scholarly journals 529 - Suicide in elderly people

2021 ◽  
Vol 33 (S1) ◽  
pp. 75-75
Author(s):  
Afroditi Zartaloudi
Keyword(s):  
Older Adults ◽  
Social Issues ◽  
Physical Dependence ◽  
Community Support ◽  
The Elderly ◽  
Public Health Issue ◽  
Contributing Factors ◽  
Psychological Pain ◽  
Negative Effects ◽  
Elderly Suicide

Background:Suicide is a tragic and distressing phenomenon. The problem of suicide in late life is often neglected by medical professionals, policy makers and the general public. Suicidal behavior in older adults (65 years old and over) is a major public health issue in many countries. Suicide rates are highest among the elderly.Objective:To investigate the main factors associated with suicidal ideation, attempts and completed suicide among the elderly.Method:A literature review was carried out in PubMed and Scopus database.Results:Depression is the most relevant cause found, combined with chronic physical suffering, loss, bereavement, abandonment, loneliness, family conflicts and social exclusion. Differences in gender, ethnicity, the ageing process, social issues and cultural backgrounds are also major contributing factors. The major causal factors for attempted suicide are degenerative and chronic diseases, physical dependence and disability, physical and psychological pain, mental and neurocognitive disturbances and suffering. The issue of suicide prevention in the elderly is also addressed.Conclusions:The negative effects on families, friends and communities following a suicide reinforce the urgency for a better understanding and prevention of suicide. Suicide associated with depression in the elderly can be prevented, provided the person is properly treated. Innovative strategies should improve resilience and positive aging, engage family and community support networks, reach vulnerable older adults, and promote health professionals’ knowledge on elderly suicide.

scholarly journals Atypical presentations in the hospitalised older adult testing positive for SARS-CoV-2: a retrospective observational study in Glasgow, Scotland

2020 ◽  
pp. 003693302096289
Author(s):  
Peter Davis ◽  
Rory Gibson ◽  
Emily Wright ◽  
Amy Bryan ◽  
Jamie Ingram ◽  
...  
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Respiratory Symptoms ◽  
The Elderly ◽  
Mortality Rates ◽  
Rt Pcr ◽  
Contributing Factors ◽  
Prognostic Features ◽  
Presenting Symptoms ◽  
Atypical Presentations

Introduction: Understanding of how SARS-CoV-2 manifests itself in older adults was unknown at the outset of the pandemic. We undertook a retrospective observational analysis of all patients admitted to older people’s services with confirmed COVID-19 in one of the largest hospitals in Europe. We detail presenting symptoms, prognostic features and vulnerability to nosocomial spread. Methods: We retrospectively collected data for each patient with a positive SARSCoV-2 RT PCR between 18th March and the 20th April 2020 in a department of medicine for the elderly in Glasgow. Results: 222 patients were included in our analysis. Age ranged from 56 to 99 years (mean = 82) and 148 were female (67%). 119 patients had a positive swab for SARS-CoV-2 within the first 14 days of admission, only 32% of these patients presented with primarily a respiratory type illness. 103 patients (46%) tested positive after 14 days of admission – this was felt to represent likely nosocomial infection. 95 patients (43%) died by day 30 after diagnosis. Discussion: This data indicates that older people were more likely to present with non-respiratory symptoms. High clinical frailty scores, severe lymphopenia and cumulative comorbidities were associated with higher mortality rates. Several contributing factors will have led to nosocomial transmission.

scholarly journals Elder Mistreatment and Psychological Well-Being among Older Americans

2020 ◽  
Vol 17 (20) ◽  
pp. 7525
Author(s):  
Ronald W. Berkowsky
Keyword(s):  
Older Adults ◽  
Personal Growth ◽  
Well Being ◽  
Ordinary Least Squares ◽  
Public Health Issue ◽  
Least Squares Regression ◽  
Negative Effects ◽  
Elder Mistreatment ◽  
Psychological Well Being ◽  
Older Americans

Elder mistreatment is a major public health issue both in the US and around the globe. While extensive research has elucidated the association between elder mistreatment and health in older adults, little is known about the relationship between elder mistreatment and more eudaimonic measures of psychological well-being. Using data from the 2011 wave of the Wisconsin Longitudinal Study, this project examined the association between older adults’ experience with varied forms of elder mistreatment and eudaimonic dimensions of psychological well-being including autonomy, environmental mastery, personal growth, positive relations with others, purpose in life, and self-acceptance. Ordinary least squares regression analyses found significant associations between experiences of elder mistreatment and psychological well-being. In particular, older adults who reported feeling that someone was too controlling over their daily lives and older adults who reported making donations to organizations they later worried were not legitimate reported significantly lower scores on all six psychological well-being dimensions. The results of this study suggest the negative effects of elder mistreatment can extend to more eudaimonic feelings of well-being, and programs designed to treat victims of elder mistreatment should incorporate strategies that help strengthen psychological well-being.

