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Prediction of mortality in nursing home residents
 — impact of passive self-harm behaviors
Author(s)Brian Draper, Henry Brodaty, Lee-Fay Low
Journal titleInternational Psychogeriatrics, vol 15, no 2, June 2003
Pagespp 187-196
KeywordsSuicide ; Death rate [statistics] ; Residents [care homes] ; Nursing homes ; Dementia ; Evaluation ; Longitudinal surveys ; Australia.
AnnotationA cross-sectional study with follow-up after 2 years and 3 months surveyed 593 residents in 10 nursing homes in the eastern suburbs of Sydney, Australia, to determine whether indirect self-destructive behaviours predict their mortality. A range of instruments was used; diagnoses of depression, dementia and psychoses were obtained from nursing home records; and mortality data were obtained for August 1999. At follow-up, 297 (50.1%) residents were still alive, with a mean survival time of 565.4 days. Survival analyses found that mortality was predicted by older age, male gender, lower level of functioning, lower levels of behavioural disturbance on the Behavioural Pathology in Alzheimer's Disease Rating Scale (BEHAVE-AD), and higher scores on the Harmful Behavioural Scale (HBS) "passive self-harm" factor-based sub-scale, which includes refusal to eat, drink or take medication. The results suggest that passive self-harm behaviours do predict mortality in nursing home residents. (RH).
Accession NumberCPA-031212202 A
ClassmarkEV: S5: KX: LHB: EA: 4C: 3J: 7YA

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