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For this study, all such denominations are referred to herein as LTCEs. Likewise, a varied terminology is noted to name the phenomenon studied here: suicidal behavior to refer to attempts, thoughts and self-harm; direct suicidal behavior to express, for example, voluntary drug poisoning and self-mutilation; passive suicide or indirect behavior to mean, for example, the refusal of food or medicines; self-destructive behavior, self-violence, among others.
Although it is a relevant subject, since several authors mentioned (17,26,30,34-36,38) report that older adults in LTCEs proportionately show more suicidal behaviors than the general senior population, the subject has not received much attention of the scientific community.
From the selection of vehicles for the dissemination of their work, we can conclude that most authors consider the suicidal behavior of seniors in LTCEs a medical and psychiatric problem.
(2) Risks of suicidal behavior of the seniors in general and older adults in LTCEs
The main diagnoses of suicidal thoughts and suicide attempts for seniors in LTCEs, according to the relevance given by the authors studied, are:
* Socio-environmental problems--involuntary abandonment of the family environment (16); difficulty adapting to the regulated and impersonal institutional environment (23,25,29,32,35); loss of old relationships and a problem of interaction with colleagues or managers of LTCEs (32,34).
Of the 26 authors studied, ten compared the risks of suicidal behavior among older adults in LTCEs and those living in the community.
It is possible to have a protective look at older adults living in LTCEs so that they do not give up on life, as per some authors consulted (13,14,20,25,32,35,37).
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