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Suicide ideation in older adults: relationship to mental health problems and service use
- Authors:
- CORNA Laurie M., CAIRNEY John, STREINER David L.
- Journal article citation:
- Gerontologist, 50(6), December 2010, pp.785-797.
- Publisher:
- Oxford University Press
The aim of this study was to assess the prevalence of suicide ideation among community-dwelling older adults and the relationship between suicide ideation, major psychiatric disorder, and mental health service use. Data from the Canadian Community Health Survey 1.2: Mental Health and Well-being (CCHS 1.2) for all adults aged 55 years and over was used to estimate the prevalence of suicide ideation and the prevalence of major psychiatric disorder and service use among ideators versus nonideators. Using multivariate models, the study considered the sociodemographic, social, and mental health correlates of suicide ideation and mental health care use. The results showed that more than 2% of older adults reported suicide ideation in the past year and more than two thirds of these respondents did not meet the criteria for any of the Diagnostic and Statistical Manual of Mental Disorders assessed in the CCHS 1.2. In multivariate models, being male, younger, or widowed, reporting lower social support and higher psychological distress increased the likelihood of suicide ideation. More than 50% of the respondents who reported suicidal thoughts did not access any type of mental health care use. The article concludes that, although suicide ideation is associated with depression and anxiety disorders, many older adults with suicidal thoughts do not meet the criteria for these clinical disorders.
What should you expect at your age?
- Authors:
- MANTHORPE Jill, ILIFFE Steve
- Journal article citation:
- Openmind, 132, March 2005, pp.6-8.
- Publisher:
- MIND
Discusses complaints of gross neglect of mental health services for older people and an alleged national scandal of ignoring their heightened suicide risk are often heard, asking what is going on and why such services are still seen as the Cinderella. Asks how things might be improved by the voluntary sector, drawing on its experiences and critical perspectives.
A flourishing society: aspirations for emotional health and wellbeing in Northern Ireland
- Authors:
- LEAVEY Gerard, et al
- Publisher:
- Northern Ireland Association for Mental Health
- Publication year:
- 2009
- Pagination:
- 114p., bibliog.
- Place of publication:
- Belfast
Commissioned by the Chief Medical Officer for Northern Ireland (NI), this report undertakes a review of the current mental health promotion and suicide prevention strategies in NI. Specifically it aims to: consider progress achieved against the recommendations within the existing strategies; to identify the actions within the existing Mental Health Promotion Strategy 03-08 that will need to be carried forward to a new strategy; to highlight gaps that will need to be addressed in a new strategy; to review the relevant international research and advise on its transferability to the NI situation; to consider approaches to building resilience at both an individual and community level; to investigate the development of population metrics to measure improvement in mental health levels; to provide advice and direction to the Department of Health, Social Services and Public Safety (DHSSPS) to assist with the development of a new mental health and emotional wellbeing strategy.
Focus on psychiatry in India
- Authors:
- THARA R., PADMAVATI R., SRINIVASAN T. N.
- Journal article citation:
- British Journal of Psychiatry, 184(4), April 2004, pp.366-373.
- Publisher:
- Cambridge University Press
India is a country with a population of over 1 billion, and immense diversity in the languages spoken, levels of literacy, and social and cultural practices. Organising mental health services for this predominantly rural population is indeed a daunting task. Compounding this problem are low budgetary resources, the presence of competing and conflicting healing systems, scarcity of mental health personnel, ‘brain drain’, and the stigma of seeking help for problems related to the mind. This paper looks at the mental health scene in India with respect to services and research. It deals with conditions such as schizophrenia, acute psychoses, minor mental morbidity and drug misuse, highlighting aspects unique to the Indian scene. Indian families exhibit great tenacity in caring for relatives who are ill, and are a great resource in treatment and rehabilitation.
National programme for improving mental health and well-being: action plan 2003-2006
- Author:
- SCOTLAND. Scottish Executive
- Publisher:
- Scotland. Scottish Executive,|Stationery Office
- Publication year:
- 2003
- Pagination:
- 17p.
- Place of publication:
- Edinburgh
The four key aims for National Programme action during 2003-2006 are: raising awareness and promoting mental health and well-being; eliminating stigma and discrimination; preventing suicide; and promoting and supporting recovery. The National Programme aims to work with and through others to achieve these key aims in the following priority areas: improving infant mental health (the early years); improving the mental health of children and young people; improving mental health and well-being in employment and working life ; improving mental health and well-being in later life; improving community mental health and well-being; and improving the ability of public services to act in support of the promotion of mental health and the prevention of mental illness
Ethnicity: an agenda for mental health
- Editors:
- BHUGRA Dinesh, VEENA Bahl
- Publishers:
- Gaskell, Royal College of Psychiatrists
- Publication year:
- 1999
- Pagination:
- 202p.,tables,bibliogs.
- Place of publication:
- London
Sets the scene for identifying and meeting the mental health needs of black and minority ethnic people. Includes chapters on: ethnicity; a national perspective on mental illness; cultural aspects of mental disorder in primary care; pathways into care; epidemiological factors in research with ethnic minorities; risk factors for psychosis in the UK African-Caribbean population; common mental disorders among African-Caribbean general practice attenders in Brixton, London; ethnicity and alcohol misuse; child psychiatry; cross cultural approaches to dementia and depression in older adults; suicide; postnatal depression in Japanese women who have given birth in England; forensic psychiatry; joint working; user views of mental health services; NHS services for black patients; alternatives to institutional psychiatry; and the role of general practitioners.
Mental health: a technical document produced by the Health Gain Panel of Review
- Authors:
- FARMER Anne, chair
- Publisher:
- Great Britain. Welsh Office. NHS Directorate. Welsh Health Planning Forum
- Publication year:
- 1995
- Pagination:
- 520p.,bibliog.
- Place of publication:
- Cardiff
Set of papers compiled by the Health Gain Panel of Review with the aim of improving the provision of services to people with mental health problems in Wales. Includes sections on: the epidemiology of mental illness; promoting mental health; mixed anxiety depressive syndrome; depression; bipolar affective disorders; schizophrenia; dementia; personality disorders; suicide and parasuicide; eating disorders; child and adolescent mental health; older people with mental health problems; homelessness and mental health; and therapies.
Mental health nursing: an evidence-based approach
- Editors:
- NEWELL Rob, GOURNAY Kevin
- Publisher:
- Churchill Livingstone
- Publication year:
- 2000
- Pagination:
- 446p.,bibliogs.
- Place of publication:
- Edinburgh
Section one contains orienting material and looks at: the consumer of mental health care; the history of mental health nursing and psychiatry; government policy and the organisation of mental health care; general consultation skills; principles of assessment; and evaluation of mental health nursing. Section two looks at approaches to user problems and includes information on: Schizophrenia; mood disorders; suicide and self harm; phobias and rituals; hypochondraisis and inappropriate illness behaviour; eating disorders; anger and impulse control; post traumatic disorders; children and young people; and mental disorders of older people. Section three is on mental health initiatives and looks at: advocacy; self help; and alternatives to traditional mental health treatments.
Improving the care of elderly people with mental health problems: clinical audit project examples
- Authors:
- STEEL Kirsty Maclean, PALMER Claire
- Publisher:
- Gaskell
- Publication year:
- 1999
- Pagination:
- 78p.
- Place of publication:
- London
Contains a selection of clinical audit projects within old age mental health services, all of which have been carried out in practice, with some still in progress. The projects are divided into topics: referrals; assessment; care plans; medication; clinical care; depression, deliberate self harm and suicide; organisational and management processes; and discharge.