Suicide Among The Elderly In Long Term Care Facilities

This is the first large-scale study of suicide in a population of institutionalized older adults. From their findings, the authors identify the most at risk groups and highlight the major factors contributing to suicide in older adults in institutions. The study described in this work employed a sample survey design. More than 1000 administrators of long-term care facilities in the United States were randomly selected and surveyed about their staff and facilities, and the incidence and type of suicidal behaviors which occurred among residents in 1984 and 1985. Results of the study confirmed that suicidal behavior occurred in approximately 20 percent of the facilities who responded. High risk groups of residents included white males and the old-old (75 years and older). The survey reveals that certain environmental factors such as the size of the facility, staff turnover rate, per diem cost, and auspices (public, private, and religious) were related to the occurrence and outcome of suicidal behavior. Suggestions for suicide prevention, based on these findings, are also presented. The book is divided into three parts. Part One examines various types of long-term care facilities, including skilled nursing facilities, intermediate care facilities, and adult homes. Part Two highlights design, methodology, and findings from the national study of suicide in long-term care facilities. Case profiles of suicidal residents are included to provide a more personal account of suicide behavior, and to illustrate important factors in the older individual's decision to end her/his life. Case profiles of four institutions are also included to highlight environmental factors related to suicidal behavior. Part Three focuses on suicide prevention. Suggestions on the treatment of depression in the elderly, suicide prevention techniques, and the ethics of suicide are discussed in detail. This book makes valuable reading for professionals involved in the care of the elderly.

Suicide in the elderly : an overview / David Lester -- Symptoms and assessment of suicide in the elderly patient / Margot Tallmer -- Suicide across the life span with particular reference to the elderly / Antoon A. Leenaars -- Psychiatric treatment of the elderly suicidal patient / Bruce L. Danto and Joan M. Danto -- Individual and group therapy for the suicidal older person / Margot Tallmer -- Family therapy for the suicidal elderly / Joseph Richman -- Gender issues in counseling the suicidal elderly / Silvia Sara Canetto -- Psychiatric management of the suicidal elderly / Henry Rosenvinge -- Suicidal elders in long-term care facilities : preventive approaches and management / Nancy J. Osgood and Nancy R. Covey -- Social work and the suicidal older person / Elizabeth J. Clark -- The elderly suicide : those left behind / Rochelle Balter.??Helping the suicidal elderly : a Hungarian perspective / Bea?ta Temesva?ry -- Alternatives to suicide / Robert Kastenbaum -- Sara Teasdale : case study of a completed suicide / David Lester -- Subintentioned life-threatening behavior in the elderly : the story of Myra / Lenore S. Powell -- Assisted suicide and the elderly / David Lester.

This is the first large-scale study of suicide in a population of institutionalized older adults. From their findings, the authors identify the most at risk groups and highlight the major factors contributing to suicide in older adults in institutions. The study described in this work employed a sample survey design. More than 1000 administrators of long-term care facilities in the United States were randomly selected and surveyed about their staff and facilities, and the incidence and type of suicidal behaviors which occurred among residents in 1984 and 1985. Results of the study confirmed that suicidal behavior occurred in approximately 20 percent of the facilities who responded. High risk groups of residents included white males and the old-old (75 years and older). The survey reveals that certain environmental factors such as the size of the facility, staff turnover rate, per diem cost, and auspices (public, private, and religious) were related to the occurrence and outcome of suicidal behavior. Suggestions for suicide prevention, based on these findings, are also presented. The book is divided into three parts. Part One examines various types of long-term care facilities, including skilled nursing facilities, intermediate care facilities, and adult homes. Part Two highlights design, methodology, and findings from the national study of suicide in long-term care facilities. Case profiles of suicidal residents are included to provide a more personal account of suicide behavior, and to illustrate important factors in the older individual's decision to end her/his life. Case profiles of four institutions are also included to highlight environmental factors related to suicidal behavior. Part Three focuses on suicide prevention. Suggestions on the treatment of depression in the elderly, suicide prevention techniques, and the ethics of suicide are discussed in detail. This book makes valuable reading for professionals involved in the care of the elderly.

With recent studies using genetic, epigenetic, and other molecular and neurochemical approaches, a new era has begun in understanding pathophysiology of suicide. Emerging evidence suggests that neurobiological factors are not only critical in providing potential risk factors but also provide a promising approach to develop more effective treatment and prevention strategies. The Neurobiological Basis of Suicide discusses the most recent findings in suicide neurobiology. Psychological, psychosocial, and cultural factors are important in determining the risk factors for suicide; however, they offer weak prediction and can be of little clinical use. Interestingly, cognitive characteristics are different among depressed suicidal and depressed nonsuicidal subjects, and could be involved in the development of suicidal behavior. The characterization of the neurobiological basis of suicide is in delineating the risk factors associated with suicide. The Neurobiological Basis of Suicide focuses on how and why these neurobiological factors are crucial in the pathogenic mechanisms of suicidal behavior and how these findings can be transformed into potential therapeutic applications.

As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.

Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.

This is a practical book, aimed at providing training and guidance for staff members in long-term care facilities. The goal is to help staff understand and solve the wide range of psychiatric and behavioral problems which are encountered on a day-to-day basis. Numerous clinical illustrations are presented. This material is invaluable for all team members: nurses, physicians, social workers, psychologists and occupational therapists. It is especially helpful for frontline health aids who work most closely with the residents, and for supervisors and administrators. As a result, it also serves as a useful tool for teaching students. The emphasis is on training all members of the staff to provide the highest quality of care, in the most cost-effective and productive manner. The authors have worked together for many years at the Baycrest Centre for Geriatric Care, a large university affiliated, multilevel geriatric center, which has an international reputation for its excellence in the care of the elderly.

The demographic shift to a much older population is having a large impact on social work professionals who have traditionally been the primary caretakers of the elderly. As more people are living into advanced old age, it is becoming increasingly important to understand and treat the wide range of psychological disorders which may affect them, rather than simply attributing the disorders to senescence as was frequently done in the past. Mental Health and the Elderly: A Social Work Perspective is a comprehensive guide to diagnosis and treatment of the range of disorders affecting the elderly.