Older adults are the fastest growing segment of the population and it is projected that by 2030 their size will increase by 7% equaling 20% of the total U.S. population (U.S. Census Bureau, 2014; Center for Disease Control and Prevention [CDC] & Merck Foundation, 2007). Due to the current and expected shift in the demographics, late-life depression has become a public health concern and has increased the demand for mental health services for older Americans (CDC & National Association of Chronic Disease Directors, 2009). According to the CDC (2015), the prevalence estimates of major depression in older adults varies from 1% to 13.5%. Furthermore, the prevalence of depression drastically increases from 12% to 30% as older adults move from community to institutional settings (Unutzer, Katon, Sullivan, & Miranda, 1999). In addition, the risk of depression increases if older adults suffer from one or more chronic medical conditions that impair their health or ability to function (Alexopoulos, Bruce, Hull, Sirey, & Kakuma, 1999). In 2007, 80% of older adults were living with at least one chronic condition, and 50% were living with two or more (CDC & Merk Foundation, 2007). Moreover, the highest rates of suicide occur among persons over sixty-five years of age which account for 19% of the suicides in the United States (Van Orden & Conwell, 2011). According to the American Association of Suicidology (2014), on average, one older adult kills themselves every hour. Along with these
Depression is one of the most recurrently investigated psychological disorders within the area of medical R&D (Montorio & Izal, 1996). A number of exhaustive researches have been carried out to study its symptoms and impacts on different patients belonging to different personal and professional attributes and most of these researchers depicted that depression in the elderly people is very frequent and in spite of number of researches in this context, it is often undiagnosed or untreated. To add to this jeopardy, it has also been estimated that only 10% out of the total depressed elderly individuals receive proper diagnosis and treatment (Holroyd et al, 2000). And for that reason, an authentic
The Depression Inventory for the Elderly is a behavior inventory designed to self-assess depressive symptoms for elderly individuals aged 65 and older. The DIE, which consists of 90 items relating to depressive symptoms, provides the evaluator with a total score and five Primary Dimension scores. There seems to be an acceptable test-retest reliability correlation and internal consistency reliability is between .71 and .89, which is also in the acceptable range. After three research studies the DIE has been proven to successfully distinguish the difference between individuals without depression from depressed individuals. Therefore, this inventory seems valid. The normative sample included retired middle class men and women between 65 and 91.
Depression is a very prevalent mental disorder that many people have in the world. Depression can be termed as consistently depressed mood or loss of interest in activities that result in an impairment in daily functioning. Depression can be characterized by hopelessness, and a pessimistic view of the world. People who suffer with depression should take act immediately in receiving help because they could possibly commit suicide and or poor health outcomes. Many older adults who receive help are more than likely to reduce the severity of depression. Also, older adults that receive help by using evidence based practice from their clinicians
Suicide rate is a grow problem in the United States according to the American foundation for suicide prevention more than 41,149 suicides were reported in 2013. The highest rate of suicides is committed by adults between age 45-64 and this is especially true amongst the elderly. Older adults are inflected with a terminal disease, loneness and depression and because of this they are committing suicide at a higher rate. Suicide amongst the men is steadily higher than women, in 2013, 77.9% were male and 22.1% were female. Men success rate for suicide is much higher, because their attempt is more lethal, for example, men are more than likely to shot themselves, whereas women are more likely to use poisons to end their life. Suicide Rate committed race/ethnicity was higher among Whites 14.2%, American Indians and Alaska Natives 11.7%, Asians and Pacific Islanders 5.8%, Blacks 5.4% and Hispanics 5.7%. According to the mean method used to commit suicide is a firearm, then suffocation and poisoning. The main cause of suicide is due to mental health condition and depression is at the foremost leading factor.
Mental disorders are becoming more prevalent in today's society as people add stress and pressure to their daily lives. The elderly population is not eliminated as a candidate for a disorder just because they may be retired. In fact, mental disorders affect 1 in 5 elderly people. One would think that with disorders being rather prevalent in this age group that there would be an abundance of treatment programs, but this is not the case. Because the diagnosis of an individual's mental state is subjective in nature, many troubled people go untreated regularly (summer 1998). Depression in the elderly population is a common occurrence, yet the diagnosis and treatment seem to slip
Throughout the years suicide rates have increased and is a significant public health issue. According to the American Foundation for Suicide Prevention, suicide is the 10th leading cause of death in the United States. However, suicide rates are high among the elderly, yet research on suicide prevention in older adults remains neglected.
