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Indirect self-destructive behavior in the elderly nursing home patient
Journal of Gerontology
|November 1, 1980
Summary
Indirect self-destructive behavior (ISDB) in elderly male nursing home patients is linked to suicidal potential and life dissatisfaction. ISDB appears to be an alternative suicide method for this vulnerable population.
Area of Science:
- Geriatric Psychiatry
- Behavioral Psychology
- Nursing Home Care
Background:
- Indirect self-destructive behavior (ISDB) is a complex phenomenon often observed in institutionalized elderly populations.
- Understanding the factors associated with ISDB is crucial for developing effective interventions in nursing home settings.
Purpose of the Study:
- To explore the incidence and correlates of indirect self-destructive behavior (ISDB) in elderly male nursing home patients.
- To identify psychological and background factors associated with ISDB in this demographic.
Main Methods:
- Utilized a previously developed ISDB Scale to assess indirect self-destructive behavior.
- Correlated ISDB Scale scores with psychological assessments, background information, and patient data in a sample of 99 male nursing home residents.
Main Results:
- ISDB incidence in elderly males correlated with direct suicide potential.
- Dissatisfaction with treatment and life, impaired judgment, and poor discharge prognosis were associated with ISDB.
- Absence of religious commitment and significant life losses were also linked to higher ISDB scores.
Conclusions:
- Indirect self-destructive behavior (ISDB) in elderly nursing home patients may serve as an alternative to direct suicide.
- Findings highlight the need for comprehensive mental health assessments and support for elderly patients exhibiting ISDB.
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