TY - JOUR
PY - 2024//
TI - Sociodemographic and clinical characteristics of older adults with suicide-related emergency department presentations
JO - Journal of aging and health
A1 - Gysin-Maillart, Anja
A1 - Bettschen, David
A1 - Annaheim, Pascale MD
A1 - Brogna, Stella
A1 - Walther, Sebastian
A1 - Waern, Margda
A1 - Muller, Martin
A1 - Exadaktylos, Aristomenis K.
A1 - Klukowska-Rötzler, Jolanta
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - 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
LA - en SN - 0898-2643 UR - http://dx.doi.org/10.1177/08982643241261094 ID - ref1 ER -