Elderly patients with no previous psychiatric history: suicidality and other factors relating to psychiatric acute admissions
| العنوان: | Elderly patients with no previous psychiatric history: suicidality and other factors relating to psychiatric acute admissions |
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| المؤلفون: | Erik Johnsen, Rune A. Kroken, Lars Mehlum, Hallvard Lund-Heimark, Ketil J. Oedegaard, Liv Mellesdal, Geir Selbæk, Eirik Kjelby, Rolf Gjestad |
| المصدر: | BJPsych Open e63 |
| بيانات النشر: | Cambridge University Press, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, business.industry, suicidality, Acute admission, hospitalisations, medicine.disease, Mental illness, Comorbidity, 030227 psychiatry, 03 medical and health sciences, Psychiatry and Mental health, acute admissions, 0302 clinical medicine, Psychiatric history, Geriatric psychiatry, Papers, Medicine, 030212 general & internal medicine, Limited evidence, first admission, business, Cognitive impairment, Psychiatry, Cohort study |
| الوصف: | Background The common recommendation that adults with onset of mental illness after the age of 65 should receive specialised psychogeriatric treatment is based on limited evidence. Aims To compare factors related to psychiatric acute admission in older adults who have no previous psychiatric history (NPH) with that of those who have a previous psychiatric history (PPH). Method Cross-sectional cohort study of 918 patients aged ≥65 years consecutively admitted to a general adult psychiatric acute unit from 2005 to 2014. Results Patients in the NPH group (n = 526) were significantly older than those in the PPH group (n = 391) (77.6 v. 70.9 years P < 0.001), more likely to be men, married or widowed and admitted involuntarily. Diagnostic prevalence in the NPH and PPH groups were 49.0% v. 8.4% (P < 0.001) for organic mental disorders, 14.6% v. 30.4% (P < 0.001) for psychotic disorders, 30.2% v. 55.5% (P < 0.001) for affective disorders and 20.7% v. 13.3% (P = 0.003) for somatic disorders. The NPH group scored significantly higher on the Health of the Nation Outcome Scale (HoNOS) items agitated behaviour; cognitive problems; physical illness or disability and problems with activities of daily living, whereas those in the PPH group scored significantly higher on depressed mood. Although the PPH group were more likely to report suicidal ideation, those in the NPH group were more likely to have made a suicide attempt before the admission. Conclusions Among psychiatric patients >65 years, the subgroup with NPH were characterised by more physical frailty, somatic comorbidity and functional and cognitive impairment as well as higher rates of preadmission suicide attempts. Admitting facilities should be appropriately suited to manage their needs. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 2056-4724 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f32bac92fee7c0ac25cd0025d7e9a9daTest http://europepmc.org/articles/PMC7345523Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....f32bac92fee7c0ac25cd0025d7e9a9da |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20564724 |
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