Recognizing Depression in the Elderly: Practical Guidance and Challenges for Clinical Management

Neuropsychiatric Disease and Treatment, Год журнала: 2022, Номер Volume 18, С. 2867 - 2880

Опубликована: Дек. 1, 2022

Abstract: Depression is one of the most common mood disorders in late-life population and associated with poor quality life increased morbidity, disability mortality. Nevertheless, older adults, it often remains undetected untreated. This narrative review aims at giving an overview on main definitions, clinical manifestations, risk protective factors for depression elderly, discussing reasons its under/misdiagnosis, such as cognitive decline their overlapping symptomatology. A practical approach global multidisciplinary care adult depression, derived from cross-checking evidence emerging literature everyday experience, thus provided, a short flexible "pocket" guide to orient clinicians recognizing, diagnosing treating elderly. Keywords: disorders, geriatric

Язык: Английский

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A systematic review of psychosocial protective factors against suicide and suicidality among older adults

International Psychogeriatrics, Год журнала: 2024, Номер 36(5), С. 346 - 370

Опубликована: Фев. 2, 2024

ABSTRACT Background: Research on suicide rarely focuses protective factors. The goal of this systematic review was to assess the evidence associations between factors and reduced suicidality among older adults. Method: First, a scoping conducted identify pertinent terms that refer various against suicidality. A review, following PRISMA guidelines, then selection 15 (e.g., perceived control, well-being quality life, life satisfaction, purpose-in-life, resilience, coping, religiosity, hope, self-regulation, sense belonging, mattering, positive relationship, social support, connectedness, participation), with separate searches performed each factor in five databases. Empirical studies were eligible if participants adults aged 60 years over, reported predictive statistical analysis. Results: total 70 retained for review. Suicidal ideation main outcome measure (91%). Significant consistently observed all suicidal ideations or behaviors, particularly relationships, indicating these are solid components prevention. Using scales, instead single item, (e.g. satisfaction) more efficient capture associations. On other hand, results similar whether used subjective belonging) objective connectedness) measures. Conclusion: Protective inversely associated ideation. Improving is essential development late-life prevention interventions, merely focusing risk

Язык: Английский

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Ageismus „in den Köpfen“ als Risikofaktor für Suizidalität im Alter

Zeitschrift für Gerontologie und Geriatrie, Год журнала: 2025, Номер unknown

Опубликована: Янв. 23, 2025

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Associations of medical outcomes with substances involved in suicide attempt cases age 50 and older reported to U.S. Poison Centers, 2016–2023

Frontiers in Public Health, Год журнала: 2025, Номер 13

Опубликована: Март 26, 2025

Background and aims After a slight decline in suicide rates during the COVID-19 pandemic, attempts U.S. have been increasing again 2022 2023. Compared to younger age groups, 50+ group has significantly higher of serious medical outcomes from attempts. In this study, we examined outcome severities associated with different classes substances involved attempt cases 50 older who were reported poison centers. Methods We used America's Poison Center's National Data System 2016 2023 ( N = 335,171 > 50). Following descriptive statistics on characteristics attempters by (no/minimal effects, moderate major death, unable follow), fitted multinomial binary logistic regression models examine associations substances. Results Of all cases, 22.5% antidepressants, 21.1% benzodiazepines, 16.4% cardiovascular drugs, 12.5% prescription opioids; 44.1% had no/minimal effect, 37.9% 1.2% resulted 4.4% follow, but proportions effects death 2022–2023 than 2016–2017. Tricyclic antidepressants highest risks [relative risk ratios (RRR) 5.57, 95% CI 5.26–5.90] (RRR 4.26, 3.67–4.94). Large RRRs also shown for bupropion serotonin-norepinephrine reuptake inhibitors death. Cardiovascular opioids, muscle relaxants consistently Our results show that ages female sex was odds moderate/major compared minimal lower effects/death. Implications Healthcare providers, including pharmacists, can play an important role promoting medication safety adults. workers need training assessing recognizing signs adults are prescribed sedatives. findings point importance better non-pharmacological chronic pain management reliance opioids.

Язык: Английский

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

Clinical Gerontologist, Год журнала: 2025, Номер unknown, С. 1 - 12

Опубликована: Апрель 1, 2025

A biopsychosocial model of self-harm risk factors in older adults was explored, distinguishing between direct and indirect self-harm. cross-sectional, matched pair sample drawn from a community-dwelling 625 aged 60 years over, including 44 participants with without Mean age 68.7 (age range = 60-91). Data were gathered using survey composed validated instruments additional self-developed items. From our total sample, 8.2% had engaged at over. Indirect methods (e.g. substance misuse, not eating) most common. The presence mental disorder, emotional loneliness, cognitive physical frailty, lack resilience identified as potential factors. Those who have or both types exhibit higher levels these stepwise regression showed that only loneliness disorder(s) significantly associated old age. Investigating (subtypes) among is vital, especially those disorder loneliness. Clinicians should be vigilant for adults, particularly experience

Язык: Английский

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Three leading suicide methods in the United States, 2017–2019: Associations with decedents' demographic and clinical characteristics