Older adults are at a stage in life where they have to come to terms with their “inevitable decline” (Gladding, pg. 301). Older adults may suffer from “loneliness, fear and loss” (Gladding, pg. 302). They have been facing “chronic health problems that require increased attention” (Gladding, pg. 302). Many older people have difficulty transitioning to a “retirement lifestyle and long for their professional roles” (302). Many elderly also experience “limited socialization and interpersonal activities” (Gladding, pg. 303). Depression “affects 121 million people worldwide and is the leading cause of disability” (Pépin, Guérette, Lefebvre & Jacques, pg. 117).
Depression is prevalent in later life with serious negative outcomes leading to further disability, higher health costs, and mortality (Hoeft, Hinton, Liu, & Unutzer, 2016). Chronic conditions such as cancer, heart failure, pulmonary and Parkinson’s diseases are significant risk factors for late life depression (Wu, Schimmele, & Chappelle, 2012). Delivering quality comprehensive care to older adults with chronic disease and depression is often a complex and challenging task, and thus, academic preparation for these situations is an important goal.
Depression I feel is a disorder that gets overlooked in older adults as well as all age groups. Some individuals may feel depression is not actually a medical condition, but that is not the case. According to the Clinical Gerontologist (2013), depression in the older adult is among the most prevalent medical illness, with signs of depression
1) Why is depression so common in late life? I base this question on Blazer (2009), who said that depression is common in late life, affecting nearly 5 million of the 31 million Americans aged 65 and older with clinically significant depressive symptoms reaching 13% in older adults aged 80 and older.
Although depression is a common disorder in the elderly, but in many cases does not detect it does not address. The reason behind it to explain some of the doctors, as well as those who sponsored a large age, the symptoms of depression as normal symptoms caused by advanced age. Moreover, the signs and symptoms of depression in the elderly vary, to some extent, what is the case with other age groups.
Elderly adults make up only 12% of the U.S. population, but account for over 18% of all suicide deaths which is the 10th leading cause of death in the United States (McQueen, 2012). Older adults, especially men 84 years and older, have the highest rates of suicide of any age group (McQueen, 2012).There are many elderly people who take their lives either by their own hands or with the help of a physician or loved one each year. Studies have shown this is due to depression, pain, grief, loneliness, alcoholism and career stress (McQueen, 2012). Fortunately, these are all treatable conditions that could be easily recognized by physicians and family members. Having experienced a couple of suicides by extended elderly
According to the Centers for Disease Control and Prevention, “older adults are at an increased risk of depression, because depression is more common in people who have other illnesses, and 80% of older adults have a chronic condition” (CDC, 2017). The CDC also mentions that older adults are often misdiagnosed or undertreated, because the symptoms may be thought to be the cause of something else, or the patient doesn’t understand that treatment would be beneficial and do not seek help.
Depression increases the risk of death in older adults with relative risks ranging from 1.5 to 2.5. It has been associated with multiple comorbidities. The presence of chronic disease is a risk factor for depression OR 1.53. Some studies have shown that patients with depression have a higher risk of cardiovascular and cognitive disorders and may represent a prodromal phase of dementia (Alexopoulos, G., Buckwalter, H., et all). Depression in older adults behave different from younger patients.
Mental health issues such depression, anxiety is a health burden that negatively affects many people’s quality of life, especially older adults. In this Literature review we will use the terms older adults, elderly, baby boomer when referring to people ages 65 and older. “The rate of suicide in those aged 65 years and over has been increasing over the past three decades in most industrialized countries, with marked increases in both attempted suicides and death by suicide in the late 1980s” (Deuter, 2016). Older adults in the United States and many countries around the world die by suicide at elevated rates compared with younger adults (Conwell, and Van Orden, 2016). In addition to the age different, suicide seem to affect man and women differently with the baby boomer population. Men die more from suicide compare to women, even though females suicide attempt rate is higher (Heisel, 2006). Deuter reports that, in 2013, 7215 people aged 65 years and over died by suicide the USA, which accounts for 17.5% of the national total of suicide deaths (2016). The elevation of suicide in the elder is not only limited to the United States. According to Conwell (2013), the number of adults 65 year and older who died in the US is 6000 and 20,000 died worldwide, in 2010. The elderly population have become increasing prone to committing suicide and considered to be a population at risk. We will focus on the cause, challenges/controversy, and solutions that were used to address the issue of