Sarcopenic obesity in ageing: cardiovascular outcomes and mortality

2020 ◽  
Vol 124 (10) ◽  
pp. 1102-1113 ◽  
Author(s):  
Janice L. Atkins ◽  
S. Goya Wannamathee
Keyword(s):  
Older Adults ◽  
Muscle Mass ◽  
The Elderly ◽  
Obesity Paradox ◽  
Overweight And Obesity ◽  
Sarcopenic Obesity ◽  
Public Health Issue ◽  
Established Risk Factor ◽  
Risk Of Mortality ◽  
The Impact

AbstractObesity is a major public health issue with prevalence increasing worldwide. Obesity is a well-established risk factor for CVD and mortality in adult populations. However, the impact of being overweight or obese in the elderly on CVD and mortality is controversial. Some studies even suggest that overweight and obesity, measured by BMI, are apparently associated with a decreased mortality risk (known as the obesity paradox). Ageing is associated with an increase in visceral fat and a progressive loss of muscle mass. Fat mass is positively associated and lean mass is negatively associated with risk of mortality. Therefore, in older adults BMI is not a good indicator of obesity. Sarcopenia has been defined as the degenerative loss of muscle mass, quality and strength with age and is of major concern in ageing populations. Sarcopenia has previously been associated with increased risks of metabolic impairment, cardiovascular risk factors, physical disability and mortality. It is possible for sarcopenia to co-exist with obesity, and sarcopenic obesity is a new class of obesity in older adults who have high adiposity levels together with low muscle mass, quality or strength. Therefore, sarcopenia with obesity may act together to increase their effect on metabolic disorders, CVD and mortality. This review will discuss the available evidence for the health implications of sarcopenic obesity on CVD and mortality in older adults.

scholarly journals Do Older Adults with Parent(s) Alive Experience Higher Psychological Pain and Suicidal Ideation? A Cross-Sectional Study in China

2020 ◽  
Vol 17 (17) ◽  
pp. 6399
Author(s):  
Ying Yang ◽  
Shizhen Wang ◽  
Borui Hu ◽  
Jinwei Hao ◽  
Runhu Hu ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Suicidal Ideation ◽  
Rural Areas ◽  
Associated Factors ◽  
Family Income ◽  
The Elderly ◽  
Health Condition ◽  
Psychological Pain ◽  
Cross Sectional

Elderly mental health promotion is an important task in the current “Healthy China Action”. This study aims to (a) clarify the psychological pain and suicidal ideation of the Chinese elderly with different parental states, (b) examine the associated factors of psychological pain and suicidal ideation, and (c) examine the relationship between psychological pain and suicidal ideation. A sample of 4622 adults aged 60 years and older were included in this study, from the China’s Health-related Quality of Life Survey for Older Adults 2018. Participants with both parents alive demonstrated the heaviest psychological pain, and those with one parent alive observed significantly lowest psychological pain and suicidal ideation. Participants who were single, divorced, or widowed, live in rural areas, had higher education level, had lower family income, suffered from two or more chronic diseases, and had no self-care ability were more likely to experience psychological pain and suicidal ideation. In addition, higher psychological pain significantly associated with the occurrence of suicidal ideation. In China, much more attention should be paid to the mental health condition of the elderly, especially for those with both parents alive. Moreover, the associated factors above should be considered to develop targeted health interventions.

scholarly journals Association Between Social Capital and Obesity Among Older Adults in China: A Cross-sectional Analysis

2020 ◽  
Author(s):  
Le Yang ◽  
Jingmin Cheng
Keyword(s):  
Older Adults ◽  
Social Capital ◽  
Final Analysis ◽  
The Elderly ◽  
Social Activities ◽  
Health Issues ◽  
Negative Effects ◽  
Cross Sectional ◽  
Healthy Longevity ◽  
Sectional Analysis

