Self-harm in older adults: systematic review

Troya, M. Isabela; Babatunde, Opeyemi; Polidano, Kay; Bartlam, Bernadette; McCloskey, Erin; Dikomitis, Lisa; Chew‐Graham, Carolyn

doi:10.1192/bjp.2019.11

Cited by 105 publications

(113 citation statements)

References 60 publications

Supporting

Mentioning

107

Contrasting

Unclassified

Order By: Relevance

“…Self‐harm is not a health condition or disorder, but rather a behaviour that an individual engages in. However, many people engaging in self‐harm report physical and mental health comorbidities, with higher comorbidities amongst older adults . Considerations of the capacity, level of involvement and unwanted added burden to patients must be taken into account when involving the public in research, but even further careful consideration should be taken with vulnerable populations such as those with self‐harm history.…”

Section: Discussionmentioning

confidence: 99%

“…However, many people engaging in self-harm report physical and mental health comorbidities, with higher comorbidities amongst older adults. 15 Considerations of the capacity, level of involvement and unwanted added burden to patients must be taken into account when involv-…”

Section: Challenges and Opportunities Of Involving Ppie In A Doctormentioning

confidence: 99%

“…As an outcome of that study, PPIE members noted the importance of investigating self‐harm in older adults. This is a population which is often overlooked, yet recent studies suggest self‐harm in older adults results in increased mortality compared to younger groups . The group contributed to developing the idea as a doctoral research proposal and funding application, resulting in the doctoral research project presented here.…”

Section: Introductionmentioning

confidence: 99%

“…Influencing factors for self‐harm in older adults (reproduced with permission from Cambridge University Press, Troya et al). + Diagram presented in layers according to internal and external factors.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Patient and Public Involvement and Engagement in a doctoral research project exploring self‐harm in older adults

Troya

Chew-Graham

Babatunde

et al. 2019

Health Expectations

Self Cite

126

View full text Add to dashboard Cite

Background The contribution of involving patients and public in health research is widely reported, particularly within mental health research. Less is written about such contributions to doctoral research. The research focus of this doctoral research, self‐harm in older adults, was put forward by a Patient Public Involvement Engagement (PPIE) group, who contributed to its development. Aims Critically reflect on the process, potential impact and identify challenges and opportunities in involving robust PPIE in a doctoral study. Methods Three PPIE members contributed to a systematic review (SR) and a qualitative study through a series of four workshops to meet the aims of the study. PPIE contributed to developing the SR review questions, protocol, data analysis and dissemination of findings. For the qualitative study, they helped develop research questions, protocol, public‐facing documentation, recruitment strategies and data analysis. Involvement followed the GRIPP2‐SF reporting checklist. Results PPIE enhanced methodological rigour, data analysis, interpretation and dissemination of findings. Challenges included lack of ethical guidance, time‐related pressures and ensuring support for PPIE members. These were successfully managed through ongoing dialogue and regular communication. Conclusions PPIE can enhance the quality and depth of doctoral research, as lived experiences shared by PPIE members add to research's components. Exposing early‐career researchers to PPIE can build research cultures sensitive to PPIE's potential contribution and develop the expertise needed to avoid tokenistic involvement. Capturing lay perspectives is essential in mental health research to ensure research findings are accessible and that findings inform clinical practice. However, clear guidance on the ethical dimensions to PPIE is needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Challenges and Opportunities Of Involving Ppie In A Doctormentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Patient and Public Involvement and Engagement in a doctoral research project exploring self‐harm in older adults

Troya

Chew-Graham

Babatunde

et al. 2019

Health Expectations

Self Cite

126

View full text Add to dashboard Cite

show abstract

“…A key risk factor for suicide in older people is psychiatric illness, especially affective disorders (Troya et al, 2019). The pandemic may result in new cases of affective disorders and create barriers to accessing treatment.…”

Section: How Covid-19 May Increase Suicide In Older Adultsmentioning

confidence: 99%

COVID-19: the implications for suicide in older adults

Wand

Zhong

Chiu

et al. 2020

Int. Psychogeriatr.

139

130

View full text Add to dashboard Cite

The characteristics, life problems and clinical management of older adults who self‐harm: Findings from the multicentre study of self‐harm in England

Patel¹,

Ness²,

Kelly³

et al. 2023

Int J Geriat Psychiatry

View full text Add to dashboard Cite

Background Older adults have a high risk of suicide following self‐harm. Contemporary information on self‐harm in this population is needed to inform care provision. Objectives To examine subgroup differences in the incidence of self‐harm, sociodemographic and clinical characteristics, preceding life problems and outcomes in individuals aged 60 years and over presenting to hospital following self‐harm. Method Data on Emergency Department (ED) presentations for self‐harm from 2003 to 2016 from three centres in the Multicentre Study of Self‐Harm in England were analysed. Changes in self‐harm rates were examined using Poisson regression. Univariable logistic regression was used to investigate factors associated with 12‐month self‐harm repetition. Results There were 3850 presentations for self‐harm by 2684 individuals aged 60 years and over. Self‐harm rates increased over time for 60–74‐year‐old men (Incident Rate Ratio = 1.04, 95% Confidence Interval 1.02–1.06, p < 0.0001). Problems most frequently reported to have preceded self‐harm were mental health (40.5%) and physical health (38.3%) concerns. Problems with alcohol, finances, employment and relationship with partner were found more frequently in 60–74‐year‐olds compared with those aged over 74 years. Physical health problems were common with increasing age, as were problems with alcohol for men. One in ten (10.8%) individuals presented to hospital with self‐harm within 12 months of their index presentation. Conclusions Self‐harm‐related ED attendances in older men have increased, particularly for men aged 60–74 years. Prevention and clinical management should involve a comprehensive psychosocial assessment to target common precipitants for the wide range of problems preceding self‐harm and may include support with physical and mental wellbeing and advice on safer alcohol use.

show abstract

Self-harm in older adults: systematic review

Cited by 105 publications

References 60 publications

Patient and Public Involvement and Engagement in a doctoral research project exploring self‐harm in older adults

Patient and Public Involvement and Engagement in a doctoral research project exploring self‐harm in older adults

COVID-19: the implications for suicide in older adults

The characteristics, life problems and clinical management of older adults who self‐harm: Findings from the multicentre study of self‐harm in England

Contact Info

Product

Resources

About