PMID- 12085681
OWN - NLM
STAT- MEDLINE
DCOM- 20030110
LR  - 20220330
IS  - 0706-7437 (Print)
IS  - 0706-7437 (Linking)
VI  - 47
IP  - 5
DP  - 2002 Jun
TI  - Prevalence and correlates of elder abuse and neglect in a geriatric psychiatry 
      service.
PG  - 459-67
AB  - OBJECTIVE: To determine the prevalence and correlates of 4 types of elder abuse 
      and neglect in a geriatric psychiatry service. METHOD: We conducted a 
      cross-sectional retrospective chart review of new in- and outpatients seen by the 
      Montreal General Hospital Division of Geriatric Psychiatry in one calendar year. 
      RESULTS: Abuse or neglect was suspected or confirmed in 20 (16%) of 126 patients, 
      comprising financial abuse in 16 (13%), neglect in 7 (6%), emotional abuse in 5 
      (4%), physical abuse in 3 (2%), and multiple abuse in 7 (6%). On bivariate 
      analysis, patients living with nonspouse family, friends, or other persons were 
      significantly more likely to have suffered abuse than were those living with 
      their spouse or in a supervised setting (OR 10.5; 95%CI, 2.3 to 47.8); widowed, 
      divorced, or separated patients were significantly more likely to have suffered 
      abuse than were married patients (OR 4.7; 95%CI, 1.02 to 22.0). Nonsignificant 
      trends included female sex (OR 4.1; 95%CI, 0.89 to 18.6); alcohol abuse (OR 2.1; 
      95%CI, 0.71 to 6.2); behaviour problems (OR 1.9; 95%CI, 0.71 to 5.2); and chronic 
      cognitive impairment (OR 1.4; 95%CI, 0.55 to 3.8). Although living situation with 
      nonspouse family, friends, or others and marital status of widowed, divorced, or 
      separated were significantly associated with abuse when examined in separate 
      logistic regression models, both were nonsignificant when examined together, 
      suggesting collinearity. Both were retained in the model because they probably 
      represent different aspects of vulnerability. The final model included living 
      situation with nonspouse family, friends, or others (OR 6.1; 95%CI, 0.75 to 49.5) 
      and widowed, divorced, or separated marital status (OR 2.4; 95%CI, 0.21 to 26.8). 
      Nonsignificant trends included female sex (OR 2.6; 95%CI, 0.45 to 14.4); alcohol 
      abuse (OR 2.2; 95%CI, 0.59 to 7.9); and lowest quartile on the Global Assessment 
      of Functioning (GAF) scale (GAF < 35; OR 2.0; 95%CI, 0.64 to 6.0). CONCLUSIONS: 
      The practical implications of our study are that elder abuse and neglect are 
      common among patients referred to geriatric psychiatry services, that such 
      services should have access to multidisciplinary expertise and resources to deal 
      with abuse, and that certain situations may signal higher risk. In our setting, 
      the situation of living with nonspouse family, friends, or other persons in a 
      nonsupervised setting and a history of family disruption by widowhood, divorce, 
      or separation were significant correlates of abuse. Suggestive but nonsignificant 
      trends of potential importance (OR > or = 2.0) included female sex, alcohol 
      abuse, and lowest quartile of functional status. Study limitations include a 
      cross-sectional retrospective chart review design, a clinically derived sample, a 
      small sample size, and a lack of structured instruments for several variables.
FAU - Vida, Stephen
AU  - Vida S
AD  - Division of Geriatric Psychiatry, Montreal General Hospital, Department of 
      Psychiatry, McGill University, Montreal, QC. stephen.vida@mcgill.ca
FAU - Monks, Richard C
AU  - Monks RC
FAU - Des Rosiers, Pascale
AU  - Des Rosiers P
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Can J Psychiatry
JT  - Canadian journal of psychiatry. Revue canadienne de psychiatrie
JID - 7904187
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Cross-Sectional Studies
MH  - Elder Abuse/diagnosis/prevention & control/*statistics & numerical data
MH  - Female
MH  - Geriatric Psychiatry
MH  - Hospitals, General
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - Models, Statistical
MH  - Psychiatric Department, Hospital/statistics & numerical data
MH  - Quebec/epidemiology
MH  - Risk Factors
MH  - Social Environment
EDAT- 2002/06/28 10:00
MHDA- 2003/01/11 04:00
CRDT- 2002/06/28 10:00
PHST- 2002/06/28 10:00 [pubmed]
PHST- 2003/01/11 04:00 [medline]
PHST- 2002/06/28 10:00 [entrez]
AID - 10.1177/070674370204700507 [doi]
PST - ppublish
SO  - Can J Psychiatry. 2002 Jun;47(5):459-67. doi: 10.1177/070674370204700507.