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

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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 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:

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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


Rational Suicide in the Elderly

Rational Suicide in the Elderly

Author: Robert E. McCue

Publisher: Springer

Published: 2016-10-27

Total Pages: 229

ISBN-13: 3319326724

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This book provides a comprehensive view of rational suicide in the elderly, a group that has nearly twice the rate of suicide when chronically ill than any other demographic. Its frame of reference does not endorse a single point-of-view about the legitimacy of rational suicide, which is evolving across societies with little guidance for geriatric mental health professionals. Instead, it serves as a resource for both those clinicians who agree that older people may rationally commit suicide and those who believe that this wish may require further assessment and treatment. The first chapters of the book provides an overview of rational suicide in the elderly, examining it through history and across cultures also addressing the special case of baby boomers. This book takes an ethical and philosophical look at whether suicide can truly be rational and whether the nearness of death in late-life adults means that suicide should be considered differently than in younger adults. Clinical criteria for rational suicide in the elderly are proposed in this book for the first time, as well as a guidelines for the psychosocial profile of an older adult who wants to commit rational suicide. Unlike any other book, this text examines the existential, psychological, and psychodynamic perspectives. A chapter on terminal mental illness and a consideration of suicide in that context and proposed interventions even without a diagnosable mental illness also plays a vital role in this book as these are key issues in within the question of suicide among the elderly. This book is the first to consider all preventative measures, including the spiritual as well as the psychotherapeutic, and pharmacologic. A commentary on modern society, aging, and rational suicide that ties all of these elements together, making this the ultimate guide for addressing suicide among the elderly. Rational Suicide in the Elderly is an excellent resource for all medical professionals with potentially suicidal patients, including geriatricians, geriatric and general psychiatrists, geriatric nurses, social workers, and public health officials.


Suicide in Later Life

Suicide in Later Life

Author: Nancy J. Osgood

Publisher: Lexington Books

Published: 1992

Total Pages: 206

ISBN-13: 9780669212143

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For many, the "golden years" are so tarnished they long for an ending. All too often, those who are closest to the elderly miss the warning signs. Here Nancy Osgood describes the symptoms to watch for and addresses the question of how we as a nation can change our attitudes and behavior toward the elderly and take steps to help reduce their risk of suicide.


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:

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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

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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.


Social Isolation and Loneliness in Older Adults

Social Isolation and Loneliness in Older Adults

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2020-05-14

Total Pages: 317

ISBN-13: 0309671035

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Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.