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Citation |
Conwell Y, Pearson J, DeRenzo EG. Am. J. Geriatr. Psychiatry 1996; 4(2): 152-163. |
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Affiliation |
Department of Psychiatry, University of Rochester School of Medicine. |
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Copyright |
(Copyright © 1996, American Association for Geriatric Psychiatry, Publisher Elsevier Publishing) |
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DOI |
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PMID |
28531006 |
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Abstract |
Although suicide is rare in nursing homes, indirect self-destructive behaviors (ISDBs), such as the refusal to eat or take life-sustaining medications, are commonplace. For some, ISDB represents a cry for help, whereas in others it is a reasoned behavioral expression of legitimate preference for an earlier death. This article reports on the proceedings of a workshop held in May 1994 to discuss ISDB in long-term care settings. After a historical review, issues discussed by workshop participants are presented and a research agenda proposed. Future studies are advocated with regard to correlates for ISDB that are relevant to the patient and characteristic of the nursing home environment. Language: en |