I have an 89 year old mother who suffered at least one stroke in the last 5 years, causing her to move to assisted living, occasional nursing home rehab, permanent nursing home, back to assisted living. During that time, she made one half-hearted attempt at suicide, perhaps as an attention-getting device.
She has issues with depression and anxiety, for which she is getting medication but not real treatment. She does not like discussions of psychological issues.
She is currently in assisted living, but has been told that she must call for transfers to the bathroom -- and she refuses to follow that rule. Almost every time she self-transfers, she falls. They have not yet kicked her out, but probably will, soon. Even when she returns to nursing care, she will probably self-transfer. I honestly don't know if her claims that "no one comes" when she calls for help are true, or if she forgets, or doesn't understand, or is rebelling against the rule. OR, is hoping that one good fall is the only way she has to end what she considers a miserable existence, OR she thinks it's the only way to get attention.
Any suggestions for getting her to stop self-transferring, other than restraining her? She could've really made a go of assisted living, if not for this (and a lack of interest in occupational therapy).