Deliberate self‐harm in older adults: a review of the literature from 1995 to 2004

Chan, Jenifer; Draper, Brian; Banerjee, Sube

doi:10.1002/gps.1739

Cited by 97 publications

(77 citation statements)

References 61 publications

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“…This may be due to the fact that attempts more often result in death among seniors, possibly due to social isolation, reduced general health, physical frailty, loneliness and depression. [33][34][35] Risk for suicide among older adults is associated with suicidal ideation or behaviour, mental illness, personality vulnerability, medical illness, losses and poor social support, functional impairment and low resiliency. Among seniors, there is particular concern regarding re cognition of intentional harm by selfpoisoning.…”

Section: Notementioning

confidence: 99%

Suicide and self-inflicted injury hospitalizations in Canada (1979 to 2014/15)

Skinner

McFaull

Draca

et al. 2016

Health Promot Chronic Dis Prev Can

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Section: Notementioning

confidence: 99%

Suicide and self-inflicted injury hospitalizations in Canada (1979 to 2014/15)

Skinner

McFaull

Draca

et al. 2016

Health Promot Chronic Dis Prev Can

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“…4 To illustrate this, there are 100-200 attempts for every one youth suicide and 4 attempts for every one older adult suicide. 5 Thus, older adult suicide attempts are much more likely to be fatal than younger adult suicide attempts. Research has identifi ed many risk factors for older adult suicide including the loss of independence, social isolation, mental illness, and decline in physical health.…”

mentioning

confidence: 99%

Unpacking Sleep and Suicide in Older Adults in a Combined Online Sample

Golding

Nadorff

Winer

et al. 2015

Journal of Clinical Sleep Medicine

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BRIEF SUMMARYCurrent Knowledge/Study Rationale: Research has shown relations between duration of insomnia symptoms/duration of nightmares and suicide risk in younger adults. However, this relation has not been examined in older adults. Study Impact: The present study found that, in older adults, nightmare duration was related to suicide risk independent of current nightmares, current symptoms of and duration of insomnia, and symptoms of anhedonia and PTSD. Nightmare duration was also related to suicide risk independent of the IPTS. Thus, nightmare duration is an important factor to be assessed when evaluating the level of suicide risk with patients.Objective: Duration of insomnia symptoms and nightmares are related to suicidal risk in young adults independent of current symptoms of insomnia, nightmares, anxiety, depression, and PTSD. However, this relation has yet to be examined among older adults, despite older adults being at higher risk of suicidal behavior. Further, the current study aims to replicate previous research among younger adults showing that insomnia symptoms and nightmares are associated with suicide risk independent of the interpersonal psychological theory of suicide (IPTS). Methods: The present study utilized 167 participants age 55 and older obtained by combining two independent mTurk data collections of adults in the United States. Results: In the current sample, duration of nightmares was associated with suicide risk in older adults independent of symptoms of current insomnia and nightmares, duration of insomnia, and symptoms of PTSD, anhedonia, and the IPTS. Conclusions: Our fi ndings suggest that the duration of nightmares (i.e., how long someone has been experiencing nightmares) predict substantial variance in suicide risk among older adults in addition to the risk factors typically examined. S uicide is a leading cause of death, yet it remains a challenge to predict and prevent. In 2012, suicide was the tenth leading cause of death in the United States, accounting for 40,600 deaths.1 Further, 2012 marks the fi rst time in history that U.S. deaths by suicide have exceeded 40,000 in a year.2 Suicide is a particularly large problem for older adults: although older adults only made up about 13.7% of the population in 2012, older adults represented 16.4% of suicides.1 Suicidal intent, which refers to the degree to which one desires to end his/her life by suicidal behavior, 3 is more common in older adults than in the rest of the population, and attempts made by older adults are more likely to be fatal. 4 To illustrate this, there are 100-200 attempts for every one youth suicide and 4 attempts for every one older adult suicide.5 Thus, older adult suicide attempts are much more likely to be fatal than younger adult suicide attempts. Research has identifi ed many risk factors for older adult suicide including the loss of independence, social isolation, mental illness, and decline in physical health. 4,[6][7][8] However, despite having identifi ed these risk factors, clinicians are still very po...

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“…3,5 In a study of worldwide data, the ratio of episodes of self harm to suicide varies greatly in different age groups. 6 In the general population there are 8-15 episodes of deliberate self harm to every suicide, whereas in the younger population there are up to 200 cases of self harm to every suicide. In the elderly the ratio is 4:1, probably due to the more lethal methods selected by elderly people, and possibly reflects the intensity of the intent of elderly people.…”

Section: Discussionmentioning

confidence: 99%

“…In the elderly the ratio is 4:1, probably due to the more lethal methods selected by elderly people, and possibly reflects the intensity of the intent of elderly people. 6 Hanging is a highly successful mode of suicide. It is estimated that 70% of attempted hangings result in death.…”

Section: Discussionmentioning

confidence: 99%

Suicide in people over 65 years of age in the Australian Capital Territory

Sturgiss¹

2009

Journal of Forensic and Legal Medicine

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Deliberate self‐harm in older adults: a review of the literature from 1995 to 2004

Cited by 97 publications

References 61 publications

Suicide and self-inflicted injury hospitalizations in Canada (1979 to 2014/15)

Suicide and self-inflicted injury hospitalizations in Canada (1979 to 2014/15)

Unpacking Sleep and Suicide in Older Adults in a Combined Online Sample

Suicide in people over 65 years of age in the Australian Capital Territory

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