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Deliberate self-harm in older adults
 — a review of the literature from 1995 to 2004
Author(s)Jennifer Chan, Brian Draper, Sube Banerjee
Journal titleInternational Journal of Geriatric Psychiatry, vol 22, no 8, August 2007
Pagespp 720-732
Sourcehttp://www.interscience.wiley.com
KeywordsSuicide ; Literature reviews.
AnnotationSuicide rates in old age differ markedly from country to country, but there is a general trend towards increased rates with increasing age. In 1996, Brian Draper reviewed critically the evidence on attempted suicide in old age in the 10 years between 1985 and 1994. The review highlighted a need for prospective controlled studies in older people with more representative samples as well as studies examining the interaction of risk factors, precipitants, motivations, psychopathology and response to treatment. This paper updates that review and summarises the advances in our understanding of deliberate self-harm (DSH) in later life, by critically reviewing relevant studies published between 1995 and 2004. The main advances in understanding have been to clarify the effect of personality and cultural factors, service utilisation pre and post attempt, and the (lesser) impact of socio-economic status and physical illness. Methodological weaknesses continue to include inadequate sample size performed on highly selected populations, inconsistent age criteria, and lack of informant data on studies relating the role of personality. (RH).
Accession NumberCPA-070910201 A
ClassmarkEV: 64A

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