Preventing and responding to depression, self-harm, and suicide in older people living in long term care settings: a systematic review

Gleeson, Helen ORCID: https://orcid.org/0000-0003-0505-5281, Hafford-Letchfield, Trish ORCID: https://orcid.org/0000-0003-0105-0678, Quaife, Matthew, Collins, Daniela A. ORCID: https://orcid.org/0000-0003-0329-8925 and Flynn, Ann (2018) Preventing and responding to depression, self-harm, and suicide in older people living in long term care settings: a systematic review. Aging and Mental Health . ISSN 1360-7863 [Article] (Published online first) (doi:10.1080/13607863.2018.1501666)

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Abstract

Objective: The well documented demographic shift to an aging population means that more people will in future be in need of long term residential care. Previous research has reported an increased risk of mental health issues and suicidal behaviour among older people living in residential care settings. However, there is little information on the actual prevalence of depression, self-harm, and suicidal ideation in this population, how it is measured and how care homes respond to these issues.
Method: This systematic review of international literature addressed three research questions relating to; the prevalence of mental health problems in this population; how they are identified and; how care homes try to prevent or respond to mental health issues.
Results: Findings showed higher reported rates of depression and suicidal ideation (but not self-harm) in care home residents compared to matched age groups in the community, variation in the use and appropriateness of standardised measures across studies and, interventions almost exclusively focused on increasing staff knowledge about mental health but with an absence of involvement of older people themselves in these programmes.
Conclusion: We discuss the implications of these findings in the context of addressing mental health difficulties experienced by older people in residential care and future research in this area.

Item Type: Article
Research Areas: A. > School of Health and Education > Mental Health, Social Work and Interprofessional Learning
Item ID: 25526
Notes on copyright: This is an Accepted Manuscript of an article published by Taylor & Francis in Aging and Mental Health on 04/11/2018, available online: http://www.tandfonline.com/10.1080/13607863.2018.1501666
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Depositing User: Helen Gleeson
Date Deposited: 06 Nov 2018 11:19
Last Modified: 09 Jun 2021 18:28
URI: https://eprints.mdx.ac.uk/id/eprint/25526

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