Abuse sometimes happens because the abuser can no longer handle the stress of looking after the older person. Often, it is because of psychological and personal problems. Abusers in institutions are likely to be frustrated staff members who are not doing their job properly. Most victims of elder abuse in the community are mentally competent and do not need constant care. But those who have mental or physical disabilities are especially vulnerable.
Abuse can happen to any older person, but the greatest physical harm is often done to women.
Some older people are assaulted by their spouses or partners. Some are victimized by women. There are other signs of possible elder abuse. For example, if money or personal items such as eyeglasses, jewelry, hearing aids, or dentures are missing without explanation, it may be a result of elder abuse. Victims may be afraid.