Of 997 elderly people living in the community, 40 (4%) were found to
have generalized persecutory ideation. Sensory deficits and cognitive
impairment were significant risk factors for the development of this
symptom complex. Generalized persecutory ideation was also associated with
impairments in physical health, social and economic resources, and
activities of daily living. While more than 50% of the elderly individuals
with this symptom complex perceived a need for psychiatric services, a much
smaller percentage actually received help.