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Deliberate self-harm in older adults: A national analysis of US emergency department visits and follow-up care

International Journal of Geriatric Psychiatry Apr 30, 2019

Schmutte T, et al. - For the first time, mental health care received by older adults following an emergency department (ED) visits for deliberate self-harm was examined in a national study. Researchers retrospectively analyzed a cohort of adults ≥65 years of age with ED visits for deliberate self-harm from 2015 Medicare claims. Discharge to community was reported for roughly one-fourth (23.1%) of older adult visits that presented to an ED for deliberate self-harm. Among those who were discharged, a mental health diagnosis in the ED was made for roughly half (56.4%) and outpatient mental health care within 30 days was received by four in 10 (39.0%). The assessment of mental health and follow-up treatment in the routine emergency care of geriatric patients following episodes of deliberate self-harm was thus identified to be a matter for concern. In older adults, deliberate self-harm involves greater suicidal intent and more closely resembles attempted suicide when compared to younger age groups for whom deliberate self-harm includes a larger percentage of nonsuicidal self-injury.
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