Abstract Background: Under the global aging trend, health issues of the elderly have received more and more attention. Among them, older adults’ obesity is one of the common health problems of the elderly. There are few studies on the association between social capital and obesity in the elderly. We examined whether social capital was associated with obesity in the elderly.Methods: The data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) —wave 8 (2017–2018) was used in this study. Totally, 9551 respondents were included in the final analysis. Generalized trust, informal social interaction and participation of organized social activities were used as measures of social capital. Body mass index (BMI) were used as outcomes. Logistic regression analyses were used to assess associations between the social capital and health outcomes, adjusting for confounders.Results: We found that the elderly who did not trust people around them had greater odds of being obese compared to those who trust people around them [Adjusted Odds Ratio (AOR) 1.117, 95% CI 1.006 to 1.229]. The elderly interacting with friends (AOR 1.240, 95% CI 1.006 to 1.229) and participating in organized social activities (AOR 1.182, 95% CI 1.062 to 1.301) registered considerably higher BMI.Conclusions: These results confirm the importance of social capital in older adults’ obesity prevention in China, all dimensions of social capital are associated with obesity in the elderly. Furthermore, the positive and negative effects of social capital on obesity in the elderly should be more considered and examined.

scholarly journals Geriatric Cyclists: Assessing Risks, Safety, and Benefits

2018 ◽  
Vol 9 ◽  
pp. 215145851774874 ◽  
Author(s):  
Tochukwu C. Ikpeze ◽  
Gabriel Glaun ◽  
Daren McCalla ◽  
John C. Elfar
Keyword(s):  
Elderly Patients ◽  
Head Injuries ◽  
The Elderly ◽  
Ease Of Use ◽  
Public Health Issue ◽  
Contributing Factors ◽  
Weekly Basis ◽  
Safety Measures ◽  
Age Related ◽  
Control And Prevention

Nearly 1 in every 3 Americans ride bicycles each year, but only 20% of the reported 100 million cyclists ride on a weekly basis. Bicycling is a common form of transportation and recreation and has gained popularity among the elderly patients. In recent years, the number of elderly cyclists has increased steadily and studies have cited ease of use, need for exercise, and enjoyment as important contributing factors. The benefits of physical activity on health is well-documented, and elderly individuals are encouraged to remain active to reduce the progression of age-related weakness and loss of muscle mass. Safety concerns, however, have been a prevalent public health issue. According to the Center for Disease Control and Prevention, elderly and teenage cyclists account for the highest number of head injuries and fatalities among all cyclists. Safety measures that include wearing protective gear such as helmets and choosing the appropriate bicycle have been recommended to minimize the risk of sustaining injuries while riding. Despite these concerns, bicycling has remained a popular and exciting activity for the elderly patients.

Strategies to Prevent Elderly Suicide: A Delphi consensus study

2021 ◽  
pp. 103985622110642
Author(s):  
Yoram Barak ◽  
Sarah Fortune ◽  
Linda Hobbs ◽  
Gary Cheung ◽  
Gil Zalsman
Keyword(s):  
Older Adults ◽  
Suicide Prevention ◽  
Large Scale ◽  
Later Life ◽  
The Elderly ◽  
Prevention Strategy ◽  
Survey Method ◽  
Public Healthcare ◽  
Delphi Consensus ◽  
Elderly Suicide

Objectives In the next decades, many countries will become ‘ageing societies’. This combined with the current high rates of suicide in later life suggests that many older adults may die by suicide before clinical trials can be conducted to demonstrate the best approaches to prevent late-life suicide. Methods A New Zealand (NZ) ‘expert panel’ has reviewed key considerations for suicide prevention interventions in older adults based on existing evidence, where available, and expert opinion. The key considerations were extracted from the current literature. The Delphi survey method was used to reach consensus for identifying interventions to be recommended as part of a national strategy for older adults’ suicide prevention. Results A set of 20 key recommended considerations are presented. The major addition to existing recommendations is the need for ‘A suicide prevention strategy for the elderly…’ to enhance the national all-ages suicide prevention strategy. Conclusion The recommended statements are offered for consideration by stakeholder groups preparing new interventions, large-scale public healthcare planning and governmental policy.

scholarly journals Unexplored Needs of the Older Adults: Experiences From Elders Helpline in Bengaluru

2021 ◽  
pp. 025371762110465
Author(s):  
Radha Murthy ◽  
Sruthi Sivaraman ◽  
Anitha Chandra ◽  
Swati Bhandary ◽  
Vijaykumar Harbishettar
Keyword(s):  
Older Adults ◽  
Older People ◽  
Social Issues ◽  
The Elderly ◽  
Ongoing Research ◽  
Staff Members ◽  
The Social ◽  
Social Difficulties ◽  
Supervision And Training ◽  
And Training

