One hundred cases of attempted suicide in the elderly

Hepple, Jason; Quinton, C.

doi:10.1192/bjp.171.1.42

Cited by 96 publications

(122 citation statements)

References 14 publications

(6 reference statements)

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“…Suicidal ideation and pessimistic thoughts are not uncommon among acutely medically ill and continuing-care geriatric in-patients, necessitating the training of staff in these facilities in the recognition and treatment of underlying disorders (Shah et al,1998) These general findings for completed suicide have their parallel in findings from studies of elderly people who attempted suicide. Hepple & Quinton (1997), for example, found 53% of a series of 100 consecutive people who attempted suicide to be suffering from significant physical illness at index assessment following the attempt. Follow-up data revealed a mortality from natural causes of 8.6% per year, representing an increase of 1.6:1 compared with the age-and gender-matched population.…”

Section: Physical Illnessmentioning

confidence: 99%

Suicide in the elderly

Cattell¹

2000

Adv. psychiatr. treat

117

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Despite the fact that suicide and its prevention continues to be a priority area for health care in the UK, suicide in the elderly remains a neglected subject receiving little interest and research attention. The Green Paper Our Healthier Nation (Secretary of State for Health, 1998) maintained the concept of setting targets for suicide reduction originally proposed in The Health of the Nation strategy. The new target proposes that by the year 2010 the death rate from suicide and undetermined injury will be reduced by at least a further sixth (17%) from the baseline of 1996. The setting of such targets has always been a contentious issue among many psychiatrists, who have concerns that they may be used as a quality measure of psychiatric services, especially as some consider that social influences predominate over health care issues. The subsequent debate has focused on targeting specific at-risk groups, notably severely mentally ill young men, Asian women and those who deliberately harm themselves.

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Section: Physical Illnessmentioning

confidence: 99%

Suicide in the elderly

Cattell¹

2000

Adv. psychiatr. treat

117

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“…16 Outro importante complicador dos quadros depressivos é o maior risco de suicídio -depressão está claramente presente em pelo menos 50% dos casos letais de suicídio em idosos. 17 19 observaram que a prevalência de mania em indivíduos vivendo na comunidade é baixa (0,6% dos 3.258 de uma cidade canadense), e que em 95% desses casos o primeiro episódio de transtorno de humor ocorreu antes dos 26 anos de idade. Assim, a maioria dos casos de mania em idosos representam apenas uma fase de um transtorno de humor que se iniciou vários anos antes na vida do paciente.…”

Section: Método E Análise Dos Dadosunclassified

Idosos atendidos em serviço de emergência de saúde mental: características demográficas e clínicas

Almeida

1999

Rev. Bras. Psiquiatr.

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O envelhecimento populacional vem provocando um aumento contínuo no número de idosos que buscam atendimento para problemas de saúde mental. Este trabalho teve como objetivo investigar os transtornos mentais que mais freqüentemente levam o idoso a um serviço de emergência psiquiátrica. Todos os idosos atendidos entre 1o de janeiro e 31 de dezembro de 1997 no pronto-socorro de saúde mental da Santa Casa de São Paulo foram incluídos no estudo. Os diagnósticos psiquiátricos seguiram as diretrizes da CID-10. Um total de 5.434 atendimentos foram feitos durante esse período, sendo que 398 (7,3%) desses indivíduos tinham 60 ou mais anos de idade. A idade média dos idosos que procuraram o Pronto Socorro era de 68,66 (CI=67,88 a 69,43 - extremos 60 e 96 anos), e houve um excesso relativo de mulheres entre os idosos (67,3% vs 51,2%, p<0,001). Transtorno do humor foi o diagnóstico sindrômico mais comum entre os idosos (40,0%), sendo 2,24 vezes mais freqüente entre mulheres (CIodds=1,42 a 3,54). Na maior parte desses casos (78,2%) a presença de um episódio depressivo maior foi a causa da consulta. Quatorze porcento dos idosos atendidos apresentavam uma síndrome demencial como principal diagnóstico. Outros diagnósticos freqüentes foram transtornos ansiosos (15,4%) e esquizofreniformes (14,4%), alcoolismo (4,1%), e abuso de sedativos (2,6%). Cinqüenta e nove porcento dos idosos atendidos foram encaminhados para tratamento ambulatorial, enquanto 20,3% dos casos necessitaram de acompanhamento em regime de internação. Os transtornos mentais do idoso já representam uma parcela importante dos atendimentos realizados em um pronto-socorro psiquiátrico. É importante que os profissionais de saúde estejam cientes das particularidades dos quadros clínicos nessa faixa etária e tenham condições de conduzir de forma adequada o tratamento de idosos com problemas de saúde mental.

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“…Having one or more chronic conditions was also associated with wishing for death among men and women [36]. Suicide has been estimated to be a risk factor that is particularly salient in men [37]. However, Lebret et al [38] found that an elderly person who attempts suicide was most likely to be a widow suffering from social isolation, loneliness, and depression.…”

Section: Discussionmentioning

confidence: 99%

Implementation Strategies for Improving the Care of Depressed Elderly Persons—Summary of an International Workshop

Severinsson¹,

Holm²

2014

OJN

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The aim of the study was to identify the most important research priorities as well as future strategies for promoting and implementing evidence-based care of depressed elderly persons. An interdisciplinary workshop was organized using a focus group format and the transcript of the discussion was interpreted by means of the qualitative content analysis. The most important research priorities for improving the care of depressed elderly persons, implementation levels, theoretical approaches as well as possible outcomes were analysed on individual consumer, healthcare system, and policy level. A wide range of theories and methods are necessary to identify and explain implementation processes and results. Qualitative and quantitative methodologies in combination with knowledge synthesis were discussed. In addition, the need to summarize the literature in terms of specific issues was emphasized. In conclusion, the implementation strategies for improving the care of depressed elderly persons should be addressed on three levels: individual consumer, healthcare system and policy. Although some aspects of the implementation model may need to be enhanced, the fact that it includes conditions on individual level, i.e. self-management support, is of importance. The expansion and maintenance of evidence-based care generate potential for change in mental healthcare, thus improving outcomes for individual elderly patients. Areas that require further research are organization, cost and leadership. The use of mixed methods could strengthen future studies. Implementation researchers need a broad repertoire in order to plan and perform evidence-based research. To improve practice, implementation strategies should be developed in clinical and community guidelines.

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One hundred cases of attempted suicide in the elderly

Cited by 96 publications

References 14 publications

Suicide in the elderly

Suicide in the elderly

Idosos atendidos em serviço de emergência de saúde mental: características demográficas e clínicas

Implementation Strategies for Improving the Care of Depressed Elderly Persons—Summary of an International Workshop

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