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The occurence and persistence of thoughts of suicide, self-harm and death in family caregivers of people with dementia
 — a longitudinal data analysis over 2 years
Author(s)Karlijn J Joling, Siobhan T O'Dwyer, Cees M P M Hertogh, Hein P J van Hout
Journal titleInternational Journal of Geriatric Psychiatry, vol 33, no 2, February 2018
PublisherWiley, February 2018
Pagespp 263-270
Sourcehttp://www.orangejournal.org
KeywordsDementia ; Family care ; Depression ; Suicide ; Self harm ; Longitudinal surveys ; Netherlands.
AnnotationFamily caregivers of people with dementia often report high levels of stress and depression, but little is known about those who contemplate suicide or self-harm. This study explored thoughts of suicide, self-harm and death in dementia caregivers and investigated the characteristics that distinguish them from those without such thoughts. Data were collected every 3 months, for 24 months, from 192 family caregivers of people with dementia living in the Netherlands. Caregivers did not have clinical depression or an anxiety disorder at baseline. Suicide-related thoughts were measured with an item from the Mini International Neuropsychiatric Interview, a diagnostic instrument for DSM-IV mental disorders. Fisher exact, analysis of variance or Kruskal-Wallis tests compared the characteristics of caregivers who had contemplated suicide with two comparison groups. Within 24 months, 76 caregivers reported symptoms of potential depression and were further assessed for suicidal thoughts. Nine carers reported suicidal thoughts with three of those at multiple points. Caregivers with suicidal thoughts had more severe depressive and anxious symptoms, had a lower sense of competence and mastery, felt less happy and experienced more health problems, less family support and more feelings of loneliness than caregivers who had not. Suicidal thoughts are present in dementia caregivers and can persist across the care trajectory. Various psychological and social characteristics significantly distinguish caregivers with suicidal thoughts from those without. More research is needed to enable the identification of high-risk caregivers and provide an evidence base for the development of preventive strategies and interventions. (JL).
Accession NumberCPA-180302222 A
ClassmarkEA: P6:SJ: ENR: EV: EPS: 3J: 76H

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