Biopsychosocial Profile of Community-Dwelling Older Adults at Risk for Direct and Indirect Self-Harm.

IF 2.6 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Lisa Van Hove, Beau M Nieuwenhuijs, Steven Vanderstichelen, Nico De Witte, Ellen Gorus, Lara Stas, Imke Baetens
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引用次数: 0

Abstract

Objectives: A biopsychosocial model of self-harm risk factors in older adults was explored, distinguishing between direct and indirect self-harm.

Methods: A cross-sectional, matched pair sample was drawn from a community-dwelling sample of 625 adults aged 60 years and over, including 44 participants with and 44 without self-harm. Mean age was 68.7 years (age range = 60-91). Data were gathered using a survey composed of validated instruments and additional self-developed items.

Results: From our total sample, 8.2% had engaged in self-harm at age 60 and over. Indirect methods (e.g. substance misuse, not eating) were most common. The presence of a mental disorder, emotional loneliness, cognitive and physical frailty, and a lack of resilience were identified as potential risk factors. Those who have engaged in direct or both types of self-harm exhibit higher levels of these factors. A stepwise regression model showed that only emotional loneliness and mental disorder(s) were significantly associated with self-harm in old age.

Conclusions: Investigating self-harm (subtypes) among community-dwelling older adults is vital, especially in those with a mental disorder and emotional loneliness.

Clinical implications: Clinicians should be vigilant for self-harm in older adults, particularly for indirect methods and among those with a mental disorder and who experience emotional loneliness.

有直接和间接自我伤害风险的社区居住老年人的生物心理社会特征。
目的:探讨老年人自我伤害风险因素的生物心理社会模型,区分直接和间接的自我伤害。方法:对625名60岁及以上的社区居民进行横断面配对抽样,其中44名有自残行为,44名无自残行为。平均年龄68.7岁(60 ~ 91岁)。数据是通过一项由经过验证的仪器和额外的自行开发的项目组成的调查来收集的。结果:在我们的总样本中,8.2%的人在60岁及以上有过自残行为。间接方法(如药物滥用、不进食)最为常见。精神障碍、情感孤独、认知和身体虚弱以及缺乏适应力被认为是潜在的风险因素。那些有过直接自残或两种自残行为的人表现出更高水平的这些因素。逐步回归模型显示,只有情绪孤独和精神障碍与老年自残有显著关系。结论:调查社区老年人的自我伤害(亚型)是至关重要的,特别是那些有精神障碍和情感孤独的老年人。临床意义:临床医生应该警惕老年人的自我伤害,特别是对间接方法和那些有精神障碍和经历情感孤独的人。
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来源期刊
Clinical Gerontologist
Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY
CiteScore
6.20
自引率
25.00%
发文量
90
审稿时长
>12 weeks
期刊介绍: Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.
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