Because older victims usually have fewer support systems and reserves—physical, psychological, and economic—the impact of abuse and neglect is magnified, and
a single incident of mistreatment is more likely to trigger a downward spiral leading to loss of independence, a serious complicating illness, and even death. Burgess, A., and N. Hanrahan, Identifying Forensic Markers in Elder Sexual Abuse, final report submitted to the National Institute of Justice, Washington, DC: 2006 .
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