{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T17:32:47Z","timestamp":1779903167618,"version":"3.53.1"},"reference-count":45,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,1,19]],"date-time":"2023-01-19T00:00:00Z","timestamp":1674086400000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Self\u2010harm and suicide are closely related in older adults, highlighting the opportunity for Aftercare interventions in targeted suicide prevention. The study aims were to explore strengths and shortfalls of current Aftercare services for older adults from the perspective of key stakeholders and researchers; and inform a set of guiding principles for older persons' Aftercare.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Semi\u2010structured interviews were undertaken with a convenience sample\u00a0of older people with lived experience of self\u2010harm, clinicians and suicide researchers (<jats:italic>n<\/jats:italic>\u00a0=\u00a022). Interviews were focussed on current practice (strengths and limitations), potential improvements, and identifying the core components of an acceptable Aftercare model. Interviews were audio\u2010recorded, transcribed and subjected to a reflexive thematic analysis grounded in interpretive description.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Current practice strengths included validation, a person\u2010centred approach and optimising aftercare delivery. Limitations included ageism, practical limitations (lack of service awareness, fragmented service provision, barriers to access, and traumatising approaches), and limited services, funding and training. Overarching themes included anti\u2010ageism; anti\u2010stigma; empowerment and agency; conveying hope; patience and pace; accessible; and finding purpose: connections and meaningful activity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Older people who have self\u2010harmed have complex, individualised needs. They sit within intersecting systems traversing healthcare, support services, family, and the social environment. Systemic, coordinated Aftercare founded upon core principles of anti\u2010ageism, anti\u2010stigma, partnership, empowerment, accessibility and provision of connections and meaning are needed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/gps.5876","type":"journal-article","created":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T03:48:26Z","timestamp":1673581706000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["A qualitative study of multiple voices to inform aftercare services for older persons following self\u2010harm"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7811-5225","authenticated-orcid":false,"given":"Anne P.","family":"Wand","sequence":"first","affiliation":[{"name":"Specialty of Psychiatry Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"},{"name":"Discipline of Psychiatry and Mental Health Faculty of Medicine University of New South Wales  Sydney New South Wales Australia"},{"name":"Older Persons Mental Health Service Sydney Local Health District  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aspasia","family":"Karageorge","sequence":"additional","affiliation":[{"name":"Brain and Mind Centre University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roisin","family":"Browne","sequence":"additional","affiliation":[{"name":"Discipline of Psychiatry and Mental Health Faculty of Medicine University of New South Wales  Sydney New South Wales Australia"},{"name":"ForeFront Motor Neuron Disease &amp; Frontotemporal Dementia Clinic Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"},{"name":"Capacity Australia  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiffany","family":"Jessop","sequence":"additional","affiliation":[{"name":"Discipline of Psychiatry and Mental Health Faculty of Medicine University of New South Wales  Sydney New South Wales Australia"},{"name":"Capacity Australia  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmelle","family":"Peisah","sequence":"additional","affiliation":[{"name":"Specialty of Psychiatry Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"},{"name":"Discipline of Psychiatry and Mental Health Faculty of Medicine University of New South Wales  Sydney New South Wales Australia"},{"name":"Capacity Australia  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l94"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s43587\u2010021\u201000160\u20101"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/00048674211067165"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1039856218758560"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867415620024"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.16.2064"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/00048674211067165"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/s1041610220004147"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2215\u20100366(20)30399\u20100"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2021.05.025"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.5057"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/s1041610219000632"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.31128\/afp\u201008\u201017\u20104311"},{"key":"e_1_2_9_15_1","volume-title":"Older peoples aftercare service delivery model (OPASDM)","author":"Wand A","year":"2021"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676x.2019.1628806"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/capr.12360"},{"key":"e_1_2_9_19_1","volume-title":"The counselling and psychotherapy research handbook","author":"Braun V","year":"2014"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/(sici)1098\u2010240x(199704)20:2<169::aid\u2010nur9>3.0.co;2\u2010i"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/160940690400300101"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2018.03.005"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/appy.12473"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2019.06.002"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1027\/0227\u20105910\/a000558"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j4627"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/07317115.2019.1611685"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867416661039"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/10398562211054039"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2215\u20100366(17)30472\u20108"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-73820-8_15"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmi115"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2017.08.033"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4862"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/13811118.2019.1706678"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867421998758"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2020.190"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0220857"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/1099\u20101166(200008)15:8<687::aid\u2010gps181>3.0.co;2\u2010k"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/jgp.0b013e3181e56d0f"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1002\/jppr.1634"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2021.10.006"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2016.05.011"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.5383"},{"key":"e_1_2_9_45_1","volume-title":"Basics of Qualitative Research. Techniques and Procedures for Developing Grounded Theory","author":"Corbin J","year":"2015"},{"key":"e_1_2_9_46_1","volume-title":"Convention on the Rights of Persons with Disabilities","author":"United Nations"}],"container-title":["International Journal of Geriatric Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/gps.5876","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/gps.5876","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/gps.5876","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T16:44:19Z","timestamp":1692636259000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/gps.5876"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":45,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1002\/gps.5876"],"URL":"https:\/\/doi.org\/10.1002\/gps.5876","archive":["Portico"],"relation":{},"ISSN":["0885-6230","1099-1166"],"issn-type":[{"value":"0885-6230","type":"print"},{"value":"1099-1166","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"assertion":[{"value":"2022-07-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-10","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e5876"}}