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Self-Injurious Behavior in Elderly Patients With Dementia

Four Case Reports

Received May 14, 1998; revised July 17, 1998; accepted August 31, 1998. From The Department of Psychiatry, University of Oklahoma Health Sciences Center–Tulsa. Address correspondence to Dr. Warnock, University of Oklahoma Health Sciences Center–Tulsa, Department of Psychiatry, 2808 South Sheridan, Suite 200, Tulsa, OK 74129. e-mail: faye-biggs{at}ouhsc.edu

Self-injurious behavior (SIB) is a polymorphous and poorly understood phenomenon, probably representing the final common pathway arising from a variety of etiologies. SIB is a clinical problem that affects elderly patients, but has received little attention. Although the specific prevalence rates of SIB in elderly patients with dementia is unknown, the lack of data is striking, considering the frequency with which geriatric psychiatrists may be consulted for these and related behavioral problems. The authors present four cases of elderly patients with SIB and dementia who responded favorably to psychopharmacologic treatment.

Key Words: Self-Injury • Clinical/Research Reports • Psychopharmacology