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Journal Article

Citation

Gysin-Maillart A, Bettschen D, Annaheim PMD, Brogna S, Walther S, Waern M, Muller M, Exadaktylos AK, Klukowska-Rötzler J. J. Aging Health 2024; ePub(ePub): ePub.

Copyright

(Copyright © 2024, SAGE Publishing)

DOI

10.1177/08982643241261094

PMID

39030841

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 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.


Language: en

Keywords

emergency department; suicidal ideation; older adults; suicidal behavior; characteristics

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