与自杀有关的急诊科就诊老年人的社会人口学和临床特征。

IF 2.2 3区医学 Q2 GERONTOLOGY

Journal of Aging and Health Pub Date : 2024-07-20 DOI:10.1177/08982643241261094

Anja Gysin-Maillart, David Bettschen, Pascale Annaheim, Stella Brogna, Sebastian Walther, Margda Waern, Martin Müller, Aristomenis K Exadaktylos, Jolanta Klukowska-Rötzler

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引用次数: 0

摘要

目的确定年龄≥65岁、有自杀意念和/或行为的老年急诊科（ED）患者的特征：单中心回顾性病历审查分析了 392 名有自杀意念和/或行为的患者（≥65 岁）（2013-2019 年）。采用了全面的全文检索。对年龄和性别进行了分组分析：50%的病例存在抑郁障碍。值得注意的是，54%的女性接受了抗抑郁药物治疗，而男性仅为31%。大多数患者患有一般疾病（74.5%）和慢性多病（71.2%）。40.1%的患者受到社会压力的影响；35.7%的患者在就诊时酗酒。酗酒在 65-74 岁年龄组中更为常见，而≥75 岁的患者中有 20% 患有痴呆症。男性患者出院后30天的死亡率高出六倍：讨论：有自杀意念和/或行为的老年急诊患者具有典型特征。痴呆症的发病率建议对≥75岁的患者进行有针对性的护理，而老年男性出院后的死亡率则需要进一步研究。

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Sociodemographic and Clinical Characteristics of Older Adults With Suicide-Related Emergency Department Presentations.

Objectives: To identify characteristics of older adult emergency department (ED) patients aged ≥65 with suicidal ideation and/or behavior.

Methods: A single center retrospective chart review analyzed 392 patients (≥65) with suicidal ideation and/or behavior (2013-2019). Comprehensive full-text searches were used. Subgroup analyses for age and gender were conducted.

Results: Depressive disorder was documented in 50% of cases. Notably, 54% of all women were prescribed antidepressants, compared to only 31% of men. Most patients had general medical conditions (74.5%) and chronic multimorbidity (71.2%). Social stress affected 40.1%; 35.7% were intoxicated upon presentation. Alcohol abuse was more common in the 65-74 age group, while dementia impacted 20% of those ≥75. Men had a six-fold higher 30-day post-discharge mortality.

Discussion: Older ED patients with suicidal ideation and/or behavior exhibit typical characteristics. The dementia prevalence suggests tailored care for those ≥75, and the heightened post-discharge mortality rate in older men requires further research.

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来源期刊

Journal of Aging and Health Multiple-

CiteScore

5.60

自引率

3.60%

发文量

113

期刊介绍： The Journal of Aging and Health is an interdisciplinary forum for the presentation of research findings and scholarly exchange in the area of aging and health. Manuscripts are sought that deal with social and behavioral factors related to health and aging. Disciplines represented include the behavioral and social sciences, public health, epidemiology, demography, health services research, nursing, social work, medicine, and related disciplines. Although preference is given to manuscripts presenting the findings of original research, review and methodological pieces will also be considered.