Mental disorders and suicide in Northern Ireland

Roy J. McClelland

335 citations0/0 files storedThe British Journal of Psychiatry

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Suicide and Self-Harm Studies Grief, Bereavement, and Mental Health Homicide, Infanticide, and Child Abuse

Abstract

BACKGROUND: The aim of this part of the Northern Ireland Suicide Study was to investigate the prevalence of DSM-III-R axis I (clinical syndrome) and axis II (personality) disorders among suicides (14 years and older) in Northern Ireland during a one-year period. METHOD: A psychological autopsy study based on a variety of documentary sources and interviews with bereaved informants and health care professionals. RESULTS: Ninety per cent of suicides (106/118) had a current axis I and/or an axis II mental disorder. At least one current axis I disorder was diagnosed in 86% of suicides (102/118), and at least one axis II disorder was diagnosed in 44% (52/118). Suicides under 30 years (92% male) were less likely to have a current axis I disorder (68%; 26/38) than those 30 years and older (95%; 76/80). Psychiatric comorbidity was present in 55% of suicides (65/118). The time between the last contact with a health care professional and death was greater among suicides under 30 years and male suicides. CONCLUSIONS: Notwithstanding the aetiological complexity of suicide, the prevention, recognition and treatment of mental disorder will continue to play key roles in suicide prevention.

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References

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2001Psychiatric disorder and personality factors associated with suicide in older people: a descriptive and case-control study 2016Psychosocial interventions for self-harm in adults 2002Mental Disorder in Elderly Suicides: A Case-Control Study 1997National Confidential Inquiry into Suicide and Homicide by People with Mental Illness 2013Psychiatric disorders in patients presenting to hospital following self-harm: A systematic review 2006

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