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Places of living and places of dying: the case for preventing suicide in residential long-term care
- Authors:
- JAIN Briony, et al
- Journal article citation:
- Ageing and Society, 41(9), 2021, pp.1945-1960.
- Publisher:
- Cambridge University Press
This commentary addresses the increasing public health problem of suicide in later life and presents the case for preventing suicide in residential long-term care settings. We do so by examining this issue from the perspective of three levels of stakeholders – societal, organisational and individual – considering the relevant context, barriers and implications of each. We begin by discussing contemporary societal perspectives of ageing; the potential impact of ageism on prevention of late-life suicide; and the roles of gender and masculinity. This is followed by a historical analysis of the origin of residential long-term care; current organisational challenges; and person-centred care as a suicide prevention strategy. Finally, we consider suicide in long-term care from the perspective of individuals, including the experience of older adults living in residential care settings; the impact of suicide on residential care health professionals and other staff; and the impact of suicide bereavement on family, friends and other residents. We conclude with recommendations for policy reform and future research. This commentary aims to confront the often unspoken bias associated with preventing suicide among older adults, particularly those living with complex medical conditions, and invoke an open dialogue about suicide prevention in this population and setting. (Edited publisher abstract)
Older people
- Author:
- MANTHORPE Jill
- Journal article citation:
- Research Matters, 2005, pp.37-42.
- Publisher:
- Community Care
This article reports on studies from four continents into age discrimination in the workplace, home care support and mental health issues give valuable pointers for UK practice.
The impact of power differentials on the care experiences of older people
- Author:
- DOYLE Susanna
- Journal article citation:
- Journal of Elder Abuse and Neglect, 26(3), 2014, pp.319-332.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study explored the lived experience of a small group of older people living in South East Queensland receiving community-based care while living in their own homes. In-depth unstructured interviews were used in this interpretive hermeneutic phenomenological study to encourage participants to raise experiences that held meaning for them as individuals. Many reported a range of experiences demonstrating active power differentials between themselves as recipients of care and their carers, and impacting on their sense of independence and autonomy. The experiences described provide guidance on how care services might better address the needs of older people, from their own perspective. (Publisher abstract)
Voice of older people: annual report 2008-09
- Author:
- BAKEWELL Joan
- Publisher:
- Great Britain. Government Equalities Office
- Publication year:
- 2009
- Pagination:
- 31p.
- Place of publication:
- London
This report is written by Joan Bakewell in her capacity as the Government’s Voice of Older People. It is an informal report, setting out the most important issues that have reached her in her year in the position, her response to them, and the ways that the Government is moving to improve the situation. The issues that she has been contacted about most are: domiciliary care; council tax and local government including the closure of public toilets; modern technology; the NHS’s treatment of the elderly and end of life care; retirement age; pensions for both UK residents and expatriates; and sheltered housing and care homes. Joan describes how, using her experience as a journalist and broadcaster, she has been raising awareness of these issues. The report also provides information on Government initiatives to improve the lives of older people including the Equality Bill and the Building a Society for All Ages strategy.
Older People
- Author:
- MANTHORPE Jill
- Journal article citation:
- Research Matters, 14, October 2002, pp.41-46.
- Publisher:
- Community Care
There is pressure to raise the quality of residential care but to keep costs low. Four local authorities were studied to provide an understanding of how successfully welfare services are meeting the needs of the elderly.
How are we to grow old?
- Author:
- BURLEY Robin
- Journal article citation:
- New Technology in the Human Services, 14(1/2), 2001, pp.3-8.
- Publisher:
- Centre for Human Service Technology
In our society the phrase ‘the elderly’ conjures up a picture of passive recipients of care tended by nurses in a stone built Victorian mansion at the end of a long drive. None of us would want this for ourselves in later life and yet we seem to accept it as the inevitable consequence of ageing, at least when we think of the ageing of others. For us, no doubt, things will be different, or will it? The Royal Commission on Long Term Care reminded us that in recent years it has become common for older people to go into residential or nursing home care after a crisis in their own home or on discharge from hospital. (Sutherland S, 1999) Despite the evidence around us, most of us will assume we have some sort of immunity to the physical slowing down and dependence on others that goes with this image of ageing. But if we, as a society do not take action, many of us will be driven down that long one-way drive to the Victorian mansion. Professor Tom Kirkwood, in the first of his Reith Lectures, drew attention to the prejudice that exists in relation to older people. “On a regular basis we read, hear, or ourselves make flippant, jokey or negative remarks about the state of being old. ‘Grumpy old’, ‘silly old’, ‘boring old’, ‘dirty old’ - the linkages are so familiar that we fail to notice what we are doing.” These are the underlying cultural prejudices that permeate the social environment in which our grandparents and parents have grown old. When we design services for them we seem to overlook their capacity to be contributors or their desire to be independent. If we do nothing to change the way we regard ageing, these will be the cultural influences that will shape the way we grow old.