Sociodemographic and Clinical Characteristics of Older Adults With Suicide-Related Emergency Department Presentations
(2024) In Journal of Aging and Health- Abstract
Objectives: To identify characteristics of older adult emergency department (ED) patients aged ≥65 with suicidal ideation and/or behavior. Methods: A single center retrospective chart review analyzed 392 patients (≥65) with suicidal ideation and/or behavior (2013–2019). Comprehensive full-text searches were used. Subgroup analyses for age and gender were conducted. Results: Depressive disorder was documented in 50% of cases. Notably, 54% of all women were prescribed antidepressants, compared to only 31% of men. Most patients had general medical conditions (74.5%) and chronic multimorbidity (71.2%). Social stress affected 40.1%; 35.7% were intoxicated upon presentation. Alcohol abuse was more common in the 65–74 age group, while dementia... (More)
Objectives: To identify characteristics of older adult emergency department (ED) patients aged ≥65 with suicidal ideation and/or behavior. Methods: A single center retrospective chart review analyzed 392 patients (≥65) with suicidal ideation and/or behavior (2013–2019). Comprehensive full-text searches were used. Subgroup analyses for age and gender were conducted. Results: Depressive disorder was documented in 50% of cases. Notably, 54% of all women were prescribed antidepressants, compared to only 31% of men. Most patients had general medical conditions (74.5%) and chronic multimorbidity (71.2%). Social stress affected 40.1%; 35.7% were intoxicated upon presentation. Alcohol abuse was more common in the 65–74 age group, while dementia impacted 20% of those ≥75. Men had a six-fold higher 30-day post-discharge mortality. Discussion: Older ED patients with suicidal ideation and/or behavior exhibit typical characteristics. The dementia prevalence suggests tailored care for those ≥75, and the heightened post-discharge mortality rate in older men requires further research.
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- author
- Gysin-Maillart, Anja LU ; Bettschen, David ; Annaheim, Pascale ; Brogna, Stella ; Walther, Sebastian ; Waern, Margda ; Müller, Martin ; Exadaktylos, Aristomenis K. and Klukowska-Rötzler, Jolanta
- organization
- publishing date
- 2024
- type
- Contribution to journal
- publication status
- epub
- subject
- keywords
- characteristics, emergency department, older adults, suicidal behavior, suicidal ideation
- in
- Journal of Aging and Health
- publisher
- SAGE Publications
- external identifiers
-
- pmid:39030841
- scopus:85199884428
- ISSN
- 0898-2643
- DOI
- 10.1177/08982643241261094
- language
- English
- LU publication?
- yes
- id
- f796bf00-f500-4c07-9836-0f22695cfb73
- date added to LUP
- 2024-11-13 11:33:40
- date last changed
- 2025-01-08 16:16:22
@article{f796bf00-f500-4c07-9836-0f22695cfb73,
abstract = {{<p>Objectives: To identify characteristics of older adult emergency department (ED) patients aged ≥65 with suicidal ideation and/or behavior. Methods: A single center retrospective chart review analyzed 392 patients (≥65) with suicidal ideation and/or behavior (2013–2019). Comprehensive full-text searches were used. Subgroup analyses for age and gender were conducted. Results: Depressive disorder was documented in 50% of cases. Notably, 54% of all women were prescribed antidepressants, compared to only 31% of men. Most patients had general medical conditions (74.5%) and chronic multimorbidity (71.2%). Social stress affected 40.1%; 35.7% were intoxicated upon presentation. Alcohol abuse was more common in the 65–74 age group, while dementia impacted 20% of those ≥75. Men had a six-fold higher 30-day post-discharge mortality. Discussion: Older ED patients with suicidal ideation and/or behavior exhibit typical characteristics. The dementia prevalence suggests tailored care for those ≥75, and the heightened post-discharge mortality rate in older men requires further research.</p>}},
author = {{Gysin-Maillart, Anja and Bettschen, David and Annaheim, Pascale and Brogna, Stella and Walther, Sebastian and Waern, Margda and Müller, Martin and Exadaktylos, Aristomenis K. and Klukowska-Rötzler, Jolanta}},
issn = {{0898-2643}},
keywords = {{characteristics; emergency department; older adults; suicidal behavior; suicidal ideation}},
language = {{eng}},
publisher = {{SAGE Publications}},
series = {{Journal of Aging and Health}},
title = {{Sociodemographic and Clinical Characteristics of Older Adults With Suicide-Related Emergency Department Presentations}},
url = {{http://dx.doi.org/10.1177/08982643241261094}},
doi = {{10.1177/08982643241261094}},
year = {{2024}},
}