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Suicide Among the Elderly in Long-Term Care Facilities (Hardcover, New)
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Suicide Among the Elderly in Long-Term Care Facilities (Hardcover, New)
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This is the first large-scale study of suicide in a population of
institutionalized older adults. From their findings, the authors
identify the most "at risk" groups and highlight the major factors
contributing to suicide in older adults in institutions. The study
described in this work employed a sample survey design. More than
1000 administrators of long-term care facilities in the United
States were randomly selected and surveyed about their staff and
facilities, and the incidence and type of suicidal behaviors which
occurred among residents in 1984 and 1985. Results of the study
confirmed that suicidal behavior occurred in approximately 20
percent of the facilities who responded. High risk groups of
residents included white males and the "old-old" (75 years and
older). The survey reveals that certain environmental factors such
as the size of the facility, staff turnover rate, per diem cost,
and auspices (public, private, and religious) were related to the
occurrence and outcome of suicidal behavior. Suggestions for
suicide prevention, based on these findings, are also presented.
The book is divided into three parts. Part One examines various
types of long-term care facilities, including skilled nursing
facilities, intermediate care facilities, and adult homes. Part Two
highlights design, methodology, and findings from the national
study of suicide in long-term care facilities. Case profiles of
suicidal residents are included to provide a more personal account
of suicide behavior, and to illustrate important factors in the
older individual's decision to end her/his life. Case profiles of
four institutions are also included to highlight environmental
factors related to suicidalbehavior. Part Three focuses on suicide
prevention. Suggestions on the treatment of depression in the
elderly, suicide prevention techniques, and the ethics of suicide
are discussed in detail. This book makes valuable reading for
professionals involved in the care of the elderly.
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