This study examines the experiences of Mongolian family physicians in detecting elder abuse during medical encounters with older patients. Using thematic analysis, the study explores how physicians become aware of and respond to incidents of elder abuse. A total of 24 family physicians participated in semi-structured interviews. Four core themes, (1) encounters with elder abuse cases, (2) mechanisms of detection, (3) means of assistance, and (4) barriers to taking action, emerged from the analysis. The findings suggest that frequent interactions with older patients significantly influence physicians' overall identification of potential victims of elder abuse during their medical practice in primary care settings. The strategies used to assist potential victims during medical encounters vary widely. Barriers to reporting elder abuse cases are related to institutions, physicians, and patients. Significant measures for prevention of elder abuse in primary health care settings in Ulaanbaatar, Mongolia, are recommended.

Elder abuse in India is understudied, particularly in rural areas. Psychological and rights-based forms of harm are less visible and rarely screened among elderly. This study validated the 12-item Vulnerability to Abuse Screening Scale (VASS-12) among 413 older adults (aged 60+) in rural South India. The scale demonstrated strong internal consistency (α = 0.81) and a robust three-factor structure capturing dependency and control, violation of rights, and psychological vulnerability. Confirmatory Factor Analysis (CFA) supported good model fit (SRMR = 0.053), and Item Response Theory (IRT) findings indicated moderate to very high discrimination for most items. Known-groups validity was confirmed by higher scores among older adults living alone and those aged 75 or above. Convergent validity was supported through associations with loneliness, depression, anxiety, and reduced quality of life. The VASS-12 offers a reliable, culturally appropriate, and context-sensitive tool for identifying abuse-related vulnerability in low-resource settings, with strong potential for use in elder health outreach and support services.

The present study aims to examine associations between adverse childhood experiences (ACEs) and elder abuse (EA) in Turkish older adults This study adopted a cross-sectional design. ACEs scale and the Geriatric Mistreatment Scale (GMS) were administered. The ACEs scale assesses psychological, physical, and sexual abuse as well as neglect. The Turkish version of the GMS evaluates psychological, physical, sexual, and economic mistreatment, as well as neglect.Those with three or more ACEs experienced significantly higher rates of EA (p<0.05). Depression, dysphagia, and insomnia were more prevalent among individuals with ACEs (p<0.05). The presence of three or more ACEs was associated with daytime sleepiness, physical, psychological, and sexual mistreatment, as well as overall EA components, compared to the absence of ACEs (p<0.05). Having multiple ACEs increased the risk of EA. Those with ACEs were more likely to experience sleep problems, depressive mood, dysphagia, and physical, psychological, and sexual mistreatment in advance age.

Sexual violence and abuse (SVA) against older adults remains an underexplored phenomenon. The dearth of research into how these crimes occur may mean opportunities for proactive prevention and intervention are potentially missed. To address current knowledge gaps, this study developed the first-known crime script for SVA against older people through analysis of 17 Australian court judgment texts ( 19 events). Findings show that court-adjudicated incidents were often perpetrated by younger males (typically strangers), took place within the victim's home during the night, and were characterized by excessive violence and egregious sexual acts, despite active victim resistance. Importantly, an absence of guardianship, along with vulnerabilities in home security, were identified as key enablers of SVA perpetration in this sample. Situational crime prevention strategies (i.e. extend guardianship, target hardening) are recommended to strengthen preventative efforts and discourage SVA in these circumstances, thus ensuring older adults are adequately protected from potential harm.

Although health care access among adults with Intellectual and Developmental Disabilities (IDD) improved in the past decade, persistent challenges still exist in obtaining care coordination and supportive services. As the life expectancy of individuals living with IDD increases and care succession occurs from family's community care to institutional care, the risk of maltreatment among adults with IDD is growing. Health conditions, for example, cognitive impairment pose a risk of maltreatment in adults with IDD. This commentary aims at addressing the contribution of these health conditions and better health care workforce training in order to ameliorate the risk of maltreatment among adults with IDD.

