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so good morning everyone Im Steve shine fall Im the Associate Director at the New Jersey Institute for successful aging in the chief of geriatric behavioral health and today what were going to talk about is a little taste of the geriatric patient from a psychiatric perspective in the emergency department also joining us this morning is christian white many of you may remember dr. white as a student and as a resident and hes now a geriatric psychiatry fellow so and were glad hes with us as well so what were really going to cover in terms of the patients today is were going to take a look at suicide in the elderly were going to talk a little bit about substance use were going to talk about the the real agitated patient that comes in whos older and how do you appropriately managed that everything that were going to talk about this morning is evidence-based it may not be what is common practice for all of you but know that as a backup this is what the evidence is saying and tha