@article{ref1,
title="Indirect self-destructive behavior among elderly patients in nursing homes: a research agenda",
journal="American journal of geriatric psychiatry",
year="1996",
author="Conwell, Yeates and Pearson, Jane and DeRenzo, Evan G.",
volume="4",
number="2",
pages="152-163",
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.<br><br>Copyright © 1996 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="1064-7481",
doi="10.1097/00019442-199621420-00007",
url="http://dx.doi.org/10.1097/00019442-199621420-00007"
}