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Suicide risk in long-term care facilities
 — a systematic review
Author(s)Briana Mezuk, Andrew Rock, Matthew C Lohman, Moon Choi
Journal titleInternational Journal of Geriatric Psychiatry, vol 29, no 12, December 2014
PublisherWiley Blackwell, December 2014
Pagespp 1198-1211
Sourcewww.orangejournal.org
KeywordsSuicide ; At risk ; Care homes ; Nursing homes ; Long term ; Research Reviews ; Longitudinal surveys.
AnnotationSuicide risk is highest in later life, however little is known about the risk of suicide among older adults in long-term care facilities (eg nursing homes and assisted living facilities). The goal of this paper was to review and synthesise the descriptive and analytic epidemiology of suicide in long-term care settings over the past 25 years. Four databases were searched and 4073 unique research articles were identified. Of these, 37 were selected for inclusion in this review. Of the included reports, 21 were cross-sectional, eight cohort, three qualitative and five intervention studies. Most studies indicated that suicidal thoughts (active and passive) are common among residents (prevalence in the past month: 5-33%), although completed suicide is rare. Correlates of suicidal thoughts among long-term care residents include depression, social isolation, loneliness and functional decline. Most studies examined only individual-level correlates of suicide, although there is suggestive evidence that organisational characteristics (e.g., bed size and staffing) may also be relevant. Existing research on suicide risk in long-term care facilities is limited but suggests that this is an important issue for clinicians and medical directors to be aware of and address. Research is needed on suicide risk in assisted living and other non-nursing home residential settings, as well as the potential role of organisational characteristics on emotional well-being for residents. (JL).
Accession NumberCPA-150529262 A
ClassmarkEV: CA3: KW: LHB: 4Q: 3A:6KC: 3J

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