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Some predictors of mortality in acutely medically ill elderly inpatients
Author(s)Ajit Shah, Katharina Hoxey, Vidurath Mayadunne
Journal titleInternational Journal of Geriatric Psychiatry, vol l5, no 6, June 2000
Pagespp 493-499
KeywordsDepression ; Suicide ; Death ; Acute illness ; In-patients ; Longitudinal surveys ; London.
AnnotationThe prevalence of depression and suicidal ideation in acutely medically ill older inpatients is high; and it is hypothesised that suicidal ideation and functional disability may have a causal effect on mortality. This study at the West Middlesex Hospital assessed (with 6-8 month follow-up) 55 acutely medically ill older inpatients using the Brief Assessment Scale (BAS-DEP), the London Handicap Scale (LHS), the Barthel Index (BI), and the Beck Suicidal Ideation Scale (BSSI). On univariate analysis, significant associations between mortality and being married, previous deliberate self-harm, higher scores on the BAS-DEP items of pessimism, lower scores on the LHS and the BI, and higher scores on the BSSI were observed. On multivariate analysis, only LHS and BSSI scores independently predicted mortality. Randomised and controlled intervention studies, designed to improve suicidal ideation and functional disability, are required to examine their impact on mortality. (RH).
Accession NumberCPA-000823221 A
ClassmarkENR: EV: CW: CHA: LF7: 3J: 82L

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