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Disability in prison activities of daily living and likelihood of depression and suicidal ideation in older prisoners
Author(s)Lisa C Barry, Dorothy B Wakefield, Robert L Trestman, Yeates Conwell
Journal titleInternational Journal of Geriatric Psychiatry, vol 32, no 10, October 2017
PublisherWiley, October 2017
Pagespp 1141-1149
Sourcehttp://www.orangejournal.org
KeywordsPrisoners ; Ageing process ; 50-59 age group ; Physical capacity ; Physical disabilities ; Depression ; Suicide ; At risk.
AnnotationThe objective of this study was to determine whether disability in activities of daily living specific to prison, or prison activities of daily living (PADLs), is associated with depression and severity of suicidal ideation (SI) in older prisoners, a rapidly growing population at high risk of suicide. This was a cross-sectional design using data from a study of 167 prisoners aged 50 years or more. Depression was operationalised as a score of 15 or above on the 9-item Physician Health Questionnaire (PHQ-9). SI severity was assessed using the Geriatric Suicide Ideation Scale (GSIS). Participants were considered to have PADL disability if they reported any of the following as `very difficult' or `cannot do': dropping to the floor for alarms, climbing on/off the top bunk, hearing orders, walking while wearing handcuffs, standing in line for medications and walking to chow. Associations were examined with bivariate tests and with multivariable logistic and linear regression models, and the interaction term gender * PADL disability was tested. PADL disability was associated with depression and SI severity. There was no main effect of gender on either depression or SI, yet the association between PADL disability and depression was considerably stronger in male than in female older prisoners. Identifying older prisoners who have difficulty performing PADLs may help distinguish prisoners who may also be likely to be depressed or experience more severe SI. Furthermore the association between PADL disability and depression may be particularly salient in older male prisoners. Longitudinal studies are needed as causal inferences are limited by the cross-sectional design. (JL).
Accession NumberCPA-171027222 A
ClassmarkTGF: BG: BBB: BI: BN: ENR: EV: CA3

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