{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T19:38:54Z","timestamp":1761766734832,"version":"3.40.5"},"reference-count":45,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2020,6,18]],"date-time":"2020-06-18T00:00:00Z","timestamp":1592438400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:sec id=\"S2056472420000459_sec_a1\" sec-type=\"other\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>The common recommendation that adults with onset of mental illness after the age of 65 should receive specialised psychogeriatric treatment is based on limited evidence.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472420000459_sec_a2\" sec-type=\"other\">\n\t    <jats:title>Aims<\/jats:title>\n\t    <jats:p>To compare factors related to psychiatric acute admission in older adults who have no previous psychiatric history (NPH) with that of those who have a previous psychiatric history (PPH).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472420000459_sec_a3\" sec-type=\"methods\">\n\t    <jats:title>Method<\/jats:title>\n\t    <jats:p>Cross-sectional cohort study of 918 patients aged \u226565 years consecutively admitted to a general adult psychiatric acute unit from 2005 to 2014.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472420000459_sec_a4\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Patients in the NPH group (<jats:italic>n<\/jats:italic> = 526) were significantly older than those in the PPH group (<jats:italic>n<\/jats:italic> = 391) (77.6 <jats:italic>v<\/jats:italic>. 70.9 years <jats:italic>P<\/jats:italic> &lt; 0.001), more likely to be men, married or widowed and admitted involuntarily. Diagnostic prevalence in the NPH and PPH groups were 49.0% <jats:italic>v<\/jats:italic>. 8.4% (<jats:italic>P<\/jats:italic> &lt; 0.001) for organic mental disorders, 14.6% <jats:italic>v<\/jats:italic>. 30.4% (<jats:italic>P<\/jats:italic> &lt; 0.001) for psychotic disorders, 30.2% <jats:italic>v<\/jats:italic>. 55.5% (<jats:italic>P<\/jats:italic> &lt; 0.001) for affective disorders and 20.7% <jats:italic>v<\/jats:italic>. 13.3% (<jats:italic>P<\/jats:italic> = 0.003) for somatic disorders. The NPH group scored significantly higher on the Health of the Nation Outcome Scale (HoNOS) items agitated behaviour; cognitive problems; physical illness or disability and problems with activities of daily living, whereas those in the PPH group scored significantly higher on depressed mood. Although the PPH group were more likely to report suicidal ideation, those in the NPH group were more likely to have made a suicide attempt before the admission.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472420000459_sec_a5\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Among psychiatric patients &gt;65 years, the subgroup with NPH were characterised by more physical frailty, somatic comorbidity and functional and cognitive impairment as well as higher rates of preadmission suicide attempts. Admitting facilities should be appropriately suited to manage their needs.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/bjo.2020.45","type":"journal-article","created":{"date-parts":[[2020,6,18]],"date-time":"2020-06-18T07:11:55Z","timestamp":1592464315000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Elderly patients with no previous psychiatric history: suicidality and other factors relating to psychiatric acute admissions"],"prefix":"10.1192","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6401-9726","authenticated-orcid":false,"given":"Hallvard","family":"Lund-Heimark","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eirik","family":"Kjelby","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lars","family":"Mehlum","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rolf","family":"Gjestad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geir","family":"Selb\u00e6k","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rune Andreas","family":"Kroken","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erik","family":"Johnsen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ketil Joachim","family":"Oedegaard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liv S.","family":"Mellesdal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2020,6,18]]},"reference":[{"key":"S2056472420000459_ref43","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610209008503"},{"key":"S2056472420000459_ref40","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2009.09.004"},{"key":"S2056472420000459_ref39","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610217002034"},{"key":"S2056472420000459_ref37","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g6420"},{"key":"S2056472420000459_ref36","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1114058"},{"key":"S2056472420000459_ref35","doi-asserted-by":"publisher","DOI":"10.1177\/089198879901200204"},{"key":"S2056472420000459_ref34","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5545.94641"},{"key":"S2056472420000459_ref33","doi-asserted-by":"publisher","DOI":"10.1177\/089198878800100305"},{"key":"S2056472420000459_ref31","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-017-0813-9"},{"key":"S2056472420000459_ref30","doi-asserted-by":"publisher","DOI":"10.1007\/s00115-008-2416-3"},{"key":"S2056472420000459_ref29","doi-asserted-by":"publisher","DOI":"10.5617\/suicidologi.5880"},{"key":"S2056472420000459_ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2011.02.002"},{"volume-title":"Applied Missing Data Analysis","year":"2010","author":"Enders","key":"S2056472420000459_ref27"},{"key":"S2056472420000459_ref24","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(95)71666-8"},{"key":"S2056472420000459_ref6","unstructured":"6 American Association for Geriatric Psychiatry. 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Published by Cambridge University Press on behalf of the Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}],"article-number":"e63"}}