Elders Helpline has been operational in Bangalore by joint effort of the Nightingales Medical Trust (NMT) and the City Police since its inception in 2002. The Elders Helpline is unique as it is the first of its kind in India that offers services for the welfare of the older people in Bangalore city. The objectives of this article were to review the process of setting up of the helpline services, its evolution, range of services offered, to evaluate the services to ascertain the social difficulties with a focus on abuse experienced by the older people in Bangalore and find out the common themes. From the records, the Elders Helpline has responded to as many as 144058 calls between April 2009 and March 2020. This article reviewed functions of the Elders Helpline including supervision and training to its staff members, offering counselling to the Older adults by resolving family conflicts and other social issues by upholding and safeguarding their rights. The article highlights the need and impact of Elders Helpline suggesting the need to expand this type of Helpline to other Districts of the country. This study indicates that the Elders Helpline has become a platform for the elderly people to express their concerns and to make them feel secure. The Elders Helpline model is now launched nationally in October 2021 through the expansion of helpline services. There is a need to gather more comprehensive data and for ongoing research and training to reach out many needy older people.

DSM-5 alcohol use disorder features among treatment-seeking older adults

2018 ◽  
Vol 64 (4) ◽  
pp. 185-196 ◽  
Author(s):  
Silke Behrendt ◽  
Barbara Braun ◽  
Randi Bilberg ◽  
Gerhard Bühringer ◽  
Michael Bogenschutz ◽  
...  
Keyword(s):  
Older Adults ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
The Elderly ◽  
Treatment Seeking ◽  
Controlled Clinical Trial ◽  
Dsm 5 ◽  
Wide Range ◽  
And Gender ◽  
International Multicenter

Abstract. Background: The number of older adults with alcohol use disorder (AUD) is expected to rise. Adapted treatments for this group are lacking and information on AUD features in treatment seeking older adults is scarce. The international multicenter randomized-controlled clinical trial “ELDERLY-Study” with few exclusion criteria was conducted to investigate two outpatient AUD-treatments for adults aged 60+ with DSM-5 AUD. Aims: To add to 1) basic methodological information on the ELDERLY-Study by providing information on AUD features in ELDERLY-participants taking into account country and gender, and 2) knowledge on AUD features in older adults seeking outpatient treatment. Methods: baseline data from the German and Danish ELDERLY-sites (n=544) were used. AUD diagnoses were obtained with the Mini International Neuropsychiatric Interview, alcohol use information with Form 90. Results: Lost control, desired control, mental/physical problem, and craving were the most prevalent (> 70 %) AUD-symptoms. 54.9 % reported severe DSM-5 AUD (moderate: 28.2 %, mild: 16.9 %). Mean daily alcohol use was 6.3 drinks at 12 grams ethanol each. 93.9 % reported binging. More intense alcohol use was associated with greater AUD-severity and male gender. Country effects showed for alcohol use and AUD-severity. Conclusion: European ELDERLY-participants presented typical dependence symptoms, a wide range of severity, and intense alcohol use. This may underline the clinical significance of AUD in treatment-seeking seniors.

A Never-Ending Story of Anogenital Warts: Review Article

2020 ◽  
Vol 103 (6) ◽  
pp. 614-619
Keyword(s):  
Hpv Vaccine ◽  
Social Issues ◽  
Anogenital Warts ◽  
Negative Effects ◽  
Fatal Disease ◽  
Anogenital Wart ◽  
Sexually Transmitted ◽  
Dormant Stage ◽  
Ideal Method ◽  
Basic Medical

Anogenital wart (AGW) has long been one of the most common sexually transmitted infections, which has negative effects on psychological and social issues. Its slowly progressive nature and long dormant stage prevent AGW from elimination. Although diagnosis is as simple as inspection using the naked eyes or a magnifying glass and basic medical treatment is the main treatment modality, the long period of clinical response appears to be the biggest challenge. Many patients suffer from this non-fatal disease for over half a year. Onward transmission obviously continues during the occurrence of lesions. Primary prevention, particularly vaccination against human papillomavirus (HPV vaccine), is an ideal method. HPV vaccine is a promising method; however, its high cost limits wide accessibility. In addition, despite being vaccinated, some women present with AGW. Therefore, a never-ending story of AGW remains to be explored. The Siriraj Female STI Clinic, which has over 20 years of experience in treating women with AGW, would like to share some experience so that these patients will be treated with more understanding. Keywords: Anogenital wart, Prevention, Surveillance, Siriraj experience

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