The hidden risks of suicide and depression for seniors living in long-term care

PBS NewsHour
10 Apr 201910:23

Summary

TLDRAs America’s senior population grows, many face the challenges of transitioning to long-term care, which can bring an increased risk of depression and suicide. The story of Roland Tiedemann highlights this risk, as he took his life after struggling with multiple moves to different facilities. Despite the assumption that long-term care provides better supervision, suicide rates among residents are similar to those living independently. Mental health experts advocate for better screening, support systems, and community engagement to prevent suicides in these settings. Families are urged to ask facilities about mental health protocols and break the stigma surrounding depression in the elderly.

Takeaways

  • πŸ˜€ By 2030, one in five Americans will be senior citizens, and many will face difficult decisions about long-term care, with increased risks of depression and suicide.
  • πŸ˜€ Depression and suicide risks are higher among seniors transitioning into or living in long-term care facilities, often exacerbated by isolation and loss of independence.
  • πŸ˜€ Roland Tiedemann, a lifelong outdoorsman, struggled with health decline and the transition to long-term care, which ultimately led to his tragic death by suicide in 2018.
  • πŸ˜€ After Roland's death, Julie Rickard, a psychologist, began investigating suicide risks in long-term care facilities, uncovering alarming statistics and issues of staff communication.
  • πŸ˜€ Suicide rates in long-term care facilities are found to be similar to those of seniors living independently, with many residents experiencing suicidal thoughts or attempts.
  • πŸ˜€ Up to a third of long-term care residents exhibit suicidal behavior, and half of them are reported to be depressed, making mental health a critical concern in these settings.
  • πŸ˜€ A key factor in suicide prevention is providing residents with a sense of connection and community, which can mitigate feelings of isolation and loss of purpose.
  • πŸ˜€ Jim Ellis, an assisted living resident, reported hearing frequent talks of suicide from fellow residents, illustrating the mental health challenges in such environments.
  • πŸ˜€ Julie Rickard is working to improve suicide prevention efforts at Kadie Glen, a long-term care facility, through staff training and screening residents for depression and suicidal tendencies.
  • πŸ˜€ Families should inquire about the mental health protocols in place at long-term care facilities, as there are no federal requirements to report suicides, and many states do not track or disclose such incidents.
  • πŸ˜€ There is a need to eliminate the stigma surrounding depression and suicide in the elderly population and improve societal understanding of the mental health challenges faced by seniors in long-term care.

Q & A

  • What is the main issue addressed in the video script?

    -The main issue discussed is the increased risk of depression and suicide among senior citizens transitioning into long-term care facilities.

  • What challenges did Roland Tiedemann face after moving into long-term care?

    -Roland Tiedemann struggled with the loss of independence, health declines, and the emotional toll of moving into long-term care. His health had deteriorated, and he was unable to make decisions for himself.

  • How did Tiedemann's daughter, Jane Davis, feel about her father's transition into long-term care?

    -Jane Davis felt conflicted about placing her parents in a care facility, believing it was the safest option, but she acknowledged that her father struggled with the transition and the lack of control over his life.

  • What role did the suicide prevention program in Wenatchee play in addressing the issue?

    -The program, led by psychologist Julie Rickard, aims to reduce suicides in long-term care facilities by screening residents for depression, training staff to recognize warning signs, and helping residents stay connected with the community.

  • What did Julie Rickard find regarding the prevalence of suicidal behavior in long-term care facilities?

    -Julie Rickard found that up to a third of residents in long-term care facilities exhibit suicidal behavior, and half of them suffer from depression.

  • How does the rate of suicide in long-term care facilities compare to the general population?

    -The suicide rates in long-term care facilities are similar to those of seniors living independently, which suggests that supervision in these facilities does not necessarily lower the risk of suicide.

  • What was the impact of Roland Tiedemann’s death on his community and on the suicide prevention efforts?

    -Tiedemann's suicide led to increased awareness of the issue in the community. It sparked conversations about the mental health of seniors in long-term care and contributed to the development of suicide prevention initiatives in the region.

  • Why do families often feel guilty about placing their loved ones in long-term care facilities?

    -Families may feel guilty because they often associate long-term care with a loss of autonomy for their loved ones, especially when they experience depression or suicide in these settings.

  • What recommendation does Julie Rickard give to families choosing long-term care facilities?

    -Julie Rickard advises families to ask about the mental health protocols and suicide prevention measures in place at the facilities, as there is no federal requirement to track suicides in these settings.

  • What is Jane Davis’ perspective on connection and mental health support in long-term care facilities?

    -Jane Davis believes that connection is crucial for elderly residents. She emphasizes the importance of listening to their stories and offering emotional support, as isolation and a lack of purpose can lead to depression and suicidal thoughts.

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Related Tags
long-term caremental healthdepressionsuicide preventionelderly carefamily supporthealthcare crisiselder suicidecommunity careseniorshealthcare training