Suicide Among the Elderly in Long-Term Care Facilities
Suicide Among the Elderly in Long-Term Care Facilities

Author: Nancy Osgood

Publisher: Praeger

Published: 1991

Total Pages: 0

ISBN-13: 0313265224

DOWNLOAD EBOOK

This is the first large-scale study of suicide in a population of institutionalized older adults. From their findings, the authors identify the most at risk groups and highlight the major factors contributing to suicide in older adults in institutions. The study described in this work employed a sample survey design. More than 1000 administrators of long-term care facilities in the United States were randomly selected and surveyed about their staff and facilities, and the incidence and type of suicidal behaviors which occurred among residents in 1984 and 1985. Results of the study confirmed that suicidal behavior occurred in approximately 20 percent of the facilities who responded. High risk groups of residents included white males and the old-old (75 years and older). The survey reveals that certain environmental factors such as the size of the facility, staff turnover rate, per diem cost, and auspices (public, private, and religious) were related to the occurrence and outcome of suicidal behavior. Suggestions for suicide prevention, based on these findings, are also presented. The book is divided into three parts. Part One examines various types of long-term care facilities, including skilled nursing facilities, intermediate care facilities, and adult homes. Part Two highlights design, methodology, and findings from the national study of suicide in long-term care facilities. Case profiles of suicidal residents are included to provide a more personal account of suicide behavior, and to illustrate important factors in the older individual's decision to end her/his life. Case profiles of four institutions are also included to highlight environmental factors related to suicidal behavior. Part Three focuses on suicide prevention. Suggestions on the treatment of depression in the elderly, suicide prevention techniques, and the ethics of suicide are discussed in detail. This book makes valuable reading for professionals involved in the care of the elderly.

Suicide Among the Elderly in Long-Term Care Facilities
Suicide Among the Elderly in Long-Term Care Facilities

Author: Nancy Osgood

Publisher: Praeger

Published: 1991

Total Pages: 224

ISBN-13:

DOWNLOAD EBOOK

This is the first large-scale study of suicide in a population of institutionalized older adults. From their findings, the authors identify the most at risk groups and highlight the major factors contributing to suicide in older adults in institutions. The study described in this work employed a sample survey design. More than 1000 administrators of long-term care facilities in the United States were randomly selected and surveyed about their staff and facilities, and the incidence and type of suicidal behaviors which occurred among residents in 1984 and 1985. Results of the study confirmed that suicidal behavior occurred in approximately 20 percent of the facilities who responded. High risk groups of residents included white males and the old-old (75 years and older). The survey reveals that certain environmental factors such as the size of the facility, staff turnover rate, per diem cost, and auspices (public, private, and religious) were related to the occurrence and outcome of suicidal behavior. Suggestions for suicide prevention, based on these findings, are also presented. The book is divided into three parts. Part One examines various types of long-term care facilities, including skilled nursing facilities, intermediate care facilities, and adult homes. Part Two highlights design, methodology, and findings from the national study of suicide in long-term care facilities. Case profiles of suicidal residents are included to provide a more personal account of suicide behavior, and to illustrate important factors in the older individual's decision to end her/his life. Case profiles of four institutions are also included to highlight environmental factors related to suicidal behavior. Part Three focuses on suicide prevention. Suggestions on the treatment of depression in the elderly, suicide prevention techniques, and the ethics of suicide are discussed in detail. This book makes valuable reading for professionals involved in the care of the elderly.

Now I Lay Me Down
Now I Lay Me Down

Author: David Lester

Publisher: Charles Press Pubs(PA)

Published: 1994

Total Pages: 260

ISBN-13:

DOWNLOAD EBOOK

Suicide in the elderly : an overview / David Lester -- Symptoms and assessment of suicide in the elderly patient / Margot Tallmer -- Suicide across the life span with particular reference to the elderly / Antoon A. Leenaars -- Psychiatric treatment of the elderly suicidal patient / Bruce L. Danto and Joan M. Danto -- Individual and group therapy for the suicidal older person / Margot Tallmer -- Family therapy for the suicidal elderly / Joseph Richman -- Gender issues in counseling the suicidal elderly / Silvia Sara Canetto -- Psychiatric management of the suicidal elderly / Henry Rosenvinge -- Suicidal elders in long-term care facilities : preventive approaches and management / Nancy J. Osgood and Nancy R. Covey -- Social work and the suicidal older person / Elizabeth J. Clark -- The elderly suicide : those left behind / Rochelle Balter.??Helping the suicidal elderly : a Hungarian perspective / Bea?ta Temesva?ry -- Alternatives to suicide / Robert Kastenbaum -- Sara Teasdale : case study of a completed suicide / David Lester -- Subintentioned life-threatening behavior in the elderly : the story of Myra / Lenore S. Powell -- Assisted suicide and the elderly / David Lester.

