Abstract：
BACKGROUND:Deliberate self harm (DSH) in later life is under researched and is believed to be related to both mental illness and suicide. AIMS:The aim of the study was to examine deliberate self-harm (DSH) in older people presenting to acute hospital services over three years. METHOD:This was a retrospective observational study. We reviewed 97 episodes of DSH involving 82 patients aged 65 and over referred to the Liaison Psychiatric Service of the Tees and North East Yorkshire NHS Trust South Locality from 2000 to 2002. RESULTS:There was a year on year increase in the number of older people presenting with DSH, especially in men. Twenty-one percent of older men had no discernible psychiatric diagnosis. There were a small number of people who repeated DSH within a year and males were as likely to be repeaters as females. Twenty-three percent of all patients saw a General Practitioner (GP) in the 7 days before the episode of DSH and this increased to 58% in the 4 weeks preceding the episode of DSH. More males (56%) than females (26%) who presented with DSH were married. The most common method of DSH (93%) was medication overdose of which 66% used prescribed medication. There was no difference in the methods used to self-harm between men or women. CONCLUSION:DSH in the elderly may start to mirror some of the characteristics seen in younger adults with DSH. While the numbers of DSH per year are small among the elderly compared to younger adults, the observations suggest an increase in DSH in men. Marriage may no longer be a protective factor in prevention of DSH among older men. Longer-term observational studies of DSH in older people are required to confirm these changing patterns. GPs may have an important role to play in prevention of DSH in later life.
journal_name
Int J Geriatr Psychiatryjournal_title
International journal of geriatric psychiatryauthors
Lamprecht HC,Pakrasi S,Gash A,Swann AGdoi
10.1002/gps.1404subject
Has Abstractpub_date
2005-11-01 00:00:00pages
1090-6issue
11eissn
0885-6230issn
1099-1166journal_volume
20pub_type
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journal_title：International journal of geriatric psychiatry
pub_type： 杂志文章,评审
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journal_title：International journal of geriatric psychiatry
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journal_title：International journal of geriatric psychiatry
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doi：10.1002/gps.2316
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更新日期：2014-05-01 00:00:00
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更新日期：2006-04-01 00:00:00
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doi：10.1002/gps.1364
更新日期：2005-09-01 00:00:00
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pub_type： 杂志文章
doi：10.1002/gps.697
更新日期：2002-08-01 00:00:00
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pub_type： 杂志文章
doi：10.1002/gps.649
更新日期：2003-01-01 00:00:00
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pub_type： 杂志文章
doi：10.1002/gps.2321
更新日期：2010-02-01 00:00:00
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pub_type： 杂志文章
doi：10.1002/gps.5278
更新日期：2020-06-01 00:00:00
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journal_title：International journal of geriatric psychiatry
pub_type： 杂志文章
doi：10.1002/gps.1092
更新日期：2004-04-01 00:00:00
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pub_type： 杂志文章
doi：10.1002/gps.2674
更新日期：2011-12-01 00:00:00
abstract：AIM:This study looks at the objective and subjective characteristics of home respite service provision and its impact on the informal care burden of dependent elders. METHOD:A sample of 296 dependent people and their informal caregivers was randomly selected among users and non-users of the Home Help Service (HHS) in ...
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pub_type： 杂志文章
doi：10.1002/gps.1733
更新日期：2007-08-01 00:00:00
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pub_type： 杂志文章
doi：10.1002/(sici)1099-1166(199803)13:3<177::aid-gps75
更新日期：1998-03-01 00:00:00
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doi：10.1002/gps.4050
更新日期：2014-07-01 00:00:00
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更新日期：2018-01-01 00:00:00
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pub_type： 杂志文章
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更新日期：2007-03-01 00:00:00
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更新日期：2013-06-01 00:00:00
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pub_type： 杂志文章
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pub_type： 杂志文章,评审
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pub_type： 杂志文章,多中心研究
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pub_type： 杂志文章,随机对照试验
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更新日期：2012-08-01 00:00:00