Elder abuse is predicted to rise, and hospital social workers receive professional training to respond. A scoping review was conducted to map the breadth and extent of existing literature on hospital social worker roles in response to elder abuse. Key words searched across six databases and five journals were "social work*," "hospital*," "elder*," "abus*" and their derivatives to identify relevant literature. Included literature was peer reviewed and published since 2000. A manual citation search was also undertaken. Thematic analysis and descriptive reporting followed. A total of 32 publications were included. These were predominantly from the United States, focused on the Emergency Department setting, and were not social work-specific research. Identified themes were 1) social workers as key members in the multidisciplinary team, 2) screening for abuse and responding in the Emergency Department 3) psychosocial assessments are important, and 4) service linkages are a key role of the social worker.

Adult Protective Services (APS) professionals frequently interact with clients who are seriously ill or dying as they investigate cases of elder abuse and self-neglect. This study explored the unique challenges and support needs of APS workers in these end-of-life contexts. Seven focus groups and one individual interview with APS professionals and individuals working closely with APS were conducted. Thematic analysis identified two overarching domains: (1) challenges - including family conflict, limited caregiver preparedness, client self-determination, challenges to service access, and emotional strain on professionals; and (2) support needed - such as improved interagency collaboration, peer and organizational support. Participants emphasized the emotional toll of witnessing client decline and death, and highlighted gaps in training, coordination, and workplace support. Findings highlight the need for targeted policy and practice reforms to better equip APS professionals addressing elder abuse and self-neglect at the end of life.

Licensed caregivers (LCs) are crucial in Korea's long-term care systems, ensuring the well-being of older adults. This study examines the human rights awareness of 1,050 LCs against a backdrop of increasing elder abuse in residential facilities. The study employed Exploratory Factor Analysis (EFA) and Latent Profile Analysis (LPA) to assess multi-dimensional human rights awareness - spanning self-determination, anti-discrimination, individualized care, anti-abuse, and advocacy. We identified three dimensions: Person-Centered Care, Anti-Abuse, and Insensitive Care. LCs were categorized into five profiles: Basic Awareness (BAR), Sensitivity to Abuse Only (SOA), Unawareness (UHR), Sensitivity to Human Rights (SHR), and Unassertiveness in Advocacy Rights (UAR). Predominantly, LCs exhibited strong human rights sensitivity, falling into the SHR group, showing strong human rights sensitivity. The results underscore the necessity of targeted, ongoing education to bridge gaps in advocacy and comprehensive care, advocating for a personalized care approach in facilities for older adults.

Domestic violence affects individuals across all age groups. It persists throughout the lifespan, yet there remains a significant gap in understanding the profile of offenders and the specific nature and impact of domestic violence against older adults. This study aimed to address this gap by examining the prevalence, characteristics, and consequences of domestic violence against older adults (DVOA) in the Porto district, Northern Portugal, between 2010 and 2020. A retrospective cohort analysis of 20.841 domestic violence cases reported to police authorities identified only 1.415 (6.8%) involving older adults, indicating a low number of reported cases. Psychological or emotional violence was the most prevalent form of abuse (78.5%), with 51.7% of cases involving younger family members, particularly children or children-in-law. Additionally, 25.5% of offenders were involved in multiple cases, underscoring the need for targeted intergenerational interventions and sustained support systems to protect this vulnerable population.

The current study seeks to investigate the psychological mechanisms that lead older adults to fall victim to healthcare product scams. Initially, we conducted semi-structured, in-depth interviews with with victims and used grounded theory coding to develop a theoretical model. Subsequently, we applied structural equation modeling to validate and refine this theoretical model, which demonstrated a good fit. Our findings indicate that older adults' perceptions of cognitive aging, health status, health anxiety, and loneliness influence irrational consumption tendencies, including impulsive experimentation, conformity, emotional manipulation, trust in repetitive information, and manipulation by social support. These tendencies lead them to form risky consumption goals-pursuing positive effects, avoiding negative effects, pursuing physical well-being, pursuing product credibility, and avoiding medical treatment. These goals ultimately increase their likelihood of being defrauded.

