Kathleen D. Weissberg, MS, OTD, OTR/L, CMDCP, CDP, CFPS: No financial relationships to disclose
Acts of suicide, ideation, and self-harm in later life is a highly prevalent, but minimally researched and uncomfortably discussed topic in the United States. Yet the older adult presents with many or all of the primary risk factors: mental illness (especially depression and grief/loss), medical illness, impaired coping skills, social disconnectedness, and functional impairment. During the COVID-19 pandemic, stress, anxiety, fear and sadness can all exacerbate or result in symptoms of depression. Further, life transitions experienced by the elderly including changes in housing of oneself or one’s spouse exacerbate the risk, making the transition to assisted living or long term care a crucial point to deliver screening and intervention. With depression as a third-level split in the PDPM Special Care High category, how prepared are you and your staff to address the identification of depression in the elderly population, and what signs go beyond depression to reveal active suicidal or self-harm risk? This course will discuss prevalence of suicidality in long term care settings, the signs and behaviors which point to elevated risk, steps to improve the comfort and ability of staff to conduct effective interviews and risk assessments, the particularly high risks facing the incoming Baby Boomer population, and additional tips for addressing depression in this pivotal time.
Learning Objectives:
Describe the scope of the problem related to suicide and self-harm in residential elders including the changing perspectives of Baby Boomers.
Identify risk factors for review in the medical record.
Identify warning signs in observable behavior.
Describe assessment interview technique and the PHQ-2 and PHQ-9.
Describe important actions in suicide prevention during the transition to residential communities.
Discuss current suicide prevention strategies with family members and stakeholders.