2015.1099609 Crossref, Google Scholar
- (2003). The Religious Commitment Inventory—10: Development, refinement, and validation of a brief scale for research and counseling. Journal of Counseling Psychology, 50, 84–96. https://doi.org/10.1037/0022-0167.50.1.84 Crossref, Google Scholar
- (2010). Social inclusion affects elderly suicide mortality. International Psychogeriatrics, 22, 1337–1343. https://doi.org/10.1017/S1041610210001614 Crossref, Google Scholar
