[Psychogical Autopsies Into Suicide Among the Elderly in Rio De Janeiro].

[Psychogical autopsies into suicide among the elderly in Rio de Janeiro].

Filed under: Depression Treatment

Cien Saude Colet. 2012 Oct; 17(10): 2773-81
Minayo MC, Cavalcante FG, Mangas RM, Souza JR

This study analyses psychological autopsies and contextualizes problems and issues that led to elderly people taking their own lives in the city of Rio de Janeiro between 2004 and 2007. The study began with an analysis of 26 expert findings of elderly men and women who committed suicide in the central, northern and southern areas of Rio de Janeiro. The sample was contacted by letter and telephone and after that, by a one-on-one conversation. Eight psychological autopsies were conducted, in which identification data and family genograms were collected followed by an interview to profile the life style and the reasons for the self-inflicted violence. The interviewees were family members, friends and acquaintances of the victims. The suicides are associated with depression, serious physical and mental illness, as well as socio-cultural factors related to professional and socio-economic decline. The suicides occurred with and without family support, with and without medical care. The cumulative fragility of personal and social resources within the life cycle reveals that the risk of suicide among the elderly demands permanent care from the public health authorities.
HubMed – depression

 

CE Test 2.3 Hours: Depression in Older Adults.

Filed under: Depression Treatment

Am J Nurs. 2012 Nov; 112(11): 46-31
Contrada E

HubMed – depression

 

A nosological review of depressive disorders based on observations in clinical practice, Part 1: terminology and phenomenology.

Filed under: Depression Treatment

Australas Psychiatry. 2012 Oct 25;
Restifo S

OBJECTIVE: The purpose of this paper is to describe the problems with the contemporary nosology of ‘depression’ and to discuss the key linguistic and phenomenological aspects that are essential prerequisites for a clinically meaningful typology of depressive disorders. The paper comprises observations and reflections drawn from clinical work. CONCLUSIONS: First, the use of the unqualified, stock term ‘depression’ is counterproductive, as are the diagnostic non-entities of ‘major depression’ and ‘dysthymia’. Second, the core psychopathology in melancholic depression is a loss of self-confidence, which helps explain the frequent co-occurrence of ‘anxiety’ with ‘depression’. Third, descriptive, non-technical terms such as ‘demoralisation’ and ‘grief’ are most helpful in formulating non-melancholic forms of depression and thus useful in differential diagnosis.
HubMed – depression

 

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