Sociodemographic and Clinical Characteristics of Older Adults With Suicide-Related Emergency Department Presentations
To identify characteristics of older adult emergency department (ED) patients aged ≥65 with suicidal ideation and/or behavior. A single center retrospective chart review analyzed 392 patients (≥65) with suicidal ideation and/or behavior (2013-2019). Comprehensive full-text searches were used. Subgro...
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| Veröffentlicht in: | Journal of aging and health 2024-07, p.8982643241261094 |
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| creator | Gysin-Maillart, Anja Bettschen, David Annaheim, MD, Pascale Brogna, Stella Walther, Sebastian Waern, Margda Müller, Martin Exadaktylos, Aristomenis K Klukowska-Rötzler, Jolanta |
| description | To identify characteristics of older adult emergency department (ED) patients aged ≥65 with suicidal ideation and/or behavior.
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.
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.
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. |
| doi_str_mv | 10.1177/08982643241261094 |
| format | Article |
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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.
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.
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.</description><identifier>ISSN: 0898-2643</identifier><identifier>ISSN: 1552-6887</identifier><identifier>EISSN: 1552-6887</identifier><identifier>DOI: 10.1177/08982643241261094</identifier><identifier>PMID: 39030841</identifier><language>eng</language><publisher>United States</publisher><subject>characteristics ; Clinical Medicine ; emergency department ; Geriatrics ; Geriatrik ; Klinisk medicin ; Medical and Health Sciences ; Medicin och hälsovetenskap ; older adults ; suicidal behavior ; suicidal ideation</subject><ispartof>Journal of aging and health, 2024-07, p.8982643241261094</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c252t-e633c2198349376145207a95a99c2e3e61720ebb1bb8ff0b462de41047d699873</cites><orcidid>0000-0003-1990-5582 ; 0009-0009-0958-1773</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,885,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39030841$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://lup.lub.lu.se/record/f796bf00-f500-4c07-9836-0f22695cfb73$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Gysin-Maillart, Anja</creatorcontrib><creatorcontrib>Bettschen, David</creatorcontrib><creatorcontrib>Annaheim, MD, Pascale</creatorcontrib><creatorcontrib>Brogna, Stella</creatorcontrib><creatorcontrib>Walther, Sebastian</creatorcontrib><creatorcontrib>Waern, Margda</creatorcontrib><creatorcontrib>Müller, Martin</creatorcontrib><creatorcontrib>Exadaktylos, Aristomenis K</creatorcontrib><creatorcontrib>Klukowska-Rötzler, Jolanta</creatorcontrib><title>Sociodemographic and Clinical Characteristics of Older Adults With Suicide-Related Emergency Department Presentations</title><title>Journal of aging and health</title><addtitle>J Aging Health</addtitle><description>To identify characteristics of older adult emergency department (ED) patients aged ≥65 with suicidal ideation and/or behavior.
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.
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.
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.</description><subject>characteristics</subject><subject>Clinical Medicine</subject><subject>emergency department</subject><subject>Geriatrics</subject><subject>Geriatrik</subject><subject>Klinisk medicin</subject><subject>Medical and Health Sciences</subject><subject>Medicin och hälsovetenskap</subject><subject>older adults</subject><subject>suicidal behavior</subject><subject>suicidal