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Older person abuse is an intentional act or failure to act that causes or creates a risk of harm to an older adult. An older adult is someone aged 60 or older.
The abuse occurs at the hands of a caregiver or other trusted person. Common types of abuse include: 1
The older adult population is growing faster in the U.S. than are younger populations. The data underestimate the problem because the number of nonfatal injuries is limited to older adults who are treated in emergency departments. The information doesn’t include those treated by other providers or those that do not need or do not seek treatment. Additionally, many cases are not reported because the older adult is afraid or unable to tell police, friends, or family about the violence.
Abuse, including neglect and exploitation, is experienced by about 1 in 10 older adults who live at home. 2 From 2002 to 2016, more than 643,000 older adults were treated in the emergency department for nonfatal assaults and over 19,000 homicides occurred. 3
Compared with women, men had higher rates of both nonfatal assaults and homicides. 34 The rate for nonfatal assaults increased more than 75% among men (2002–2016) and more than 35% among women (2007–2016). The estimated homicide rate for men increased 7% from 2010 to 2016. 3 Compared to non-Hispanic Whites, non-Hispanic Black or African American persons, non-Hispanic American Indian/Alaskan Natives, and Hispanic or Latino persons have higher homicide rates (2002–2016). 3
Overall and firearm-specific older adult homicide rates increased between 2014 and 2017. Of the 6,188 victims, 62% were male. The perpetrator was an intimate partner in 39% of firearm homicides and 12% of non-firearm homicides. Common contexts of firearm homicides were familial or intimate partner problems, robbery or burglary, argument, and illness-related (e.g. the homicide was perpetrated to end the suffering of an ill victim, both victim and perpetrator had an illness, or the perpetrator had a mental illness). 4
Abuse can have several physical and emotional effects on an older adult. Victims are fearful and anxious. They may have problems with trust and be wary of others. 5
Many victims suffer physical injuries. Some are minor, like cuts, scratches, bruises, and welts. Others are more serious and can cause lasting disabilities. These include head injuries, broken bones, constant physical pain, and soreness. Physical injuries can also lead to premature death and make existing health problems worse. 45678
Violence against older adults can be prevented. Certain factors may increase or decrease the risk of perpetrating or experiencing abuse. Preventing violence requires understanding and addressing the factors that put people at risk for or protect them violence.
We can all help prevent violence against older adults: 9
It is also possible to provide over-burdened caregivers with support. This can include help from friends, family, or local relief care groups, adult day care programs, or counseling.
Knowledge about what works to prevent violence against older adults is growing. However, most prevention strategies and practices have not yet been rigorously evaluated to determine their effectiveness. In the absence of proven prevention strategies, program planners may consider the following sources to strengthen their approach: Applying the Principles of Prevention: What do Prevention Practitioners Need to Know About What Works and What Works in Prevention: Principles of Effective Prevention Programs .
Report elder abuse or find services for older adults and their families by visiting The Eldercare Locator . You can also access the Locator by calling 1-800-677-1116. The Eldercare Locator is a public service of the U.S. Administration on Aging.
