Körperliche Belastung und Beziehungsprobleme

Lindner, Reinhard; Foerster, R.; Renteln-Kruse, Wolfgang von

doi:10.1007/s00391-013-0563-z

Cited by 28 publications

(12 citation statements)

References 29 publications

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“…During the clinical consultation, asking older persons about how they are getting on with managing their medicines and activities needed for their medical conditions may provide clues to these older persons’ suicidal thoughts. Low self-efficacy and feelings of helplessness in dealing with the functional impairment and self-care activities interferes with the quality of life as well as adherence to medical regimens (Bane, Hughes, & McElnay, 2006 ; Chao, Nau, Aikens, & Taylor, 2005 ; Lindner, Foerster, & von Renteln-Kruse, 2014 ).…”

Section: Discussionmentioning

confidence: 99%

A systematic review of physical illness, functional disability, and suicidal behaviour among older adults

Fässberg

Cheung

Canetto

et al. 2015

Aging & Mental Health

299

194

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Objectives: To conduct a systematic review of studies that examined associations between physical illness/functional disability and suicidal behaviour (including ideation, nonfatal and fatal suicidal behaviour) among individuals aged 65 and older. Method: Articles published through November 2014 were identified through electronic searches using the ERIC, Google Scholar, PsycINFO, PubMed, and Scopus databases. Search terms used were suicid* or death wishes or deliberate self-harm. Studies about suicidal behaviour in individuals aged 65 and older with physical illness/functional disabilities were included in the review. Results: Sixty-five articles (across 61 independent samples) met inclusion criteria. Results from 59 quantitative studies conducted in four continents suggest that suicidal behaviour is associated with functional disability and numerous specific conditions including malignant diseases, neurological disorders, pain, COPD, liver disease, male genital disorders, and arthritis/arthrosis. Six qualitative studies from three continents contextualized these findings, providing insights into the subjective experiences of suicidal individuals. Implications for interventions and future research are discussed. Conclusion: Functional disability, as well as a number of specific physical illnesses, was shown to be associated with suicidal behaviour in older adults. We need to learn more about what at-risk, physically ill patients want, and need, to inform prevention efforts for older adults.

show abstract

Section: Discussionmentioning

confidence: 99%

A systematic review of physical illness, functional disability, and suicidal behaviour among older adults

Fässberg

Cheung

Canetto

et al. 2015

Aging & Mental Health

299

194

View full text Add to dashboard Cite

show abstract

“…Future investigations may focus on examining reduction in suicidal ideation in patients with more severe suicidal ideation or at higher risk for suicide. Nevertheless, reduction in suicidal ideation, even in mild forms, is clinically important because suicidal ideation is associated with non-suicide mortality [32,33] and compromised quality of life for patients and their families [34–35] .…”

Section: Discussionmentioning

confidence: 99%

Depression and Suicidal Ideation During Two Psychosocial Treatments in Older Adults with Major Depression and Dementia

Kiosses

Rosenberg

McGovern

et al. 2015

JAD

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Background Depression is prevalent in dementia and contributes to poor outcomes for patients and their families. Antidepressants have limited efficacy in older adults with major depression and dementia and psychosocial interventions are under-investigated. Objective To examine the course and predictors of depression and suicidal ideation during 12 weeks of home-delivered Problem Adaptation Therapy (PATH) vs. Supportive Therapy for Cognitively Impaired Older Adults (ST-CI) in 39 older adults with major depression and dementia. Methods Thirty-nine older adults with major depression, mild or moderate dementia, and disability participated in an RCT that compared the efficacy of PATH versus ST-CI. Depression and suicidal ideation were assessed with Cornell Scale for Depression in Dementia (CSDD) Total Score and Suicide Item. Results PATH participants had significantly greater reduction in depression than ST-CI participants over 12 weeks of treatment. PATH participants with high social support had the greatest reduction in depression. Both treatments had comparable reduction in suicidal ideation. Conclusion PATH is more effective in reducing depression in older adults with major depression and dementia compared to ST-CI. These results are clinically significant as antidepressant medication treatments have limited efficacy in this population. Home-delivered psychosocial treatments may reduce suicidal ideation in this population.

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“…Desire to die can coexist with a simultaneous will to live [7], with both prone to change over time [1,8]. Desire to die is connected with physical and psychological distress [9] and can be the beginning of a suicidal process [10], but studies have shown that communication concerning therapeutic options may ease patient's burden, and even prevent suicides [11]. Current recommendations suggest proactively addressing desire to die [6], referencing studies which found positive effects on patients [8,12,13].…”

Section: Introductionmentioning

confidence: 99%

The desire to die in palliative care: a sequential mixed methods study to develop a semi-structured clinical approach

et al. 2020

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Background: Although desire to die of varying intensity and permanence is frequent in patients receiving palliative care, uncertainty exists concerning appropriate therapeutic responses to it. To support health professionals in dealing with patients´potential desire to die, a training program and a semi-structured clinical approach was developed. This study aimed for a revision of and consensus building on the clinical approach to support proactively addressing desire to die and routine exploration of death and dying distress. Methods: Within a sequential mixed methods design, we invited 16 palliative patients to participate in semi-structured interviews and 377 (inter-)national experts to attend a two-round Delphi process. Interviews were analyzed using qualitative content analysis and an agreement consensus for the Delphi was determined according to predefined criteria. Results: 11 (69%) patients from different settings participated in face-to-face interviews. As key issues for conversations on desire to die they pointed out the relationship between professionals and patients, the setting and support from external experts, if required. A set of 149 (40%) experts (132/89% from Germany, 17/11% from 9 other countries) evaluated ten domains of the semi-structured clinical approach. There was immediate consensus on nine domains concerning conversation design, suggestions for (self-)reflection, and further recommended action. The one domain in which consensus was not achieved until the second round was "proactively addressing desire to die". Conclusions: We have provided the first semi-structured clinical approach to identify and address desire to die and to respond therapeuticallybased on evidence, patients' views and consensus among professional experts. Trial registration: The study is registered in the German Clinical Trials Register (DRKS00012988; registration date: 27.9.2017) and in the Health Services Research Database (VfD_DEDIPOM_17_003889; registration date: 14.9.2017).

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Körperliche Belastung und Beziehungsprobleme

Abstract: Suicidal ideation should be recognised as an important psychological problem in geriatric patients with interpersonal conflicts. Specific help and training for relatives is recommended.

Cited by 28 publications

References 29 publications

A systematic review of physical illness, functional disability, and suicidal behaviour among older adults

A systematic review of physical illness, functional disability, and suicidal behaviour among older adults

Depression and Suicidal Ideation During Two Psychosocial Treatments in Older Adults with Major Depression and Dementia

The desire to die in palliative care: a sequential mixed methods study to develop a semi-structured clinical approach

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