ideation</subject><issn>0898-2643</issn><issn>1552-6887</issn><issn>1552-6887</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNplUcluFDEQtRCIDIEP4IJ85NLgre32MRrCIo0UREAcLS_ljJF7wXYL5e_p0YRcOLyqQ71FqofQa0reUarUezLogUnBmaBMUqLFE7Sjfc86OQzqKdqd7t2JcIFe1PqLEMIooc_RBdeEk0HQHVpvZ5_mAON8V-xyTB7bKeB9TlPyNuP90RbrG5RUW_IVzxHf5AAFX4U1t4p_pnbEt2vyKUD3DbJtEPD1COUOJn-PP8BiSxthavhrgbpt29I81ZfoWbS5wquHfYl-fLz-vv_cHW4-fdlfHTrPetY6kJx7RvXAheZKUtEzoqzurdaeAQdJFSPgHHVuiJE4IVkAQYlQQWo9KH6JDmff-geW1ZmlpNGWezPbZPK6bHAbTAUTlZYuEmJivw3hiTJbrDQkMiZ176NTfLN7e7Zbyvx7hdrMmKqHnO0E81rN9lOme82U2Kj0TPVlrrVAfMymxJzKM_-Vt2nePNivboTwqPjXFv8LZ9mUBw</recordid><startdate>20240720</startdate><enddate>20240720</enddate><creator>Gysin-Maillart, Anja</creator><creator>Bettschen, David</creator><creator>Annaheim, MD, Pascale</creator><creator>Brogna, Stella</creator><creator>Walther, Sebastian</creator><creator>Waern, Margda</creator><creator>Müller, Martin</creator><creator>Exadaktylos, Aristomenis K</creator><creator>Klukowska-Rötzler, Jolanta</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D95</scope><orcidid>https://orcid.org/0000-0003-1990-5582</orcidid><orcidid>https://orcid.org/0009-0009-0958-1773</orcidid></search><sort><creationdate>20240720</creationdate><title>Sociodemographic and Clinical Characteristics of Older Adults With Suicide-Related Emergency Department Presentations</title><author>Gysin-Maillart, Anja ; Bettschen, David ; Annaheim, MD, Pascale ; Brogna, Stella ; Walther, Sebastian ; Waern, Margda ; Müller, Martin ; Exadaktylos, Aristomenis K ; Klukowska-Rötzler, Jolanta</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c252t-e633c2198349376145207a95a99c2e3e61720ebb1bb8ff0b462de41047d699873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>characteristics</topic><topic>Clinical Medicine</topic><topic>emergency department</topic><topic>Geriatrics</topic><topic>Geriatrik</topic><topic>Klinisk medicin</topic><topic>Medical and Health Sciences</topic><topic>Medicin och hälsovetenskap</topic><topic>older adults</topic><topic>suicidal behavior</topic><topic>suicidal ideation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gysin-Maillart, Anja</creatorcontrib><creatorcontrib>Bettschen, David</creatorcontrib><creatorcontrib>Annaheim, MD, Pascale</creatorcontrib><creatorcontrib>Brogna, Stella</creatorcontrib><creatorcontrib>Walther, Sebastian</creatorcontrib><creatorcontrib>Waern, Margda</creatorcontrib><creatorcontrib>Müller, Martin</creatorcontrib><creatorcontrib>Exadaktylos, Aristomenis K</creatorcontrib><creatorcontrib>Klukowska-Rötzler, Jolanta</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Lunds universitet</collection><jtitle>Journal of aging and health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gysin-Maillart, Anja</au><au>Bettschen, David</au><au>Annaheim, MD, Pascale</au><au>Brogna, Stella</au><au>Walther, Sebastian</au><au>Waern, Margda</au><au>Müller, Martin</au><au>Exadaktylos, Aristomenis K</au><au>Klukowska-Rötzler, Jolanta</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sociodemographic and Clinical Characteristics of Older Adults With Suicide-Related Emergency Department Presentations</atitle><jtitle>Journal of aging and health</jtitle><addtitle>J Aging Health</addtitle><date>2024-07-20</date><risdate>2024</risdate><spage>8982643241261094</spage><pages>8982643241261094-</pages><issn>0898-2643</issn><issn>1552-6887</issn><eissn>1552-6887</eissn><abstract>To identify characteristics of older adult emergency department (ED) patients aged ≥65 with suicidal ideation and/or behavior.
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.
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.
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.</abstract><cop>United States</cop><pmid>39030841</pmid><doi>10.1177/08982643241261094</doi><orcidid>https://orcid.org/0000-0003-1990-5582</orcidid><orcidid>https://orcid.org/0009-0009-0958-1773</orcidid></addata></record> |
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| language | eng |
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| source | SAGE Complete A-Z List |
| subjects | characteristics Clinical Medicine emergency department Geriatrics Geriatrik Klinisk medicin Medical and Health Sciences Medicin och hälsovetenskap older adults suicidal behavior suicidal ideation |
| title | Sociodemographic and Clinical Characteristics of Older Adults With Suicide-Related Emergency Department Presentations |
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