Suicide is more prevalent among older adults compared to younger adults, and disproportionately affects men more than women. Statistically, “…in 2010, the overall suicide rate for adults age 65 years and older was 14.9 suicides per 100,000” (Bamonti, Price, & Fiske, 2014, p.188). A case of an independent, 80-year-old man (R.L.) with multiple chronic comorbidities was presented. R.L had been recently diagnosed and started treatment for depression after exhibiting suicidal thoughts. It was not until R.L. developed renal failure and refused permanent dialysis therapy, that his clinician presented concerns about the patient’s possible impaired capacity for autonomous decision-making due to his diagnosed mood disorder. The main issues for evaluation in this case included the diagnostic process of depression, the patient’s capacity to make medical decisions, and the clinician’s ethical treatment approach. …show more content…
According to, The current American Psychiatric Association Diagnostic and Statistical Manual (DSM-IV), criteria for the diagnosis of depression include: (1) changes in appetite and weight; (2) disturbed sleep; (3) motor agitation or retardation; (4) fatigue and loss of energy; (5) depressed or irritable mood; (6) loss of interest or pleasure in usual activities; (7) feelings of worthlessness, self-reproach, excessive guilt; (8) suicidal thinking or attempts; and (9) difficulty with thinking or concentration. (Espinoza & Kaufman, 2014, p.2). R.L. had been diagnosed with depression after presenting multiple symptoms including suicidal ideation, anhedonia, and appetite changes. Furthermore, R.L. had agreed to start medication. Nonetheless, it was important to evaluate the patient’s mental capacity to make further treatment
Elderly adults make up only 12% of the U.S. population, but account for over 18% of all suicide deaths which is the 10th leading cause of death in the United States (McQueen, 2012). Older adults, especially men 84 years and older, have the highest rates of suicide of any age group (McQueen, 2012).There are many elderly people who take their lives either by their own hands or with the help of a physician or loved one each year. Studies have shown this is due to depression, pain, grief, loneliness, alcoholism and career stress (McQueen, 2012). Fortunately, these are all treatable conditions that could be easily recognized by physicians and family members. Having experienced a couple of suicides by extended elderly
Imagine in a place where everyone that you knew all displayed depression and everyone lead to giving up. And you were the only one that saw the world as a beautiful place. How would you help others in need? There would be no one trying to help one another and you were the only one that wanted to help everyone else. What if everyone you knew were getting hurt all the time and were always fighting for no real reason what would you say to try to help them get back on their feet? If you were the one that everybody dependent on what would you tell them to try to solve their problems? Most people don’t know what to do in these sorts of situations. Therefore they look for help or stay in their comfort zone and stay quite as long as they can or solve their own problems. The government has all the power in the United States it is only right that they should spend money on programs for people that may suffer from depression or suicidal thoughts.
In the American Psychiatric Association’s Diagnostic & Statistical Manual (APA, 2000) the symptoms of depression are: loss of interest or enjoyment in activities; changing in weight and appetite; changes to sleep pattern; loss of energy; feeling worthless or guilty; suicidal thoughts; poor concentration and being either agitated or slowed up.
Depression is a real mental condition that affects many people around the world. It affects all ages, social backgrounds and genders. There are many signs and symptoms of depression. Common symptoms of depression are sleeping problems, great weight loss or gain, headaches, being tired regularly and being overwhelmed. A lowering mood is known to alter one’s sleeping patterns whether if they are waking too early or sleeping in, greatly impacting the way they would
Depression is the most common mental disorder, not only for adults, but for children and teenagers as well. The DSM-IV classifies depression as a mood disorder. It states that an individual has suffered a “major depressive episode” if certain symptoms persist for at least two weeks, including a loss of enjoyment in previously pleasurable activities, a sad or irritable mood, a significant change in weight or appetite, problems sleeping or concentrating, and feelings of worthlessness. These symptoms of depression fall into four categories: mood, cognitive, behavioral, and physical. Depression affects how individuals feel, think, behave, and how their bodies work. People with depression may experience symptoms in any or all of the
Clinical Depression, or Major Depressive Disorder, is a well-known but little-discussed issue within the medical community. Mental illness is a medical culture taboo. Many people, such as myself, in this community learn to suffer in silence for fear of undermining the future of their own careers by stigmatizing themselves. It wasn’t until I had been out of medical school for several months that I even acknowledge the idea a problem may exist. This phenomenon isn’t even unique to medical schoosl: it carries into residency and even a physician’s professional career. When medical professionals suffer from any untreated illness, it is not only the individuals that bear the consequences but also their coworkers, future physicians, and, maybe most importantly, their patients.
After reviewing the case of my patient Tom, I have come to the conclusion that he suffers from depression. At this stage of analysis of this case, we can look at the symptoms and signs shown by the patient and match them with the symptoms and signs of depression. Looking at the DSM IV (Diagnostic Statistic Manual 4) we can understand that the most basic symptoms of depression include loss of interest or pleasure in daily activities for more than two weeks, being in a mood that is different from
The American Psychiatric Association diagnostic Statistical Manual IV Test Revision (DSMIV-TR)(2000) and World Health Organisation (WHO)(1983) concur to (or agree on) the diagnostic criteria of depression by indicating the following; low mood, inability or failure to find pleasure in almost all daily activities which was initially pleasurable(anhedonia), diminished/reduced energy or increased fatigue in all activities as the main or core symptoms of depression.
