Kent State University College of Public Health, OH, USA.
J Appl Gerontol. 2020 Oct;39(10):1069-1077. doi: 10.1177/0733464819863926. Epub 2019 Jul 18.
Aging adults are at risk for multiple types of abuse including emotional, sexual, or physical abuse. Adults in skilled nursing or assisted living facilities might be particularly vulnerable to injury, including fatal injury resulting from incidents of resident-to-resident aggression (RRA). The purpose of this research is to report findings from the multistate National Violent Death Reporting System (NVDRS) related to fatal RRA incidents between years 2003 and 2016. We analyzed structured categorical data and unstructured narrative data on 101 identified fatal RRA incidents among individuals aged 65+. Findings included that victims average 16 years older than exhibitors and dementia diagnoses are present in most cases. Qualitative analysis revealed that events are described as both unexpected and preventable. Training to improve long-term care staff recognition and reporting of RRA events may potentially improve prevention and provide more accurate trend data. NVDRS data provide a useful source to follow trends in fatal RRA going forward.
老年人面临多种类型的虐待风险，包括情感、性或身体虐待。在熟练护理或辅助生活设施中的成年人可能特别容易受伤，包括由于居民间攻击（RRA）事件导致的致命伤害。本研究的目的是报告与 2003 年至 2016 年期间致命 RRA 事件相关的多州国家暴力死亡报告系统（NVDRS）的调查结果。我们分析了有关 101 例确定的 65 岁以上老年人致命 RRA 事件的结构化分类数据和非结构化叙述数据。研究结果表明，受害者的平均年龄比施暴者大 16 岁，且大多数情况下存在痴呆症诊断。定性分析表明，这些事件被描述为既出乎意料又可预防。对提高长期护理人员对 RRA 事件的识别和报告的培训可能有助于预防，并提供更准确的趋势数据。NVDRS 数据为跟踪未来致命 RRA 的趋势提供了一个有用的来源。