The Neurobiological Basis of Suicide
The Neurobiological Basis of Suicide

Author: Yogesh Dwivedi

Publisher: CRC Press

Published: 2012-06-25

Total Pages: 485

ISBN-13: 143983881X

DOWNLOAD EBOOK

With recent studies using genetic, epigenetic, and other molecular and neurochemical approaches, a new era has begun in understanding pathophysiology of suicide. Emerging evidence suggests that neurobiological factors are not only critical in providing potential risk factors but also provide a promising approach to develop more effective treatment and prevention strategies. The Neurobiological Basis of Suicide discusses the most recent findings in suicide neurobiology. Psychological, psychosocial, and cultural factors are important in determining the risk factors for suicide; however, they offer weak prediction and can be of little clinical use. Interestingly, cognitive characteristics are different among depressed suicidal and depressed nonsuicidal subjects, and could be involved in the development of suicidal behavior. The characterization of the neurobiological basis of suicide is in delineating the risk factors associated with suicide. The Neurobiological Basis of Suicide focuses on how and why these neurobiological factors are crucial in the pathogenic mechanisms of suicidal behavior and how these findings can be transformed into potential therapeutic applications.

Retooling for an Aging America
Retooling for an Aging America

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2008-08-27

Total Pages: 316

ISBN-13: 0309131952

DOWNLOAD EBOOK

As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.

Suicide in Older Adults in Long - Term Care
Suicide in Older Adults in Long - Term Care

Author: Briana Mezuk

Publisher:

Published: 2008

Total Pages: 5

ISBN-13:

DOWNLOAD EBOOK

OBJECTIVES: To describe the characteristics associated with suicide in older persons residing in long-term care (LTC) facilities, to compare the characteristics of suicide cases in LTC with those of cases in the community, and to evaluate trends in suicide in these settings over the past 15 years. SETTING: The New York City (NYC) Office of the Chief Medical Examiner (OCME). PARTICIPANTS: Suicide deaths in NYC from 1990 to 2005. MEASUREMENTS: Location and method of suicide death reported by OCME. METHODS: Suicides in older persons in LTC and community-dwelling older adults were compared in terms of demographic characteristics and method used. Trends in suicide rate ratios (RRs) were examined using zero-inflated Poisson regression. RESULTS: Over the study period, there were 1,771 suicides among NYC residents aged 60 and older: 47 in LTC and 1,724 in the community. Cases in LTC tended to be older (P

The Oldest Old
The Oldest Old

Author: Richard M. Suzman

Publisher: Oxford University Press, USA

Published: 1995

Total Pages: 462

ISBN-13: 9780195097573

DOWNLOAD EBOOK

More than 2.3 million Americans are now age 85 and older, and the population total in this age group is steadily expanding. This book brings together leading researchers to review current knowledge about the demography, health, epidemiology and social status of the oldest old. From discussions of the impact of Alzheimer's disease to an examination of changing social and medical policies, this book provides much needed information about this often neglected but growing group.The special problems attendant to information gathering among the oldest old, such as interviews and research, are also addressed. Special intercultural perspectives inform chapters on "The Black Oldest Old", and "Institutional Long-term Care from an International Perspective". This is essential reading for gerontologists, public health professionals, epidemiologists, and policy makers. The book's broad scope enlarges our understanding of the current needs of the oldest old, and indicates areas of public concern.

Improving the Quality of Long-Term Care
Improving the Quality of Long-Term Care

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2001-02-27

Total Pages: 344

ISBN-13: 0309132746

DOWNLOAD EBOOK

Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.

Nurses' Social Representations about Elderly Suicidality in Long Term Care Facilities
Nurses' Social Representations about Elderly Suicidality in Long Term Care Facilities

Author: Amy L. Serna

Publisher:

Published: 2022

Total Pages: 0

ISBN-13:

DOWNLOAD EBOOK

This qualitative study was a modification of a study by Couillet et al. (2017) that explored nurses' social representations of working with suicidal elderly patients in long-term care facilities (LTCs). This study explored the social representations of nurses working with this population in LTCs. Eight nurses participated in the current study, which utilized a semi-structured interview protocol to identify common themes among participants. Four main social representations came out of the responses from participants, including (a) Suicide Risk is Lessened Through Building Relationship and Knowing Patients' Stories; (b) Nurses Have Direct and Indirect Roles to Reduce Risk of Suicide in Elderly Patients; (c) Nurses Respect the Self-Determination of Suicidal Patients; and (d) Risk of Patient Suicide Impacts the Emotional Well-Being of Nurses. Elderly individuals have higher rates of suicide completion (Shah, 2012) and those living in LTCs are not immune. Nurses are frontline caregivers to these individuals and those paying closest attention to what their patients are exhibiting, both verbally and non-verbally. Knowing the social representations nurses hold is important in understanding how their beliefs and attitudes may impact the care provided to elderly patients experiencing suicidal thoughts or intentions. Nurses in this study indicated their support for patients' decisions, while also balancing professional obligations and building relationships with their patients. They described working to intervene and prevent suicide, despite the impact it has on their well-being. Participants expressed that nurses would benefit from further support, including suicide intervention and prevention training, to be better equipped to help their patients.