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High Content Screening Analysis to Evaluate the Toxicological Effects of Harmful and Potentially Harmful Constituents HPHC
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Understanding self-harm in older adults: A qualitative study.

M Isabela Troya1, Lisa Dikomitis1,2, Opeyemi O Babatunde1

  • 1Research Institute for Primary Care and Health Sciences, Keele University, David Weatherall Building, Staffordshire ST5 5BG, United Kingdom.

Eclinicalmedicine
|August 8, 2019
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Older adults experience self-harm due to life-course stressors, shame, and stigma, often concealing it. Understanding these factors is crucial for providing adequate support and assessment for this vulnerable population.

Keywords:
Older adultsQualitativeSelf-harmSuicide

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Area of Science:

  • Gerontology
  • Public Health
  • Mental Health Research

Background:

  • Self-harm is a significant risk factor for suicide, with notably higher rates in older adult populations.
  • This study investigates the lived experiences of self-harm among older adults and identifies contributing factors.

Purpose of the Study:

  • To explore how older adults experience self-harm.
  • To identify specific factors contributing to self-harm in this demographic.
  • To understand the role of stigma and shame in older adults' self-harm behaviors.

Main Methods:

  • Semi-structured interviews were conducted with older adults (≥60 years) who self-harm and support workers in England.
  • Thematic analysis was used to analyze interview data.
  • A Patient Involvement group contributed to study design, data analysis, and interpretation.

Main Results:

  • Interviews with 16 participants (9 older adults, 7 support workers) revealed diverse life-course stressors contributing to vulnerability.
  • Common stressors included adverse events, loss, interpersonal issues, and health problems.
  • Participants reported significant shame and stigma associated with self-harm for managing distress.

Conclusions:

  • Self-harm in older adults is often hidden due to amplified stigma and shame, leading to reduced help-seeking.
  • Self-harm among older adults spans a spectrum of suicidal intent, serving various functions.
  • Clinicians must recognize self-harm in older adults, especially those with comorbidities, for appropriate assessment and support.