Self-harm in older adults: systematic review

The British Journal of Psychiatry : the Journal of Mental Science
M Isabela TroyaCarolyn A Chew-Graham

Abstract

Self-harm is a major public health concern. Increasing ageing populations and high risk of suicide in later life highlight the importance of identification of the particular characteristics of self-harm in older adults.AimTo systematically review characteristics of self-harm in older adults. A comprehensive search for primary studies on self-harm in older adults was conducted in e-databases (AgeLine, CINAHL, PsycINFO, MEDLINE, Web of Science) from their inception to February 2018. Using predefined criteria, articles were independently screened and assessed for methodological quality. Data were synthesised following a narrative approach. A patient advisory group advised on the design, conduct and interpretation of findings. A total of 40 articles (n = 62 755 older adults) were included. Yearly self-harm rates were 19 to 65 per 100 000 people. Self-poisoning was the most commonly reported method. Comorbid physical problems were common. Increased risk repetition was reported among older adults with self-harm history and previous and current psychiatric treatment. Loss of control, increased loneliness and perceived burdensome ageing were reported self-harm motivations. Self-harm in older adults has distinct characteristics that sho...Continue Reading

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Citations

May 28, 2019·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·M Isabela TroyaLisa Dikomitis
Oct 9, 2019·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·M Isabela TroyaLisa Dikomitis
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Oct 26, 2021·Frontiers in Public Health·M Isabela TroyaElla Arensman
Jan 14, 2022·The Australian and New Zealand Journal of Psychiatry·Anne Pf WandCarmelle Peisah

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