'He just gave up': an exploratory study into the perspectives of paid carers on supporting older people living in care homes with depression, self-harm, and suicide ideation and behaviours

Article


Hafford-Letchfield, T., Gleeson, H., Ryan, P., Billings, B., Teacher, R., Quaife, M., Flynn, A., Zanone Poma, S. and Vicentini, S. 2020. 'He just gave up': an exploratory study into the perspectives of paid carers on supporting older people living in care homes with depression, self-harm, and suicide ideation and behaviours. Ageing & Society. 40 (5), pp. 984-1003. https://doi.org/10.1017/S0144686X18001447
TypeArticle
Title'He just gave up': an exploratory study into the perspectives of paid carers on supporting older people living in care homes with depression, self-harm, and suicide ideation and behaviours
AuthorsHafford-Letchfield, T., Gleeson, H., Ryan, P., Billings, B., Teacher, R., Quaife, M., Flynn, A., Zanone Poma, S. and Vicentini, S.
Abstract

This study explored the concept of ‘giving up’ from the perspective of care staff working in care homes, and their everyday communication and hidden knowledge concerning what they think about this taboo topic and the context it reflects. Moving to a care home is a major transition where cumulative losses can pose risks to mental health in later life. If not recognised, this vulnerability can lead to depression which extends to suicide ideation and behaviours in the form of self-harm and self-neglect. Care homes are a significant place of care until death, yet a discourse of silence means that self-harm and suicide is under-reported or not attended to with specialist expertise. The layperson’s concept of an older person ‘giving up’ on life is hardly discussed in the literature. This co-produced qualitative study used an inductive approach to explore this phenomenon through focus groups with 33 care staff across four care homes in South-East England. Findings paint a complex picture, highlighting tensions in providing the right support and creating spaces to respond to such challenging situations. ‘Giving up’ requires skilled detailed assessment to respond to risks alongside improved training and support for paid carers, to achieve a more holistic strategy which capitalises on significant relationships within a wider context.

Keywordsolder people; care homes; mental health; depression; self-harm; suicide; giving up; care home staff
PublisherCambridge University Press (CUP)
JournalAgeing & Society
ISSN0144-686X
Electronic1469-1779
Publication dates
Online16 Nov 2018
Print31 May 2020
Publication process dates
Deposited19 Nov 2018
Accepted28 Sep 2018
Output statusPublished
Accepted author manuscript
Copyright Statement

This article has been published in a revised form in Ageing & Society, https://doi.org/10.1017/S0144686X18001447. This version is free to view and download for private research and study only. Not for re-distribution, re-sale or use in derivative works. COPYRIGHT: © Cambridge University Press 2018

Digital Object Identifier (DOI)https://doi.org/10.1017/S0144686X18001447
Scopus EID2-s2.0-85056757404
Web of Science identifierWOS:000524230300004
LanguageEnglish
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