Frontiers in Public Health, Год журнала: 2022, Номер 10

Опубликована: Ноя. 17, 2022

Background and aims The U.S. suicide data show that use of lethal methods, specifically firearms hanging/suffocation, has been increasing among young middle-aged adults both sexes over the past decades. In this study, we examined demographic clinical correlates firearms, poisoning as methods decedents age 18+. Methods Data came from 2017-2019 National Violent Death Reporting System (NVDRS; N = 94,454, ≥ 18 at time suicide; 74,042 men 20,412 women). We fit generalized linear models (GLMs) for a Poisson distribution with log link to examine (1) changes in four (firearms, poisoning, other) during study period, controlling sex group; (2) use. Results all groups, 55% 30% women used firearms; 28% 29% hanging/suffocation; 9% 32% 8% “other” methods. Men < 45 had higher likelihood firearm and/or hanging/suffocation than those 45–64. Women age<45 also Prior attempt history was associated men; mental disorders/SUD were sexes; physical health problems relationship use; legal job/financial/housing more crises sexes. Implications findings call following prevention strategies: restricted access improved health/substance treatment; (3) long-term palliative care services (mostly older adults) problems; (4) financial/housing support policies mitigate economic hardship; (5) research identify effective strategies curtail adults.

Язык: Английский

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Navigating the Shadows: A Comprehensive Review of Suicide in the Geriatric Population

Cureus, Год журнала: 2024, Номер unknown

Опубликована: Янв. 31, 2024

This review critically examines the complex landscape of suicide within geriatric population, defined as individuals aged 65 and older. By synthesizing existing research, we elucidate critical findings related to prevalence, risk factors, challenges associated with in this demographic. Social isolation, mental health issues, intricate psychosocial dimensions ageing emerge pivotal factors contributing vulnerability older individuals. The conclusion underscores a compelling call action, urging collaborative efforts from healthcare professionals, policymakers, communities implement targeted prevention strategies. Our vision for future involves building supportive resilient community emphasizing age-friendly policies, robust social support networks, destigmatizing discussions. Through comprehensive exploration, aim contribute deeper understanding population inspire effective interventions that prioritize well-being dignity

Язык: Английский

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Conceptualizing Self-Harm through the Experiences of Psychogeriatric Experts

Psychopathology, Год журнала: 2024, Номер 57(4), С. 277 - 285

Опубликована: Янв. 1, 2024

<b><i>Introduction:</i></b> Fewer studies thus far have focused on self-harm and its specific forms among older adults. Moreover, the limited available literature applies varying terminology. The categorization of used in younger populations may not be as appropriate for this population. This means that less is known about phenomenon current study aimed to reduce gap. <b><i>Methods:</i></b> Nine Flemish psychogeriatric experts participated a semi-structured interview. Transcripts were thematically analyzed. <b><i>Results:</i></b> Themes emerging from interviews suggest adults also include distinct elements, such omission certain behaviours engagement indirect cause bodily harm. According experts, engaged cope with emotions, express life fatigue, hasten death, communicate cry help. <b><i>Discussion:</i></b> Self-harm prevalent adults, some characteristics an age group. These findings enable clinicians more alert consequently prevent serious suicidal behaviour. More research needed further uncover phenomenon.

Язык: Английский

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Suizidalität im Alter – ein Ausdruck von gesellschaftlichem Ageismus?

Psychotherapie im Alter, Год журнала: 2024, Номер 21(2), С. 185 - 193

Опубликована: Май 1, 2024

Ältere Menschen, insbesondere sehr alte Männer, sind eine Hochrisikogruppe für Suizide. Es gibt empirische Belege dafür, dass das gesellschaftliche Altersbild, wonach Leben im Alter defizitär und weniger wertvoll ist, in Kombination mit der normativen Erwartung, man nicht zur Last fallen soll, ein Risikofaktor Suizidalität höheren Lebensalter ist. Dieser Zusammenhang ist unter anderem auf inadäquate Strukturen gesundheitlichen pflegerischen Versorgung psychisch kranker älterer Menschen schlechte gerontologische Qualifikation von Gesundheitspersonal zurückzuführen. Ageistische Einstellungen entfalten ihre schädliche Wirkung aber auch darüber, Personen diese gesellschaftlichen Altersbilder -normen verinnerlichen, unmittelbaren negativen Konsequenzen den Lebenswillen Menschen. Der Abbau gesellschaftlichem Ageismus sollte die zentrale Maßnahme primären Prävention Suiziden assistierten sein.

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Comparative effects of lifelong moderate-intensity continuous training and high-intensity interval training on blood lipid levels and mental well-being in naturally ageing mice

Experimental Gerontology, Год журнала: 2024, Номер 194, С. 112519 - 112519

Опубликована: Июль 16, 2024

This study aimed to investigate the impact of lifelong exercise, including both moderate-intensity continuous training and high-intensity interval training, on blood lipid levels mental behaviour in naturally ageing mice identify effective exercise strategies for ageing-related health issues.

Язык: Английский

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