Elderly people who committed suicide – their contact with the health service. What did they expect, and what did they get?

Kjølseth, Ildri; Ekeberg, Øivind; Steihaug, Sissel

doi:10.1080/13607863.2010.501056

Cited by 26 publications

(23 citation statements)

References 23 publications

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“…Older males, while at highest risk for suicide, may be particularly reluctant to initiate conversation related to suicide. 12 Getting past barriers to initiating conversation about suicide is critical but insufficient. Adapting a core element of managing chronic illness in primary care, namely longitudinal monitoring and structured follow-up, along with timely referral to specialty care may result in better patient engagement and ultimately save lives.…”

Section: Discussionmentioning

confidence: 99%

Now What Should I Do? Primary Care Physicians’ Responses to Older Adults Expressing Thoughts of Suicide

et al. 2011

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The physicians in this sample recognized and implicitly acknowledged suicide risk in their older patients, but all seemed unable to go beyond mere assessment. The absence of clearly articulated treatment plans may reflect a lack of a coherent framework for managing suicide risk, insufficient clinical skills, and availability of mental health specialty support required to address suicide risk effectively. To respond to suicide's numerous challenges to the primary care delivery system, QI strategies will require changes to physician education and may require enhancing practice support.

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Section: Discussionmentioning

confidence: 99%

Now What Should I Do? Primary Care Physicians’ Responses to Older Adults Expressing Thoughts of Suicide

et al. 2011

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“…The studies show situational and demographic factors that are not included in NANDA-I: retirement in which the elderly person loses their social identity; economic burden, in which the duty to be the provider of the family makes him feel he is failing in the task; social deprivation and loss of autonomy, situations in which the elderly person lives with their children and loses their social space; financial, psychological and interfamily violence, in which the elderly are humiliated and despised by the family (1)(2)37,39,41,43,45,48,(52)(53)55,62,67,73,(78)(79) .…”

Section: Discussionmentioning

confidence: 99%

“…More than half of the elderly who committed suicide were living alone (1)(2)(3)6,11,13,21,23,37,41,43,(48)(49)55,57,(59)(60)(61)67,79) . Feelings of solitude and lack of connectivity with the society are predictive of suicide (1,12,26,30,37,39,43,57,63,74,83) .…”

Section: Discussionmentioning

confidence: 99%

“…Feelings of solitude and lack of connectivity with the society are predictive of suicide (1,12,26,30,37,39,43,57,63,74,83) . Inadequate social support widens the horizon of helplessness and the elderly are weakened by having few friends and family they can trust (20,26,(29)(30)(31)41,45,(51)(52)(53)(67)(68)(69)73,(78)(79) . A study in New Zealand (67) showed that 27% of the suicide cases could be avoided with adequate social support.…”

Section: Discussionmentioning

confidence: 99%

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Diagnóstico de enfermagem Risco de Suicídio em idosos: revisão integrativa

Sousa

Perrelli

Botelho

2018

Rev. Gaúcha Enferm.

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Objective: To analyze the specialized literature regarding the risk factors in nursing diagnosis for suicide risks in elderly. Method: This is an integrative literature review carried out during June 2015 in the following databases with no time limit: MEDLINE, PsycINFO and CINAHL.Results: A total of 80 full papers were analyzed. It was suggested the inclusion of 23 risk factors in NANDA-I taxonomy: apathy; unrest; low self esteem; carelessness with medication; Inability to ask for help; Inability to express feelings; suicidal plan; rigidity; functional disability; visual problems; sadness; hostility; anxiety; failure; frustration; unhappiness; dishonor; frequent visits to a physician with unclear symptoms; social deprivation; social devaluation; psychological violence; Interfamilial violence; and financial violence. Conclusion:The risks for suicide presented in NANDA-I taxonomy need to be refined and adapted to the elderly reality. Furthermore, a review is also recommended for the risk factors not included in this classification.Keywords: Nursing diagnosis. Suicide. Aged. Review. RESUMOObjetivo: Analisar a literatura específica acerca dos fatores de risco do diagnóstico de enfermagem Risco de Suicídio de idosos. Método: Trata-se de uma revisão integrativa da literatura realizada em junho de 2015 nas bases de dados MEDLINE, PsycINFO e CINAHL, sem limite temporal.Resultados: Foram analisados 80 artigos. Sugere-se a inclusão de 23 fatores de risco na taxonomia da NANDA-I: apatia; agitação; baixa autoestima; descuido com a medicação; incapacidade de pedir ajuda; incapacidade de expressar sentimentos; plano suicida; rigidez; incapacidade funcional; problemas visuais; tristeza; hostilidade; ansiedade; fracasso; frustração; infelicidade; desonra; frequentes visitas a médico com sintomas vagos; privação social; desvalorização social; violência psicológica; violência intrafamiliar e violência financeira.Conclusão: O risco de suicídio apresentado na taxonomia da NANDA -I necessita de refinamento e adaptação ao contexto de idosos, sobretudo para averiguação dos fatores de risco que não estão contidos na referida classificação.Palavras-chave: Diagnóstico de enfermagem. Suicídio. Idoso. Revisão. RESUMENObjetivo: Analizar la literatura específica acerca de los factores de riesgo en el diagnóstico de enfermería sobre los riesgos de suicidio en ancianos.Método: Revisión completa en la literatura, realizada en junio del 2015, sobre la base de datos MEDLINE, PsycINFO y CINAHL, sin límite de tiempo.Resultados: Se analizaron 80 artículos. Se sugiere la introducción de 23 factores de riesgo en la Taxonomía de NANDA-I: apatía, agitación, autoestima baja, descuido con la medicación, incapacidad de pedir ayuda, incapacidad de expresar sentimientos, pensamientos suicidas, incapacidad funcional, problemas visuales, tristeza, hostilidad, ansiedad, fracaso, frustración, infelicidad, deshonor, visitas frecuentes al médico con síntomas vagos, comportamientos antisociales, violencia psicológica, actitudes violentas dentro del seno fam...

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“…Fourth, some diseases, such as arthritis or COPD, may be associated with chronic pain that has been linked to suicide [58]. Finally, functional decline may lead to increased dependence on help and feelings of perceived burdensomeness and disconnectedness from ones social network, which in turn have been suggested as contributing factors for senior suicide [34,35,59]. Findings linking diseases, such as cataracts and spinal fractures, to elevated suicide risks could indicate that disability after the onset of physical disease might confer higher suicide risks.…”

Section: Causal Mechanismsmentioning

confidence: 99%

Physical diseases as predictors of suicide in older adults: a nationwide, register-based cohort study

Erlangsen

Stenager

Conwell

2015

Soc Psychiatry Psychiatr Epidemiol

146

129

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Elderly people who committed suicide – their contact with the health service. What did they expect, and what did they get?

Cited by 26 publications

References 23 publications

Now What Should I Do? Primary Care Physicians’ Responses to Older Adults Expressing Thoughts of Suicide

Now What Should I Do? Primary Care Physicians’ Responses to Older Adults Expressing Thoughts of Suicide

Diagnóstico de enfermagem Risco de Suicídio em idosos: revisão integrativa

Physical diseases as predictors of suicide in older adults: a nationwide, register-based cohort study

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