‘He just gave up’: an exploratory study into the perspectives of paid carers on supporting older people living in care homes with depression, self-harm, and suicide ideation and behaviours

Hafford-Letchfield, Trish ORCID: https://orcid.org/0000-0003-0105-0678, Gleeson, Helen, Ryan, Peter, Billings, Barbara, Teacher, Ruth, Quaife, Matthew, Flynn, Ann, Zanone Poma, Stefano and Vicentini, Silvia (2018) ‘He just gave up’: an exploratory study into the perspectives of paid carers on supporting older people living in care homes with depression, self-harm, and suicide ideation and behaviours. Ageing & Society . pp. 1-20. ISSN 0144-686X (Published online first)

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Abstract

This study explored the concept of ‘giving up’ from the perspective of care staff working in care homes, and their everyday communication and hidden knowledge concerning what they think about this taboo topic and the context it reflects. Moving to a care home is a major transition where cumulative losses can pose risks to mental health in later life. If not recognised, this vulnerability can lead to depression which extends to suicide ideation and behaviours in the form of self-harm and self-neglect. Care homes are a significant place of care until death, yet a discourse of silence means that self-harm and suicide is under-reported or not attended to with specialist expertise. The layperson’s concept of an older person ‘giving up’ on life is hardly discussed in the literature. This co-produced qualitative study used an inductive approach to explore this phenomenon through focus groups with 33 care staff across four care homes in South-East England. Findings paint a complex picture, highlighting tensions in providing the right support and creating spaces to respond to such challenging situations. ‘Giving up’ requires skilled detailed assessment to respond to risks alongside improved training and support for paid carers, to achieve a more holistic strategy which capitalises on significant relationships within a wider context.

Item Type: Article
Keywords (uncontrolled): Ageing; older people; mental health; depression; suicide ideation; suicide behaviour; care homes; care home workforce;
Research Areas: A. > School of Health and Education > Mental Health, Social Work and Interprofessional Learning
Item ID: 25627
Notes on copyright: This article has been published in a revised form in Ageing & Society, https://doi.org/10.1017/S0144686X18001447. This version is free to view and download for private research and study only. Not for re-distribution, re-sale or use in derivative works. COPYRIGHT: © Cambridge University Press 2018
Useful Links:
Depositing User: Trish Hafford-Letchfield
Date Deposited: 19 Nov 2018 17:51
Last Modified: 14 Apr 2019 09:29
URI: https://eprints.mdx.ac.uk/id/eprint/25627

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