Journal of General Internal Medicine

, Volume 23, Issue 11, pp 1841–1846

Self-neglect in Older Adults: a Primer for Clinicians

Populations at Risk

DOI: 10.1007/s11606-008-0717-7

Cite this article as:
Pavlou, M.P. & Lachs, M.S. J GEN INTERN MED (2008) 23: 1841. doi:10.1007/s11606-008-0717-7


Self-neglect in older adults is an increasingly prevalent, poorly understood problem, crossing both the medical and social arenas, with public health implications. Although lacking a standardized definition, self-neglect is characterized by profound inattention to health and hygiene. In light of the aging demographic, physicians of all specialties will increasingly encounter self-neglectors. We outline here practical strategies for the clinician, and suggestions for the researcher. Clinical evaluation should include attention to medical history, cognition, function, social networks, psychiatric screen and environment. The individual’s capacity is often questioned, and interventions are case-based. More research is needed in basic epidemiology and risk factors of the problem, so that targeted interventions may be designed and tested. The debate of whether self-neglect is a medical versus societal problem remains unresolved, yet as health sequelae are part of the syndrome, physicians should be part of the solution.


self-neglect older adults clinical guidelines 

Copyright information

© Society of General Internal Medicine 2008

Authors and Affiliations

  1. 1.Division of Geriatric Medicine and Gerontology, Department of MedicineWeill Cornell Medical CollegeNew YorkUSA

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