Mustafa Atee, Claire V Burley, Victor Adekola Ojo, Agboola Jamiu Adigun, Hayoung Lee, Daniel Jake Hoyle, Olufisayo Elugbadebo, Tomas Leon
{"title":"Physical restraint in older people: an opinion from the Early Career Network of the International Psychogeriatric Association - ERRATUM.","authors":"Mustafa Atee, Claire V Burley, Victor Adekola Ojo, Agboola Jamiu Adigun, Hayoung Lee, Daniel Jake Hoyle, Olufisayo Elugbadebo, Tomas Leon","doi":"10.1017/S1041610223004465","DOIUrl":"10.1017/S1041610223004465","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"427"},"PeriodicalIF":7.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140093908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Capitalizing on psychosocial strengths in aging.","authors":"Kimberly A Van Orden","doi":"10.1017/S104161022400005X","DOIUrl":"10.1017/S104161022400005X","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"322-325"},"PeriodicalIF":4.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139512517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Community mental health services may be life-saving for middle-aged and older adults with hospital-treated intentional self-harm.","authors":"Amy Fiske","doi":"10.1017/S1041610224000528","DOIUrl":"10.1017/S1041610224000528","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"336-339"},"PeriodicalIF":4.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140184432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lisa N Sharwood, Madeleine Waller, Brian Draper, Fiona Shand
{"title":"Exploring community mental health service use following hospital-treated intentional self-harm among older Australians: a survival analysis.","authors":"Lisa N Sharwood, Madeleine Waller, Brian Draper, Fiona Shand","doi":"10.1017/S1041610223000959","DOIUrl":"10.1017/S1041610223000959","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to examine the impact of community mental health (CMH) care following index hospital-treated intentional self-harm (ISH) on all-cause mortality. A secondary aim was to describe patterns of CMH care surrounding index hospital-treated ISH.</p><p><strong>Design: </strong>A longitudinal whole-of-population record linkage study was conducted (2014-2019), with index ISH hospitalization (Emergency Department and/or hospital admissions) linked to all available hospital, deaths/cause of death, and CMH data.</p><p><strong>Setting: </strong>Australia's most populous state, New South Wales (NSW) comprised approximately 7.7 million people during the study period. CMH services are provided statewide, to assess and treat non-admitted patients, including post-discharge review.</p><p><strong>Participants: </strong>Individuals with an index hospital presentation in NSW of ISH during the study period, aged 45 years or older.</p><p><strong>Intervention: </strong>CMH care within 14 days from index, versus not.</p><p><strong>Measurements: </strong>Cox-proportionate hazards regression analysis evaluated all-cause mortality risk, adjusted for relevant covariates.</p><p><strong>Results: </strong>Totally, 24,544 persons aged 45 years or older experienced a nonfatal hospital-treated ISH diagnosis between 2014 and 2019. CMH care was received by 56% within 14 days from index. Survival analysis demonstrated this was associated with 34% lower risk of death, adjusted for age, sex, marital status, index diagnosis, and 14-day hospital readmission (HR 0.66, 95% CI 0.58, 0.74, <i>p</i> < 0.001). Older males and chronic injury conveyed significantly greater risk of death overall.</p><p><strong>Conclusions: </strong>CMH care within 14 days of index presentation for self-harm may reduce the risk of all-cause mortality. Greater effort is needed to engage older males presenting for self-harm in ongoing community mental health care.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"405-414"},"PeriodicalIF":4.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92154314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ya-Wen Chang, Morgan Buerke, Hanga Galfalvy, Katalin Szanto
{"title":"Childhood trauma is associated with early-onset but not late-onset suicidal behavior in late-life depression.","authors":"Ya-Wen Chang, Morgan Buerke, Hanga Galfalvy, Katalin Szanto","doi":"10.1017/S1041610223000662","DOIUrl":"10.1017/S1041610223000662","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the relationship between childhood traumatic experiences and early and late-onset suicidal behavior among depressed older adults.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Inpatient and outpatient psychiatric services in Pennsylvania.</p><p><strong>Participants: </strong>Our sample included 224 adults aged 50+ (M ± SD = 62.5 ± 7.4) recruited into three depressed groups: (1) 84 suicide attempters, (2) 44 suicide ideators, and (3) 58 non-suicidal comparisons, and a non-psychiatric healthy comparison group (<i>N</i> = 38).</p><p><strong>Measurements: </strong>The Childhood Trauma Questionnaire measured experiences of childhood trauma such as emotional abuse, physical abuse, emotional neglect, physical neglect, and sexual abuse.</p><p><strong>Results: </strong>Attempters were separated into early- and late-onset based on age of first attempt using a statistical algorithm that identified a cutoff age of 30 years old. Overall, we found group differences in emotional and physical abuse and neglect in both genders and sexual abuse in females, but not in males. Early-onset attempters experienced more childhood emotional abuse and neglect than late-onset attempters and were more likely to have experienced multiple forms of abuse. They also experienced more emotional abuse and neglect than all comparison groups. Consistently, early-onset attempters more often met criteria for current or lifetime PTSD relative to late-onset attempters and most comparison groups. Late-onset attempters had similar levels of childhood trauma as other depressed groups.</p><p><strong>Conclusions: </strong>Our study reaffirms that there are distinct pathways to suicidal behavior in older adults based on their age of first suicide attempt and that trauma experienced in childhood has long-lasting emotional and behavioral consequences, even into late life.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"371-384"},"PeriodicalIF":7.