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Centre for Policy on Ageing | |
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| The survival and characterisitcs of older people with and without dementia who are hospitalised following intentional self-harm | | Author(s) | Rebecca Mitchell, Brian Draper, Lara Harvey |
| Journal title | International Journal of Geriatric Psychiatry, vol 32, no 8, August 2017 |
| Publisher | Wiley, August 2017 |
| Pages | pp 892-900 |
| Source | http://www.orangejournal.org |
| Keywords | Self harm ; Dementia ; In-patients ; General hospitals ; Australia. |
| Annotation | Characteristics of older people with and without dementia who are hospitalised following self-harm remains largely unexplored. The aim of the research was to compare characteristics of older people with and without dementia who self-harm, to compare associations of mental health-related diagnoses with those hospitalised for a self-harm versus a non-self-harm injury, and to examine mortality by injury intent. This was a population-based study of individuals aged over 50 years with and without dementia admitted to hospital for a self-harm injury (and those with other injuries) using linked hospital admission and mortality records during 2003-2012 in New South Wales (NSW), Australia. Health outcomes, including hospital length of stay (LOS), 28-day readmission and 30-day and 12-month mortality were examined by dementia status. There were 427 hospitalisations of individuals with dementia and 11,684 hospitalisations of individuals without dementia following self-harm. The hospitalisation rate for self-harm for individuals with dementia aged over 60 years was double the rate for individuals without dementia (72.2 and 37.5 per 100,000). For both older people with and without dementia, those who self-harmed were more likely to have co-existent mental health and alcohol use disorders than individuals who had a non-self-harm injury. Individuals with dementia had higher 12-month mortality rates, 28-day readmission and longer LOS than individuals without dementia. Dementia is associated with an increased risk of hospitalisation for self-harm in older people and worse outcomes. The high rate of coexistent mental health conditions suggests that interventions which reduce behavioural and psychological symptoms of dementia might reduce self-harm in people with dementia. (JL). |
| Accession Number | CPA-170728261 A |
| Classmark | EPS: EA: LF7: LD3: 7YA |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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