Skip to main content
Log in

Towards a Definition of “Self-Neglect” in Psychiatric Patients: Descriptions of a Case Series

  • Original Paper
  • Published:
Psychiatric Quarterly Aims and scope Submit manuscript

Abstract

Self-neglect, although frequently studied in geriatric populations, has received only limited attention in psychiatric populations. To address this gap, we utilize a behavioral framework to present a set of case examples in order to illustrate the complex relationship between self-neglect behaviors and conditions and various psychiatric illness. Cases are discussed with respect to ascending severity of presentations of self-neglect in adult non-geriatric inpatient psychiatric populations. Self-neglect is conceptualized as a range of behaviors, as well as an overall condition that affects an individual’s functioning in several major domains. The concept of self-neglect in non-geriatric psychiatric patients warrants additional study, including development of a formal definition, as well as evaluation of its associated manifestations and implications for treatment and prognosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. National Center on Elder Abuse. The national elder abuse incidence study. Administration on Aging website. http://aoa.gov/AoA_Programs/Elder_Rights/Elder_Abuse/docs/ABuseReport_Full.pdf Published September 1998. Retrieved March 21, 2016.

  2. Pavlou MP, Lachs MS: Self-neglect in older adults: A primer for clinicians. Journal of General Internal Medicine 23:1841–1846, 2008.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Burnett J, Dyer CB, Halphen JM, et al.: Four subtypes of self‐neglect in older adults: Results of a latent class analysis. Journal of the American Geriatrics Society 62:1127–1132, 2014.

    Article  PubMed  Google Scholar 

  4. Dyer CB, Kelly PA, Pavlik VN, Lee J, Doody RS, Regev T, Pickens S, Burnett J, Smith SM: The making of a self-neglect severity scale. Journal of Elder Abuse & Neglect 18:13–23, 2006.

    Article  PubMed  Google Scholar 

  5. Dong X, Simon M, de Leon CM, Fulmer T, Beck T, Hebert L, Dyer C, Paveza G, Evans, D: Elder self-neglect and abuse and mortality risk in a community-dwelling population. JAMA 302:517–526, 2009.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Gunstone S: Risk assessment and management of patients with self-neglect: a ‘grey area’ for mental health workers. Journal of Psychiatric and Mental Health Nursing 10:287–296, 2003.

    Article  CAS  PubMed  Google Scholar 

  7. Teplin LA, McClelland GM, Abram KM, Weiner DA: Crime victimization in adults with severe mental illness: comparison with the National Crime Victimization Survey. Archives of General Psychiatry 62:911–921, 2005.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Hartz SM, Pato CN, Medeiros H, et al.: Comorbidity of severe psychotic disorders with measures of substance use. JAMA Psychiatry 71:248–254, 2014.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Mezzich J, Evanczuk K, Mathias R, Coffman G: Symptoms and hospitalization decisions. American Journal of Psychiatry 141:764–769, 1984.

    Article  CAS  PubMed  Google Scholar 

  10. Swett C: Symptom severity and number of previous psychiatric admissions as predictors of readmission. Psychiatric Services 46:482–485, 1995.

    Article  CAS  PubMed  Google Scholar 

  11. Anderson S, Crist A, Payne N: Predicting inpatient length of stay with the expanded version of the brief psychiatric rating scale (Version 4.0). Psychiatric Services 55:77–79, 2004.

    Article  PubMed  Google Scholar 

  12. White W: Elder self-neglect and adult protective services: Ohio needs to do more. JL & Health 27:130, 2014.

    Google Scholar 

  13. Rowhani-Rahbar A, Zatzick D, Wang J, Mills BM, Simonetti JA, Fan MD, et al.: Firearm-related hospitalization and risk for subsequent violent injury, death, or crime perpetration: a cohort study. Annals of internal medicine 162:492–500, 2015.

    Article  PubMed  Google Scholar 

  14. Lauder WA: survey of self-neglect in patients living in the community. Journal of Clinical Nursing .8:95–102, 2015.

    Article  Google Scholar 

  15. Pavlou M, Lachs M: Could self-neglect in older adults be a geriatric syndrome? Journal of the American Geriatrics Society 54:831–842, 2006.

    Article  PubMed  Google Scholar 

  16. McCullough LB, Coverdale JH, Chervenak FA: Ethical challenges of decision making with pregnant patients who have schizophrenia. American Journal of Obstetrics and Gynecology 187:696–702, 2002.

    Article  PubMed  Google Scholar 

  17. Frost R, Ruby D, Shuer L.: The buried in treasures workshop: Waitlist control trial of facilitated support groups for hoarding. Behaviour and Research and Theraphy 50:661–667, 2012.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Muroff J, Steketee G, Bratiotis C, Ross A. Group cognitive and behavioral therapy and bibliotherapy for hoarding: A pilot trial. Depression and Anxiety 29:597–604, 2012.

    Article  Google Scholar 

  19. Steketee G, Frost R, Tolin D, Rasmussen J, Brown T.: Waitlist-controlled trial of cognitive behavior therapy for hoarding disorder. Depression and Anxiety 27:476–484, 2010.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Phuong T. Nguyen.

Ethics declarations

Conflict of interest

Joanna Lamkin, Phuong Nguyen, John Coverdale, Mollie Gordon declares that they have no conflicts of interest.

Ethical approval

This article does not contain any studies with animals performed by any of the authors. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was deemed not necessary by appropriate IRB committees for this study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lamkin, J., Nguyen, P.T., Coverdale, J.H. et al. Towards a Definition of “Self-Neglect” in Psychiatric Patients: Descriptions of a Case Series. Psychiatr Q 88, 553–560 (2017). https://doi.org/10.1007/s11126-016-9467-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11126-016-9467-6

Keywords

Navigation