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10166657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The value of a longer life cut short by suicide: Something to YELL about.","authors":"Yeates Conwell","doi":"10.1017/S1041610223004428","DOIUrl":"https://doi.org/10.1017/S1041610223004428","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":"36 5","pages":"343-345"},"PeriodicalIF":7.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Community gender norms, mental health, and suicide ideation and attempts among older Japanese adults: a cross-sectional study.","authors":"Mariko Kanamori, Andrew Stickley, Kosuke Takemura, Yumiko Kobayashi, Mayumi Oka, Toshiyuki Ojima, Katsunori Kondo, Naoki Kondo","doi":"10.1017/S104161022300087X","DOIUrl":"10.1017/S104161022300087X","url":null,"abstract":"<p><strong>Objectives: </strong>Gender norms embedded in communities may restrict opportunities and harm the mental health of older adults, yet this phenomenon has received little attention. This study investigates the connection between older adults' perceptions of community gender norms and mental health and suicide-related outcomes.</p><p><strong>Design: </strong>Cross-sectional.</p><p><strong>Setting: </strong>This study analyzed data from the 2019 wave of the Japan Gerontological Evaluation Study.</p><p><strong>Participants: </strong>In total, 25,937 participants aged 65 years or older in 61 municipalities.</p><p><strong>Measurements: </strong>Perceptions of community gender norms were assessed by the respondents' perceptions of the gender-differentiating language used by those around them such as \"You should/should not do XXX, because you are a man/woman.\"</p><p><strong>Results: </strong>The prevalence of all mental health outcomes was higher among both men and women who perceived community gender norms as restrictive. These associations remained in fully adjusted multivariable analyses. Prevalence ratios for men were 1.36 [95% confidence interval: 1.13, 1.65] for psychological resistance to obtaining help, 1.85 [1.54, 2.23] for depressive symptoms, 1.99 [1.34, 2.96] for suicidal ideation, and 2.15 [1.21, 3.80] for suicide attempts. The corresponding figures for women were 1.39 [1.17, 1.65], 1.80 [1.55, 2.10], 2.13 [1.65, 2.74], 2.62 [1.78, 3.87]. There was a more pronounced association between perceiving community gender norms as restrictive and depressive symptoms and suicidal behaviors among those with nonconventional gender role attitudes compared to those with conventional attitudes.</p><p><strong>Conclusions: </strong>Considering the effects of community gender norms, in addition to individual gender role attitudes, may be critical in designing effective public health interventions for improving mental health.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"385-395"},"PeriodicalIF":4.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71481481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Identifying the influences of aging, generations, and cohorts on gender norms and suicide risk in late life.","authors":"Julie Lutz, Sherry A Beaudreau, Eve A Rosenfeld","doi":"10.1017/S1041610223004441","DOIUrl":"10.1017/S1041610223004441","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"329-331"},"PeriodicalIF":4.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138803595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Risks of suicidal behavior among individuals diagnosed with dementia.","authors":"Annette Erlangsen","doi":"10.1017/S1041610224000103","DOIUrl":"10.1017/S1041610224000103","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"340-342"},"PeriodicalIF":4.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139512524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M Isabela Troya, Eve Griffin, Ella Arensman, Eugene Cassidy, Faraz Mughal, Caoimhe Ni Lonergan, James O'Mahony, Sally Lovejoy, Mark Ward, Paul Corcoran
{"title":"Hospital-presenting self-harm among older adults living in Ireland: a 13-year trend analysis from the National Self-Harm Registry Ireland.","authors":"M Isabela Troya, Eve Griffin, Ella Arensman, Eugene Cassidy, Faraz Mughal, Caoimhe Ni Lonergan, James O'Mahony, Sally Lovejoy, Mark Ward, Paul Corcoran","doi":"10.1017/S1041610223000856","DOIUrl":"10.1017/S1041610223000856","url":null,"abstract":"<p><strong>Objectives: </strong>To examine trends in rates of self-harm among emergency department (ED) presenting older adults in Ireland over a 13-year period.</p><p><strong>Design: </strong>Population-based study using data from the National Self-Harm Registry Ireland.</p><p><strong>Setting: </strong>National hospital EDs.</p><p><strong>Participants: </strong>Older adults aged 60 years and over presenting with self-harm to hospital EDs in Ireland between January 1, 2007 and December 31, 2019.</p><p><strong>Measurements: </strong>ED self-harm presentations.</p><p><strong>Results: </strong>Between 2007 and 2019, there were 6931 presentations of self-harm in older adults. The average annual self-harm rate was 57.8 per 100,000 among older adults aged 60 years and over. Female rates were 1.1 times higher compared to their male counterparts (61.4 vs 53.9 per 100,000). Throughout the study time frame, females aged 60-69 years had the highest rates (88.1 per 100,000), while females aged 80 years and over had the lowest rates (18.7 per 100,000). Intentional drug overdose was the most commonly used method (75.5%), and alcohol was involved in 30.3% of presentations. Between the austerity and recession years (2007-2012), self-harm presentations were 7% higher compared to 2013-2019 (incidence rate ratio (IRR): 1.07 95% CI 1.02-1.13, <i>p</i> = 0.01).</p><p><strong>Conclusions: </strong>Findings indicate that self-harm in older adults remains a concern with approximately 533 presentations per year in Ireland. While in younger age groups, females report higher rates of self-harm, this gender difference was reversed in the oldest age group (80 years and over), with higher rates of self-harm among males. Austerity/recession years (2007-2012) had significantly higher rates of self-harm compared to subsequent years.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"396-404"},"PeriodicalIF":7.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41235221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}