Troya, M. Isabela, Dikomitis, Lisa, Babatunde, Opeyemi O., Bartlam, Bernadette, Chew-Graham, Carolyn A. (2019) Understanding self-harm in older adults: a qualitative study. EClinicalMedicine, 12 . pp. 52-61. E-ISSN 2589-5370. (doi:10.1016/j.eclinm.2019.06.002) (KAR id:104589)
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Official URL: https://doi.org/10.1016/j.eclinm.2019.06.002 |
Abstract
Background
Self-harm is the leading risk factor for suicide, with elevated rates reported amongst older populations. This study explores how older adults experience self-harm, identifying factors leading to self-harm.
Methods
Semi-structured interviews with older adults (≥60 years) engaging in self-harm and support workers from third sector services in England. Older adults were invited to participate in a follow-up interview. Interviews were recorded, transcribed verbatim and data analysed thematically. Ethical approval obtained from Keele University's Ethics Review Panel. A Patient Involvement group contributed to study design, data analysis and interpretation.
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Outcomes
Between September 2017 to September 2018, 24 interviews were conducted involving 16 participants: nine older adults and seven support workers. Eight older adults consented to follow-up interviews. All older adults reported diagnoses of mental illness in addition to physical illness. Participants identified diverse stressors accumulating over the life-course leaving older adults particularly vulnerable to self-harm. Such stressors included adverse events, loss, interpersonal and health problems. A sense of shame and stigma amongst older people using self-harm to manage distress was also reported.
Interpretation
Self-harm is often concealed due to stigma and shame, being further accentuated amongst older adults, which may result in low levels of medical help-seeking behaviour for self-harm. Self-harm occurred along a spectrum of no-suicidal intent to high-levels of intent, suggesting self-harm holds different functions to older adults. Clinicians should be aware of the existence of self-harm in this age-group, and the heightened risk amongst those with comorbidities so adequate assessment, support and/or referral is provided.
Item Type: | Article |
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DOI/Identification number: | 10.1016/j.eclinm.2019.06.002 |
Uncontrolled keywords: | self-harm; qualitative; suicide; older adults |
Subjects: | R Medicine |
Divisions: | Divisions > Division of Natural Sciences > Kent and Medway Medical School |
Funders: | University of Kent (https://ror.org/00xkeyj56) |
Depositing User: | Manfred Gschwandtner |
Date Deposited: | 11 Jan 2024 19:00 UTC |
Last Modified: | 05 Nov 2024 13:10 UTC |
Resource URI: | https://kar.kent.ac.uk/id/eprint/104589 (The current URI for this page, for reference purposes) |
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