Completed suicide among nursing home residents: a systematic review

Murphy, Briony; Bugeja, Lyndal; Pilgrim, Jennifer L.; Ibrahim, Joseph E.

doi:10.1002/gps.4299

Cited by 39 publications

(50 citation statements)

References 37 publications

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“…For example, this research found 50% of residents who died from suicide had resided in the nursing home for less than 12 months. This is consistent with the aggregate results from a recent systematic review, despite earlier mixed findings . Furthermore, over one‐third of residents in this study had previously attempted suicide.…”

Section: Discussionsupporting

confidence: 92%

“…Prevention efforts may be better focused on improving the overall atmosphere and conditions of the nursing home to improve residents' quality of life . Location and time of suicides in nursing homes have not previously been described but have implications for nursing home policy and procedures. A large proportion of suicides occurred in the resident's bedroom and in the afternoon or evening hours, and 1 quarter of residents died from suicide while on day leave or extended leave away from the nursing home.…”

Section: Discussionmentioning

confidence: 99%

“…There is currently a paucity of research investigating suicide among nursing home residents . Existing research is mostly from the US and limited to identifying individual risk factors (such as depression; physical health decline; admission to the nursing home in the last 12 months), and describing the most common methods of suicide; hanging or fall from height .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Suicide among nursing home residents in Australia: A national population‐based retrospective analysis of medico‐legal death investigation information

Murphy

Bugeja

Pilgrim

et al. 2018

Int J Geriat Psychiatry

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Suicide among nursing home residents in Australia: A national population‐based retrospective analysis of medico‐legal death investigation information

Murphy

Bugeja

Pilgrim

et al. 2018

Int J Geriat Psychiatry

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“…Additionally, simply moving to a nursing home has been identified as a risk factor for suicide (Murphy et al . ). Nevertheless, little is known about the suicide situation among Chinese rural institutional elderly.…”

Section: Introductionmentioning

confidence: 97%

The moderating effect of social support on the relationship between physical health and suicidal thoughts among Chinese rural elderly: A nursing home sample

Zhang

Yang

et al. 2018

Int J Mental Health Nurs

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Suicide rate is relatively high among Chinese rural elderly. While there has been some exciting work on reporting and preventing suicide among community-dwelling elderly, only a few published studies have addressed the issues of rural nursing homes in China. This study aimed to investigate the relationship among perceived social support, physical health, and suicidal thoughts of the elderly living in Chinese rural nursing homes. It also examined the moderating effects of social support on the path from physical health to suicidal thoughts of the rural institutional elderly in China. This study investigated 205 participants aged 60 years and above in Chinese rural nursing homes. Participants' suicidal thoughts, perceived social support, and physical health were assessed. This study conducted descriptive analysis, Student's t-test, and Pearson's chi-square test to test how physical health and social support predicted suicidal thoughts, as well as the moderating effects of family's, friends', and others' social support on physical health and suicidal thoughts. Both physical health and perceived social support were significantly related to suicidal thoughts. Perceived social support from family, friends, and significant others moderated the relationship between physical health and suicidal thoughts. Findings of this study suggested that increasing social support and improving physical health would be effective in both suicide prevention and intervention for the residents in Chinese rural nursing homes.

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“…Similarly, social risk factors are associated with higher rates of suicide in older men, which suggests that more aggressive screening and treatment may be required. [21][22][23] The extent to which evidence about sex and gender is integrated into clinical practice guidelines for diagnosis and management of diseases remains unknown. We conducted a systematic review to investigate the integration of sex and gender evidence into Canadian clinical practice guidelines published between 2013 and 2015 for noncommunicable health conditions.…”

mentioning

confidence: 99%

Sex and gender considerations in Canadian clinical practice guidelines: a systematic review

et al. 2017

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Background:The importance of sex and gender in the diagnosis and management of health conditions is well established, but the extent to which this evidence is integrated into clinical practice guidelines remains unknown. We aimed to determine the proportion of Canadian clinical practice guidelines that integrate evidence on sex and gender considerations. Methods:We searched the Canadian Medical Association's CPG Infobase, PubMed, all provincial/territorial websites and websites of professional organizations for English-and French-language Canadian clinical practice guidelines published between January 2013 and June 2015 on selected conditions identified as priorities by policy-makers and practitioners. Citations and text were searched electronically using keyword terms related to sex and gender. Three investigators independently analyzed and categorized the content of text-positive clinical practice guidelines based on clinical relevance for practitioners. Results:Of the 118 clinical practice guidelines that met the inclusion criteria, 79 (66.9%) were text-positive for sex and/or gender keywords; 8 (10%) of the 79 used the keywords only in relation to pregnancy. Of the remaining 71 guidelines, 25 (35%) contained sex-related diagnostic or management recommendations. An additional 5 (7%) contained recommendations for sex-specific laboratory reference values, 29 (41%) referred to differences in epidemiologic features or risk factors only, and 12 (17%) contained nonrelevant mentions of search keywords. Twenty-five (35%) of the text-positive guidelines used the terms "sex" and/or "gender" correctly. higher in women than in men, with increased risk of driving impairment. 19 Rochon and colleagues 20 discovered that, in Ontario, men with dementia who were prescribed antipsychotic drugs had significantly higher risks for hospital admission and death than did women with dementia. Similarly, social risk factors are associated with higher rates of suicide in older men, which suggests that more aggressive screening and treatment may be required. [21][22][23] The extent to which evidence about sex and gender is integrated into clinical practice guidelines for diagnosis and management of diseases remains unknown. We conducted a systematic review to investigate the integration of sex and gender evidence into Canadian clinical practice guidelines published between 2013 and 2015 for noncommunicable health conditions. Methods Data sources and inclusion criteriaProtocols for this review are posted on Open Science Framework and follow PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) reporting guidelines (www.prisma-statement.org/). The review search focused on selected health conditions identified as priorities by policymakers and practitioners [24][25][26][27][28][29][30] (Box 1). We considered only 2 cancers, lung and colorectal, because they are among the leading causes of death from cancer for both females and males, 31 and important sex and/or gender differences in prevalence, risk and screening, path...

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Completed suicide among nursing home residents: a systematic review

Abstract: There is a paucity of research describing completed suicide among nursing home residents. More large-scale research is required using standardized methods for reporting information to better understand and prevent completed suicides in this setting.

Cited by 39 publications

References 37 publications

Suicide among nursing home residents in Australia: A national population‐based retrospective analysis of medico‐legal death investigation information

Suicide among nursing home residents in Australia: A national population‐based retrospective analysis of medico‐legal death investigation information

The moderating effect of social support on the relationship between physical health and suicidal thoughts among Chinese rural elderly: A nursing home sample

Sex and gender considerations in Canadian clinical practice guidelines: a systematic review

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