Deliberate self-harm in older people revisited

Lamprecht, H. C.; Pakrasi, Sanjeet; Gash, Amanda; Swann, Alan

doi:10.1002/gps.1404

Cited by 29 publications

(35 citation statements)

References 17 publications

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“…Whilst living with family is normally thought as a protective factor for mental illness, 60% of those patients who presented were living with family. This shows that marriage is not a protective factor in the prevention of the DSH in the elderly group and that correlates to the documented evidence in the professional literature that marriage may no longer be a protective factor in prevention of DSH among older men [8]. …”

Section: Discussionsupporting

confidence: 80%

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Deliberate Self-Harm and the Elderly: A Volatile Combination—An Overview from the Plastic Surgery Perspective

Packer

Hussain

Shah

et al. 2012

Plastic Surgery International

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Aims. To study the factors associated with the DSH in the elderly group of 60 years and above and to recommend changes to be implemented in order to improve the management in this specific group. Materials and Methods. Five-year retrospective study was undertaken from July 2005 to July 2010 in the Plastic Surgery Department of the Royal Preston Hospital, NHS Trust. A Performa was designed to collect data about the inpatient admission and included certain areas of key information. The case notes for all patients were extensively analysed in order to gather adequate information for the devised Performa. Results. DSH is getting more common in the elderly group, and males are more affected than females. 60% of the patients had a previous history of DSH. A large number (80%) of patients had a previous history of mental illness. 60% of those DSH patients were living with family. Almost all patients (90%) were reviewed by the Psychiatry Liaison Team. The timing of patients being assessed was highly variable. Conclusions. Marriage is not a protective factor in the prevention of the DSH in the elderly group. A mental health team referral in the early phases of the management would be of huge benefit and a likely step to prevent possible future admissions. The Department would benefit from the creation of a protocol for the management of these patients. There should be a joint effort of the professionals in the management of DSH in the elderly, and GPs play a very important role in the prevention of DSH in the later life.

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Section: Discussionsupporting

confidence: 80%

“…Fewer than 10% of the patients gave a history of earlier self-harm [7]. Marriage may no longer be a protective factor in prevention of DSH among older men [8]. GPs may have an important role to play in prevention of DSH in later life [8].…”

Section: Introductionmentioning

confidence: 99%

Deliberate Self-Harm and the Elderly: A Volatile Combination—An Overview from the Plastic Surgery Perspective

Packer

Hussain

Shah

et al. 2012

Plastic Surgery International

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“…Other problems included a mood disorder, self-harm, capacity assessment, anxiety and assessment of placement, and compares similarly with other surveys (Rao, 2001;Ashaye et al, 2006). The rate of self-harm (4%) was comparable with that in other services (Gash et al, 2005). Over half of those referred were already prescribed psychotropic medications which tended to be antidepressants.…”

Section: Resultssupporting

confidence: 55%

Nurse-led liaison psychiatry service for older adults: service evaluation

Anderson¹,

Cattell²,

Bentley³

2008

Psychiatr. bull.

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Aims and MethodTo comprehensively describe a nurse-led consultation liaison service for older adults by retrospectively reviewing all referrals received in 2006 and comparing them against other services and benchmark reports.ResultsOf the 298 individuals referred to psychiatric services from other hospital wards, 120 were aged 85–94 years old (40%), 193 were male (65%) and 152 were referred from geriatrics (51%). A majority of 204 have not had previous contact with psychiatric services (69%). the most common diagnosis was dementia (33%, n=88), with 27% individuals (n=65) being referred onwards to secondary care.Clinical ImplicationsThis nurse-led service, using a novel approach of a support worker providing further community support, functions well compared with traditional consultation models. It helps identify many individuals with dementia and engages them into community psychiatric services.

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“…A média de idade para os idosos foi 72,5 anos e para as idosas, 75,3 anos. Dezenove dos 34 idosos eram casados em comparação com 13 das 48 idosas (Lamprecht, Pakrasi, Gash & Swann, 2005). Em relação às características do comportamento de automutilação entre os idosos observam-se que 37%apre-sentavam história anterior de automutilação deliberada, em 93% dos episódios a overdose de comprimidos foi o método de escolha, 25% estavam sob cuidados de serviços psiquiátricos na época do episódio, 32% teve contato anterior com serviços psiquiátricos e58% viu seu médico clínico geral dentro de 4 semanas antes do episódio.…”

Section: Automutilação Deliberada Na População Adultaunclassified

“…Em relação às características do comportamento de automutilação entre os idosos observam-se que 37%apre-sentavam história anterior de automutilação deliberada, em 93% dos episódios a overdose de comprimidos foi o método de escolha, 25% estavam sob cuidados de serviços psiquiátricos na época do episódio, 32% teve contato anterior com serviços psiquiátricos e58% viu seu médico clínico geral dentro de 4 semanas antes do episódio. Ainda se observa que 37% tiveram depressão maior no momento da automutilação deliberada, 40% sofria de uma doença debilitante, 10% apresentavam dependência alcoólica (Lamprecht et al, 2005).…”

Section: Automutilação Deliberada Na População Adultaunclassified

Comportamento autolesivo ao longo do ciclo vital: Revisão integrativa da literatura

Silva

Botti

2017

RPESM

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Deliberate self-harm in older people revisited

Cited by 29 publications

References 17 publications

Deliberate Self-Harm and the Elderly: A Volatile Combination—An Overview from the Plastic Surgery Perspective

Deliberate Self-Harm and the Elderly: A Volatile Combination—An Overview from the Plastic Surgery Perspective

Nurse-led liaison psychiatry service for older adults: service evaluation

Comportamento autolesivo ao longo do ciclo vital: Revisão integrativa da literatura

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