Research on self-neglect in older adults often overlooks rural populations, especially those living alone. Existing studies rely heavily on scores, ignoring group distinctions and limiting intervention effectiveness. This study aims to examine self-neglect profiles, characteristics, and associated factors among rural older adults living alone.

Hospitalization can negatively impact older adults' health perceptions, making them vulnerable to hospitalized elder abuse. This cross-sectional correlational study investigated the relationship between hospitalized elder abuse and perceived health among 235 hospitalized older adults in Tehran, Iran in 2024. Data collection utilized the Hospitalized Elder Abuse Questionnaire (HEAQ), Health Perceptions Questionnaire (HPQ), and a personal characteristics questionnaire at the Imam Khomeini Hospital Complex. Results showed a mean hospitalized elder abuse score of 58.12 ± 16.27 and a mean perceived health score of 99.93 ± 14.02. A significant inverse relationship was found between hospitalized elder abuse and perceived health (= -0.195,  = .004), which remained significant when accounting for contextual variables including age, marital status, mobility status, and hospitalization duration (β= -0.23,  = .007). These findings emphasize the need for timely elders' perceived abuse, health assessments and elder-reported measures of dignity in hospital quality metrics.

This study explores the iterative development of the () intervention, which was developed to prevent psychological abuse of older people (AOP) by family caregivers of individuals with dementia. Initially lacking a theoretical framework, was refined through two studies. In the first study, we conducted qualitative interviews with  = 7 caregivers who participated in an initial version of . © (RQoLT) was applied to transcripts using thematic analysis. Based on the findings, was refined to more intentionally integrate this theory, including the addition of small group discussions. A second pilot study tested the revised intervention. Qualitative interviews were repeated post-intervention to affirm the theory's applicability ( = 11), bolstered by survey data from  = 71 demonstrating perceived enhancement of resourcefulness skills. Results suggest that is a viable framework for developing skills to prevent AOP and support high-quality caregiving.

This study investigated the causal link between elder abuse and depressive symptoms among Vietnamese older adults, using the recent longitudinal surveys in 2019 and 2022. Propensity score matching (PSM) was employed, controlling for baseline outcomes and characteristics, to address the potential endogeneity between elder abuse and depressive symptoms. Our PSM estimation showed that experiencing elder abuse significantly increased depressive symptom index by 0.331 points. This result remained robust across multiple sensitivity checks. Heterogeneity analysis further showed that the impact of elder abuse was more pronounced among older women and individuals with lower education, highlighting the intersection of gender-based violence and socioeconomic disparities in the experience of elder abuse. Our findings underscore the harmful effect of elder abuse and the importance of targeted interventions to prevent elder abuse and mitigate its detrimental impact on depression.

This study aimed to examine the association between elder abuse, changes in older adults' social networks, and changes in social well-being among rural and urban community-dwellers in mainland China. A total of 7,125 participants (aged ≥60 years) were selected. This study conducted regression analyses to assess how exposure to elder abuse in 2018 affected subsequent changes in social networks and social well-being among older adults by 2020. We found that the victims who reported the abuse had better social well-being after two years compared to those who did not report. Among rural victims, a novel association was identified between elder abuse, reduced contact with friend network, relative emotional networks, and decreased social well-being. Conversely, among urban victims, elder abuse was associated with an expanded friend instrumental network and improved social well-being. Our findings underscore the critical role of social networks in reshaping the impact of elder abuse on social well-being.