The elderly population is the fastest growing population which also has the highest rate of suicide. These two growing incidences make the issue of late-life suicide a major health priority. Depression is one of the most common mental disorders that are experienced by the older adult, which has a strong association to suicide rate. Too often depression is under reported and older adults do not seek treatment for mental health problems. Assessing for risk factors for potential suicide in the elderly is a necessary part of proper health care. Suicide is 100% preventable and it is essential that patients obtain timely, appropriate interventions for deterrence of such a detrimental problem. The primary aim of this study was to examine the relationship between suicide contemplation in late-life and the patients’ physical health, disability, and social support (Turvey et al., 2002). The study provides further information about how late-life depression that in addition contributes to suicidal ideations (Turvey et al., 2002).
A few basic symptoms of depression include, mood and lack of interests in several of the luxuries a person has enjoyed in the past.However a depressed person finds it very difficult with their sleep patterns.(2008 Rudy V. Nydegger).In addition to poor nutritional choices being made in everyday life for, example,simple carbohydrates,sugar,overeating uually leads to weight gain.It should be known that depressed people have a reduction of energy.However, certain people act very anxious or agitated.(2008 Rudy V. Nydegger).Consequently characteristics of depression a person experiences continue to be negative feelings in regards to themselves and general pessimism.A person who thinks always alike to this can lead to suicidal thoughts. (2008 Rudy
DSM-5 criteria defines major depressive disorder would be qualified for a diagnosis if it demonstrate five or more of the following symptoms during the same 2-week period and represent a change from previous functioning: depressed mood, marked diminished interests or pleasure in activities, significant changes in weight or appetite, insomnia/hypersomnia, psychomotor agitation, fatigue, hopeless and worthless feelings, diminished concentration, and suicide thoughts or intentions (Kosslyn, Rosenberg, & Lambert, 2012). Previous literatures have identified a number of possible causes that may lead to depression, such as genetics, brain differences, social factors like poverty, ethnicity, and childhood experience (Read, J. & Sanders, P., 2010). There are different schools that use different theories as the basis to analyse how psychological problems and symptoms start and develop into life-affecting depression and distress.
Suicide is nothing to joke about. In 2015, most people wouldn 't know about the common problem of the modern society. That problem being elder suicide. Along with most people not being aware of this problem, Most people would not understand why this problem exists. As shown by research, there are important biological, psychological, and social factors that influence suicidal behavior in older individuals. As shown, by identifying the variables that influence suicidal behavior, clinicians can find new ways to prevent and intervene with suicidal older individuals. The paper concludes that only a coordinated effort between different health care providers can effectively address elder suicide.
For some teens, striving for perfection has led to harming their own health and wellbeing such as living with depression and suicide. Teenagers today are relying on what they see in ads, T.V., magazines and on the internet for their input on appearances, the way they think not only comes from media sources, but from family and friends.
Mental health issues such depression, anxiety is a health burden that negatively affects many people’s quality of life, especially older adults. In this Literature review we will use the terms older adults, elderly, baby boomer when referring to people ages 65 and older. “The rate of suicide in those aged 65 years and over has been increasing over the past three decades in most industrialized countries, with marked increases in both attempted suicides and death by suicide in the late 1980s” (Deuter, 2016). Older adults in the United States and many countries around the world die by suicide at elevated rates compared with younger adults (Conwell, and Van Orden, 2016). In addition to the age different, suicide seem to affect man and women differently with the baby boomer population. Men die more from suicide compare to women, even though females suicide attempt rate is higher (Heisel, 2006). Deuter reports that, in 2013, 7215 people aged 65 years and over died by suicide the USA, which accounts for 17.5% of the national total of suicide deaths (2016). The elevation of suicide in the elder is not only limited to the United States. According to Conwell (2013), the number of adults 65 year and older who died in the US is 6000 and 20,000 died worldwide, in 2010. The elderly population have become increasing prone to committing suicide and considered to be a population at risk. We will focus on the cause, challenges/controversy, and solutions that were used to address the issue of
Major Depressive Disorder is marked by sadness and any four of the following seven criteria: weight loss or weight gain, insomnia or hypersomnia, motor slowing or agitation, fatigue, worthlessness or guilt, impaired concentration, and thoughts of suicide or suicide attempt. Those with Major Depressive Disorder have never had mania or hypomania and may also have anxiety symptoms. When the Major Depressive Disorder is combined with melancholic features, then the person has a “loss of pleasure in all, or almost all, activities [and has a] lack of reactivity to usually pleasurable stimuli (does not feel better, even temporarily, when something good happens” (American Psychiatric Association, p. 185). Observations made by others, such as being tearful, is also a criterion of this disorder (American