TY - JOUR PY - 1996// TI - Indirect self-destructive behavior among elderly patients in nursing homes: a research agenda JO - American journal of geriatric psychiatry A1 - Conwell, Yeates A1 - Pearson, Jane A1 - DeRenzo, Evan G. SP - 152 EP - 163 VL - 4 IS - 2 N2 - 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.

Copyright © 1996 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

Language: en

LA - en SN - 1064-7481 UR - http://dx.doi.org/10.1097/00019442-199621420-00007 ID - ref1 ER -