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Fig. 1:

PRISMA Flow diagram of the search process for the narrative review.
PRISMA Flow diagram of the search process for the narrative review.

Five components for searching strategy according to PICoT methods.

Population Intervention Context Country Time
senior abus* Public health & security Brazil 2012–2022
age* violen* Public policy & documents Slovakia
old* maltreatment Preventive strategy Slovakia
elder* assaultive behaviour Risk assessment Guidelines Norway
geriatric* atrocities State healthcare
pensioner* mistreat* Public healthcare
Ageing neglect Population health
aged harm Health of citizens/inhabitants
patient* ill-treat* Health safety
bully Environmental health
intimidat* Community health
extort* National/general healthcare
stigmati* Public welfare

Details of the selected articles and the characterisation of the studies.

Author(s), year and title Research method Context and the aim of the study Sample size Conclusion/key findings
BRAZIL
1. Blay SL, Laks J, Marinho V, Figueira I, Maia D, Coutinho ESF. et al. Prevalence and correlates of elder abuse in São Paulo and Rio de Janeiro. 2017 Cross-sectional exploratory of older adults Assessment of the prevalence of elder abuse and investigation of potential sociodemographic, health behaviour and medical correlates 267 participants from San Paolo and 202 from Rio de Janeiro The need to develop measures to increase awareness about ageism, facilitate prevention and fight against the abuse of elderly adults
2. Souto RQ, Merighi MAB, Guruge S., Pinto de Jesus MC. Older Brazilian women's experience of psychological domestic violence: a social phenomenological study. 2015 Qualitative study Domestic violence 11 older Brazilian women A support network from public health policy is crucial to help older adult women leave their abusive circumstances
3. Sousa RCR, Araújo-Monteiro GKN, Souto RQ, Santos RC, Leal CQAM, Nascimento NM. Interventions to prevent elder abuse in the community: a mixed methods systematic review. 2021 Literature review Prevention and intervention strategies against elder abuse among community-residing elders Not identified All the studies selected had a positive outcome, and all interventions can be implemented in nursing care practice
4. Rodrigues RAP, Monteiro EA, Santos AMRD, Pontes MDLDF, Fhon JRS, Bolina AF et al. Older adults abuse in three Brazilian cities. 2017 Ecological study – document analysis of police reports Analysis of police reports filed by older adults who had suffered abuse; the analysis identifies the sociodemographic characteristics of victims and aggressors, the type of violence, location, as well as comparing rates in three Brazilian cities in the period 2009–2013 1,025 women and 1,587 men aged 60+ Planning of support services for families in collaboration with researchers and social services is needed, along with further development in conjunction with the police to standardise the tool for recording the abusive event. Additionally, a tool for medical professionals to enable the identification of the abuse victim should be created
5. Paiva MMD, Tavares DMDS. Violência física e psicológica contra idosos: prevalência e fatores associados. 2015 Survey Verification of the prevalence and associated factors of physical and psychological violence against elderly people, including details of the sociodemographic and clinical indicators of this population 729 older adults aged 60+ The need for early identification of domestic violence and investment in both protective actions and in maintaining functional capacity and social inclusion
6. Botngård A, Eide AH, Mosqueda L, Malmedal W. Elder abuse in Norwegian nursing homes: a cross-sectional exploratory study. 2020 Cross-sectional exploratory of nursing staff First national survey to estimate the prevalence of observed and perpetrated staff-to-resident abuse in Norwegian nursing homes 3693 nursing staff from 100 Norwegian nursing homes Preventive strategies should improve the quality of life and safety of residents in Norwegian nursing homes; specific laws against elder abuse are needed in Norway
7. Aas G. The Norwegian police and victims of elder abuse in close and familial relationships. 2018 Qualitative study Police attempts to prevent elder abuse in close relationships, especially in parent–child relationships 27 participants from three groups in Norway: police officers, employees in Older Adult Protection Services, and managers of four shelters Cooperation between professional agencies and the police creates a breathing space for elderly victims, thus preventing family violence
8. Cronfalk BS, Fjell A, Carstens N, Rosseland, LMK, Rongve A, Rönnevik DH et al. Health team for the elderly: a feasibility study for preventive home visits. 2017 Survey Description of the development, utilisation and feasibility of a model of preventive home visits, carried out in an urban municipality and a rural municipality in Norway 167 participants from the urban and rural municipalities Preventive home visits and collaboration between highly specialised healthcare professionals are important factors for reliable health-promoting risk assessments of elderly home dwellers
9. Myhre J, Saga S, Malmedal W, Ostaszkiewicz J, Nakrem S. React and act: a qualitative study of how nursing home leaders follow up on staff-to-resident abuse. 2020 A qualitative explorative design How nursing home leaders follow up on reports and information regarding staff-to-resident abuse 43 participants; 28 participants attended focus group interviews and 15 individual interviews with nursing home directors Evaluation tools that facilitate systematic organisational learning are needed
SLOVAKIA
10. Galisova L, Flimelova I. Prieskum týrania a zlého zaobchádzania so staršími ľuïmi. (Elder abuse and ill-treatment survey). 2014 Quantitative survey Description of experience and prevention of abuse involving older adults in urban and rural areas in Slovakia 375 participants aged 55–85 A need to improve awareness at the national level, actively involving older adults through “community clubs for older adults” and increasing collaboration with the police and the municipality, regularly updating laws and regulations
11. Cintulova LL, Kafkova G. Domestic violence against self-reliant elderly resulting from COVID-19, and potential solutions. 2020 Qualitative study Description and mapping of the problems often encountered by the intervention centre workers who help older adults threatened by domestic violence 50 participants Intervention centre workers are important because of their awareness-raising activities and practice help such as psychosocial support or contact with the police; organise courses for medical university students
12. Èereyová I. Zneužívanie seniorov je veľmi vážnym problémom v spoloènosti (Elder abuse is a very serious problem in society). 2020 Review Overview of the types of violence and what can be improved the in Slovakian society Not applicable Dissemination of existing laws and regulations appertaining to older adults; establishment of a hotline and preventive home visits; increase education for healthcare professionals
13. Mariassyova A, Ujhazyova M. Nasilie pachane na senioroch a seniorkach a ich diskriminacia. (Abuse and discrimination against the elderly). 2021 Quantitative study Description and mapping of all types of violence in older adults 131 participants Psychological violence represents the biggest challenge concerning the prevention and detection of violence. It is necessary to further disseminate information and educate society and experts, foster deep interdisciplinary cooperation and create a safe space for victims