Mental health distress in homebound older adults: Importance of the aging network

Fullen, Matthew C.; Shannonhouse, Laura; Mize, Mary Chase; Miskis, Constantinos

doi:10.1080/13607863.2020.1758920

Cited by 8 publications

(8 citation statements)

References 19 publications

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“…Two age groups require special attention: individuals aged 70 and older, who have the highest suicide rates, and younger individuals, aged 15–29, in whom suicide is the second leading cause of death. In addition to the high suicide rates in the elderly [1], suicide attempts in this population are more often fatal, with a ratio of suicide attempts to the suicide of 4:1 [19]. This reinforces the importance of the suicidality problem in the elderly.…”

Section: Resultsmentioning

confidence: 95%

“…Finally, community integration through membership in organizations, among other things, looks crucial in the fight against suicide [10, 11]. Formal social relationships providing alternative sources of social support should be developed within society when required, for example, through home-based interventions with isolated older adults [19, 26].…”

Section: Resultsmentioning

confidence: 99%

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Social isolation and suicide risk: Literature review and perspectives

Motillon-Toudic

Walter²,

Séguin³

et al. 2022

Eur. Psychiatr.

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Background: Suicide is a major public health problem and a cause of premature mortality. With a view to prevention, a great deal of research has been devoted to the determinants of suicide, focusing mostly on individual risk factors, particularly depression. In addition to causes intrinsic to the individual, the social environment has also been widely studied, particularly social isolation. This paper examines the social dimension of suicide etiology through a review of the literature on the relationship between suicide and social isolation. Method: Medline searches via PubMed and PsycINFO were conducted. The keywords were "suicid*" AND "isolation."Results: Of the 2 684 articles initially retrieved, 46 were included in the review. Conclusion: Supported by proven theoretical foundations, mainly those developed by E. Durkheim and T.Joiner, a large majority of the articles included endorse the idea of a causal relationship between social isolation and suicide, and conversely, a protective effect of social support against suicide. Moreover, the association between suicide and social isolation is subject to variations related to age, gender, psychopathology, and specific circumstances. The social etiology of suicide has implications for intervention and future research.

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Section: Resultsmentioning

confidence: 95%

Section: Resultsmentioning

confidence: 99%

Social isolation and suicide risk: Literature review and perspectives

Motillon-Toudic

Walter²,

Séguin³

et al. 2022

Eur. Psychiatr.

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“…Enforcing isolation and introducing a heightened perception of risk of death and illness can directly exacerbate mental health problems such as anxiety, depression and cognitive decline, particularly in the more vulnerable populations such as adolescents and the elderly, as well as an increase in suicidal ideation, suicide attempts and deliberate self-harm (DSH). 11 , 12 DSH can be defined as the intentional act of non-fatal self-poisoning or self-injury, regardless of motivation. 13 , 14 The aims of this article are to ascertain whether there was a significant rise in the incidence of deliberate self-harm presentations to the ED at a level one trauma center during the lockdown period.…”

Section: Introductionmentioning

confidence: 99%

The effect of COVID-19 lockdown on the incidence of deliberate self-harm injuries presenting to the emergency room

Henry

Parthiban

Farroha

2020

Int J Psychiatry Med

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Objective The World Health Organization declared COVID-19 a pandemic on 11th March 2020. The UK government introduced strict social distancing measures on 23rd March 2020, with the country put into a full lockdown to further halt the spread of the virus. The aims of this article are to ascertain whether there was a rise in the incidence of deliberate self-harm (DSH) presentations to the emergency department at a level one trauma center associated with the introduction of lockdown measures. Method An observational study from a level one trauma center was carried out. Retrospective data from 23rd March 2020 to 1st May 2020 was collected and compared to the same time period in 2019. Data was collected from coded electronic patient records. Results Total attendances to the Emergency Department (ED) reduced from 2019 to 2020 (5198 and 3059 respectively). There was a significant increase in the total number of self-harm presentations between 2019 and 2020 (103 vs 113, p-value <0.001) as well as paracetamol, NSAID and opiate overdoses, with more cases requiring hospital admission in 2020 vs 2019. Conclusions Societal lockdown measures secondary to the COVID-19 pandemic have had a significant effect on the mental health of patients. One way this can be detected is through an increased incidence and severity of deliberate self-harm injuries presenting to the ED. These findings, in conjunction with the available, literature provide valuable implications for community and emergency physicians and psychiatrists for any future wave of disease or pandemic.

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“…In particular, older adults living alone have an inadequate support system that could buffer the impact of such losses. Social isolation resulting from a lack of a sense of belonging in a family or less frequent interactions with neighbors further thwarts their activity and emotionally intimidates older adults living alone, thus increasing their homeboundness [ 34 ]. Increased homeboundness among older adults living alone has an adverse impact on their health.…”

Section: Discussionmentioning

confidence: 99%

Effects of Social Interaction and Depression on Homeboundness in Community-Dwelling Older Adults Living Alone

Kim¹,

Jung²

2022

IJERPH

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This study examines the levels of social interaction, depression, and homeboundness, and the effects of social interaction and depression on homeboundness in community-dwelling older adults living alone. Survey data were collected from 6444 older adults aged 65 and over, living alone, who registered for individualized home care services at 42 public health centers in Gyeonggi Province. A total of 5996 participants with complete questionnaire data were included in the analysis. The mean social interaction score was 2.90 out of 6, and the mean depression score was 6.21 out of 15. The mean homeboundness score was 0.42 out of 2. A hierarchical multiple regression analysis was performed with general characteristics, health factors, social interaction, and depression to identify their effects on homeboundness. In general characteristics and health factors, homeboundness is associated with decreasing social interaction (β = 0.17, p < 0.001) and increasing depression (β = 0.25, p < 0.001) in older adults living alone. Homeboundness was severe among participants aged 80 and over (β = 0.04, p = 0.015) and those with several chronic diseases (β = 0.04, p < 0.001), falling history (β = 0.14, p < 0.001), and lack of exercise (β = −0.20, p < 0.001). Thus, interventions that target social interaction, depression, and health functions are important for this demographic.

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Mental health distress in homebound older adults: Importance of the aging network

Cited by 8 publications

References 19 publications

Social isolation and suicide risk: Literature review and perspectives

Social isolation and suicide risk: Literature review and perspectives

The effect of COVID-19 lockdown on the incidence of deliberate self-harm injuries presenting to the emergency room

Effects of Social Interaction and Depression on Homeboundness in Community-Dwelling Older Adults Living Alone

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