Deliberate self‐harm in the elderly

@article{Pierce1987DeliberateSI,
  title={Deliberate self‐harm in the elderly},
  author={D W Pierce},
  journal={International Journal of Geriatric Psychiatry},
  year={1987},
  volume={2}
}
  • D. Pierce
  • Published 1 April 1987
  • Psychology
  • International Journal of Geriatric Psychiatry
This article reviews 145 patients over the age of 65 years seen at a district general hospital after deliberate self‐harm between 1973 and 1985. There was no significant change in the numbers seen per year, and they comprised 5.4% of all the hospital's self‐harm cases. The male to female ratio was 1:1·5 although the self‐harm rates for males and females over 65 in the local population were identical. Fifty‐five per cent widowed, over 90% of the patients had depressive conditions, only 3% had an… 
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TLDR
The aim of this paper is to update the evidence on attempted suicide in old age in the 10 years between 1985 and 1994 and to summarise the advances in the authors' understanding of DSH in later life.
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TLDR
Borderline and impulsive PD traits tended to be associated with an episode of DSH more than other personality types and should be looked for as part of any risk assessment in this population of older adults.
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TLDR
There is no evidence that older self‐harm patients were any more likely than younger patients to routinely receive either a psychosocial assessment from a member of staff with specialist mental health training, or community aftercare planning on discharge from the hospital.
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In a retrospective study of 69 elderly (65 years and over) cases of attempted suicide (deliberate self‐harm) referred for psychiatric assessment in southern Sydney, 81% of took overdoses, 64%
One hundred cases of suicide in elderly people.
  • H. Cattell, D. Jolley
  • Medicine
    The British journal of psychiatry : the journal of mental science
  • 1995
TLDR
Many elderly people who commit suicide are not in close contact with primary care services; those who are may not be prescribed appropriate treatment, and few are referred for specialist care.
Suicidal attempts by prescription drug overdose in the elderly: a study of 44 cases
TLDR
Psychosocial (especially depressive) and medical vulnerability, plus availability of prescribed drugs, were the most important determinants of suicidal behavior among these elderly attempters.
Deliberate Self-Harm and the Elderly: A Volatile Combination—An Overview from the Plastic Surgery Perspective
TLDR
A five-year retrospective study 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.
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