{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T05:50:12Z","timestamp":1791352212920,"version":"4.3.1"},"reference-count":43,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Sociol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Older adult abuse is associated with a higher risk of mental health disorders but to date older adult abuse has not been investigated as a predictor of mental healthcare outcomes. The purpose of this study was to systematically ascertain recorded abuse and analyse its consequences in older people receiving mental healthcare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In a large South London mental healthcare data platform, recorded older adult abuse was ascertained using natural language processing algorithms during the first 3\u202fmonths of contact and investigated in relation to risk of subsequent emergency department attendance and 12-month mental health service contacts. Analyses were stratified by gender, ethnicity, marital status, and deprivation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 14,591 patients seen by mental health services, 8.4% were recorded as having experienced some form of abuse. Physical abuse was the most common type and financial abuse the least common. In adjusted models, only emotional abuse was associated with emergency department attendance (adjusted hazard ratio: 1.13, 95% CI: 1.02\u20131.26), but all abuse subtypes were associated with higher mental health service contact, most strongly for recorded sexual abuse (adjusted incidence rate ratio: 2.35, 95% CI: 1.93\u20132.86).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Abuse experiences are commonly recorded in older adults receiving mental healthcare and are associated with a higher level of mental health service contact. With the use of natural language processing, we were able to successfully gain a deeper insight into the outcomes of abuse experienced by adults referred to a range of services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsoc.2026.1690455","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T04:53:35Z","timestamp":1791348815000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The association between older adult abuse and emergency department attendance and mental health service use"],"prefix":"10.3389","volume":"11","author":[{"given":"Sharon","family":"Sondh","sequence":"first","affiliation":[{"name":"Institute of Psychiatry, Psychology and Neuroscience, King\u2019s College London","place":["London, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Mueller","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Psychology and Neuroscience, King\u2019s College London","place":["London, United Kingdom"]},{"name":"South London and Maudsley NHS Foundation Trust","place":["London, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lifang","family":"Li","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Psychology and Neuroscience, King\u2019s College London","place":["London, United Kingdom"]},{"name":"School of Journalism and Communication, Sun Yat-sen University","place":["Guangzhou, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angus","family":"Roberts","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Psychology and Neuroscience, King\u2019s College London","place":["London, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harsharon Kaur","family":"Sondh","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Psychology and Neuroscience, King\u2019s College London","place":["London, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Stewart","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Psychology and Neuroscience, King\u2019s College London","place":["London, United Kingdom"]},{"name":"South London and Maudsley NHS Foundation Trust","place":["London, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"311","DOI":"10.4082\/kjfm.23.0046","article-title":"Elderly abuse and neglect on population health: literature review and interventions from selected countries","volume":"44","author":"Alias","year":"2023","journal-title":"Korean J Fam Med."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1186\/s12913-023-10372-3","article-title":"What are the determinants of older people adopting communicative e-health services: a meta-ethnography","volume":"24","author":"Aslan","year":"2024","journal-title":"BMC Health Serv. 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