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Related Experiment Videos

Self-injurious behavior in the elderly.

Susan M Parks1, Stephen M Feldman

  • 1Neuropsychology Fellowship Program, McLean Hospital, Belmont, and Department of Psychiatry, Harvard Medical School, Boston, MA 02131, USA. smf@icpsgroup.com

The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists
|January 25, 2007
PubMed
Summary
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Self-injurious behavior (SIB) is less common in the elderly but concerning, with risk factors including dementia and depression. Effective management strategies for elderly SIB are lacking in current literature.

Area of Science:

  • Geriatric Medicine
  • Psychiatry
  • Behavioral Science

Background:

  • Self-injurious behavior (SIB) is prevalent in younger populations and those with developmental disabilities.
  • The elderly population, particularly those with psychiatric or neurodegenerative conditions, can also exhibit SIB.
  • Limited research exists on SIB in the elderly compared to other demographics.

Purpose of the Study:

  • To conduct a literature review on self-injurious behavior (SIB) in the elderly.
  • To compare SIB in the geriatric population with SIB in other age groups and populations.
  • To explore potential risk factors and management strategies for SIB in older adults.

Main Methods:

  • Comprehensive literature searches were performed across multiple databases including MEDLINE/PubMed, Merck-Medicus, clinicaltrials.gov, and OVID.

Related Experiment Videos

  • An internet search was also conducted using keywords such as "self-injurious behavior," "SIB," and "self-mutilation."
  • A total of sixteen studies focusing on SIB in general or its treatment in the geriatric population were reviewed.

    • Main Results:

    • SIB is most commonly observed in young children, adolescents, young adults, and individuals with developmental disabilities.
    • Elderly individuals, especially those with dementia or depression, may exhibit SIB.
    • The review identified a general overview of SIB, specific geriatric factors, and discussed pharmacological and behavioral interventions.

    Conclusions:

    • Risk factors for SIB in the elderly include dementia, depression, physical illness, and spousal loss.
    • Current literature lacks specific, effective drug therapies or treatments for SIB, particularly in the elderly population.
    • Elderly SIB may stem from frustration and communication deficits; recognizing triggers, care planning, and safety management are crucial.