Risk factors for suicide in psychiatric outpatients: A 20-year prospective study.

Gregory K. Brown, Aaron Tim Beck, Robert A. Steer, Jessica R. Grisham

2000-01-01articleJournal of Consulting and Clinical Psychology1,317 citationsclosed

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Suicide and Self-Harm Studies Psychiatric care and mental health services Homicide, Infanticide, and Child Abuse

Abstract

To determine the risk factors for suicide, 6,891 psychiatric outpatients were evaluated in a prospective study. Subsequent deaths for the sample were identified through the National Death Index. Forty-nine (1%) suicides were determined from death certificates obtained from state vital statistics offices. Specific psychological variables that could be modified by clinical intervention were measured using standardized scales. Univariate survival analyses revealed that the severity of depression, hopelessness, and suicide ideation were significant risk factors for eventual suicide. A multivariate survival analysis indicated that several modifiable variables were significant and unique risk factors for suicide, including suicide ideation, major depressive disorder, bipolar disorder, and unemployment status.

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References

2013Diagnostic and Statistical Manual of Mental Disorders

1960A RATING SCALE FOR DEPRESSION

1981Diagnostic and Statistical Manual of Mental Disorders, 3rd ed

1988Diagnostic and Statistical Manual of Mental Disorders (3rd ed. rev.) Diagnostic and Statistical Manual of Mental Disorders (3rd ed. rev.) American Psychiatric Association (1987). American Psychiatric Press, Inc., 1400 K Street, NW, Washington, DC 20005. 567 pp., $39.95 hardcover; $29.95 softcover.

1979Assessment of suicidal intention: The Scale for Suicide Ideation.

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