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Suicide Prevention Interventions for Older People in Nursing Homes and Long-Term Care Facilities: A Systematic Review.
Chauliac, Nicolas; Leaune, Edouard; Gardette, Virginie; Poulet, Emmanuel; Duclos, Antoine.
Afiliação
  • Chauliac N; Suicide Prevention Centre, le Vinatier hospital, Bron, France.
  • Leaune E; EA 7425 HESPER Health Services and Performance Research, Claude Bernard Lyon 1 University, Lyon, France.
  • Gardette V; Suicide Prevention Centre, le Vinatier hospital, Bron, France.
  • Poulet E; Institut de Recherches Philosophiques de Lyon, Jean Moulin Lyon 3 University, Lyon, France.
  • Duclos A; 165271UMR INSERM 1027, Toulouse University, Toulouse, France.
J Geriatr Psychiatry Neurol ; 33(6): 307-315, 2020 11.
Article em En | MEDLINE | ID: mdl-31840568
ABSTRACT

BACKGROUND:

The death rate due to suicide among older people is high, especially among men. Because many older people live in nursing homes or long-term care facilities in high-income countries, reviewing the impact of prevention strategies on the suicidal behavior of residents in these settings is of interest.

METHODS:

Following PRISMA guidelines, we performed a systematic review of the existing literature found in Pubmed, Scopus, Web of Science, PsycINFO, and Sociological Abstracts, focusing on interventions to prevent suicidal behavior or ideation in nursing home residents. The studies' quality was evaluated according to TIDieR and MMAT.

RESULTS:

Only 6 studies met the inclusion criteria. Four of them described various "gatekeeper" trainings for nursing home staff and 2 described interventions focused on residents. Only 1 study was randomized. Gatekeeper training studies were mostly before/after comparisons. No intervention demonstrated a direct effect on suicidal ideation or behaviors. One study showed that "life review" had a long-lasting effect on depression scores and another that gatekeeper training led to changes in the care of suicidal residents.

CONCLUSIONS:

Interventions to prevent suicidal ideation or behaviors in nursing homes are not rigorously evaluated, and no conclusion can be drawn on their effectiveness in preventing suicidal behaviors. We propose to better evaluate gatekeeper training for staff as well as peer support. Individual interventions targeting residents could be modified for broader implementation.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Tentativa de Suicídio / Assistência de Longa Duração / Prevenção do Suicídio Tipo de estudo: Clinical_trials / Systematic_reviews Limite: Aged / Aged80 / Female / Humans / Male Idioma: En Revista: J Geriatr Psychiatry Neurol Assunto da revista: GERIATRIA / NEUROLOGIA / PSIQUIATRIA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: França

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Tentativa de Suicídio / Assistência de Longa Duração / Prevenção do Suicídio Tipo de estudo: Clinical_trials / Systematic_reviews Limite: Aged / Aged80 / Female / Humans / Male Idioma: En Revista: J Geriatr Psychiatry Neurol Assunto da revista: GERIATRIA / NEUROLOGIA / PSIQUIATRIA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: França