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Deliberate self-harm and the elderly: a volatile combination-an overview from the plastic surgery perspective
J Packer1, M A Hussain, S H A Shah
1Plastic Surgery Department, Royal Preston Hospital, Lancashire Teaching Hospitals, NHS Foundation Trust, Preston PR2 9HT, UK.
Plastic Surgery International
|July 14, 2012
Summary
Self-harm in the elderly (DSH) is increasing, with males more affected. Early mental health team referral and GP involvement are crucial for preventing future admissions and improving management.
Area of Science:
- Geriatric Medicine
- Psychiatry
- Plastic Surgery
Background:
- Deliberate self-harm (DSH) in the elderly population (60+ years) presents unique challenges.
- Understanding associated factors is crucial for effective management and prevention strategies.
Purpose of the Study:
- To identify factors linked to DSH in elderly individuals.
- To recommend improvements for managing DSH in this demographic.
Main Methods:
- Retrospective study conducted over five years (July 2005-July 2010).
- Data collected from inpatient admissions in a Plastic Surgery Department.
- Analysis of patient case notes using a designed Performa.
Main Results:
- DSH is more prevalent in the elderly, with a higher incidence in males.
- A significant majority had prior DSH (60%) and mental illness (80%).
- Most patients (90%) were reviewed by Psychiatry Liaison, but assessment timing varied.
Conclusions:
- Marriage is not a protective factor against DSH in the elderly.
- Early mental health team referral and a dedicated management protocol are recommended.
- Integrated professional efforts, including GP involvement, are vital for prevention.
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