Gender-based violence against older women in rural areas often remains hidden, sustained by cultural norms, intergenerational silence, and limited recognition of harmful behaviors in later life. This study draws on interviews with 14 women aged 60 and over in rural municipalities of the Sierra de Segura (Jaén, Andalusia, Spain), using an ethnographic method and an emic approach through a phenomenological design. Findings reveal the normalization and invisibilisation of violence through traditional gender roles, social stigma, and limited resources, which hinder recognition and reporting. Many participants did not identify certain behaviors as violence. Three main themes emerged: (1) gendered perceptions and relationship dynamics in rural life; (2) cultural norms and gender hierarchies: religion, tradition and gender differences; and (3) normalization and invisibility of gender-based violence in rural spaces. The study calls for discreet, context-sensitive interventions grounded in participants' perspectives.

Financial exploitation of older adults is rising significantly, necessitating effective interventions. This qualitative study examined perceptions and experiences of technology use among 40 adults over age 60 through rural and urban focus groups. Three primary themes emerged: technology knowledge gaps, trust and privacy concerns dependent on source credibility, and reactive rather than proactive approaches to combating financial exploitation. Urban participants demonstrated greater technology comfort and more sophisticated protective strategies than their rural counterparts. Findings suggest that effective interventions should provide in-person, step-by-step guidance from trusted institutions, simplify technical terminology, and promote proactive security measures.

Abuse of older adults with dementia is an increasingly prevalent public health concern in the United States. The current study examined whether care recipient behavioral symptoms (e.g. aggressive or agitated behaviors) predicted abusive behaviors by care partners. Participants comprised 379 care partners- individuals who identified as being a primary caregiver for a person with dementia. Results indicate that most participants reported engaging in at least one abusive behavior toward their care recipient. Behavioral symptoms in care recipients were a significant predictor of abusive behavior perpetrated by the care partner, even after controlling for a large number of covariates. Care partner depressive symptoms significantly mediated the relationship between care recipient behavioral symptoms and care partner abusive behavior. Our results suggest that physician screening for depression in care partners and referral to appropriate resources may be one avenue for decreasing the risk of abuse toward care recipients.

Elder abuse (EA) is public health problem worldwide. The SABE Study is a survey for non-institutionalized elder individuals in São Paulo, Brazil. To determine the prevalence and associated factors of EA, we analyzed 1,224 individuals, aged ≥60 years. The prevalence of EA was 8.9% in males,14.1% in females, and 11.8% overall. The odds of EA were not significantly different between sexes on multivariate regression. However, EA was significantly associated with urinary incontinence. Elder people with UI were 63% more likely to be abused than those who were continent. Considering the high EA prevalence estimates and their dangerous effects on person's life, it is essential to develop programs to increase awareness among older people and families.

The global increase in the elderly population requires the examination of the problems related to aging. Meeting the multiple and increasing needs of older adults is critical for their health and well-being. This study aims to determine the prevalence of elder self-neglect and associated risk factors. Predictive correlational research was performed. The study sample consists of individuals over 65 (484). According to the findings of this study, being a woman, living alone, lack of awareness about regular medication use, and having low daily living activities were found determinants of elder self-neglect. Also, some health-related variables such as chronic diseases, smoking, and alcohol use were associated with elder self-neglect. Identifying the risk factors associated with elder self-neglect will provide a guide for elderly welfare and especially healthcare professionals. Elderly people suspected of self-neglect may be detected at an early stage and directed to preventive and therapeutic interventions.

This study explored the relationship between poor sleep quality, community social support and self-harm ideation among elder abuse survivors. We recruited 1,286 participants from eight Grade-A hospitals in China. Objective sleep quality was measured with the SenseWear Pro3 Armband, subjective sleep quality with the 5-item Consensus Sleep Diary, and overall sleep quality (OSQ) with the 19-item Pittsburgh Sleep Quality Index. Self-harm ideation was assessed using a single item from the Patient Health Questionnaire-9, and community social support with a five-item scale to categorize participants into low or high support groups. Results indicated that longer sleep duration and greater subjective sleep efficiency were associated with a decreased risk of self-harm ideation. However, poor OSQ was associated with an increased risk of self-harm ideation, and this effect was mitigated by higher community social support. Findings suggest that community social support buffered the negative effect of poor overall sleep quality on self-harm ideation.