Suicide in the Mentally Ill

Elizabeth A. King

57 citations0/0 files storedThe British Journal of Psychiatry

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

Abstract

BACKGROUND: Information on risk factors associated with high rates of suicide is necessary, if suicide rates among the mentally ill are to be reduced. METHOD: We used ICD-9 E-codes to define deaths on which suicide or open (undetermined death) verdicts were returned, among residents of a catchment area defined by OPCS area codes. Relative risks of suicide and undetermined deaths for recent patients (those in contact with a psychiatric service in the year preceding death) were calculated. RESULTS: Of the 286 persons, 108 were recent patients. Eighty-four per cent suffered from schizophrenia or depression. Risks of suicide and undetermined death for these patients were 31 and 20 times, respectively, those of other residents. Social risk factors varied with diagnosis. CONCLUSION: Over 90% of recent patients were receiving medical care at time of death; not all were treated appropriately. Recognising medical and social risk factors in recent patients, and effective monitoring of treatment, is important.

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References

1974A Hundred Cases of Suicide: Clinical Aspects 1993Suicide after discharge from psychiatric inpatient care 1912Le suicide : étude de sociologie 1959THE COMMUNICATION OF SUICIDAL INTENT: A STUDY OF 134 CONSECUTIVE CASES OF SUCCESSFUL (COMPLETED) SUICIDE 1982Risk Factors for Suicide in Psychiatric Patients 1898Le Suicide: Étude de sociologie.1965Suicide in Bristol 1968A Retrospective Examination of Psychiatric Case Records of Patients who Subsequently Committed Suicide

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