Case register study of suicide risk in mental disorders

David G. Baxter · Louis Appleby

117 citations0/0 files storedThe British Journal of Psychiatry

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

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

Abstract

BACKGROUND: There have been few large-scale studies of long-term suicide risk in mental disorders in the UK. AIMS: To estimate the long-term risk of suicide in psychiatric patients. METHOD: A sample of 7921 individuals was identified from the Salford Psychiatric Case Register. Mortality by suicide or undetermined external cause during a follow-up period of up to 18 years was determined using the NHS Central Register; suicide risks were estimated as rate ratios. RESULTS: Suicide risk was increased more than ten-fold in both genders: the rate ratio for males was 11.4; for females it was 13.7. The risk was highest in young patients, but high risk continued into late life. The diagnoses with the highest risk were schizophrenia, affective disorders, personality disorder and (in males) substance dependence. Risk was also associated with recent initial contact and number of admissions but not comorbidity. CONCLUSIONS: The suicide risks estimated in this study are generally higher than those previously reported, notably in schizophrenia and personality disorder, and in previous in-patients. Patients with these high-risk diagnoses, an onset of illness within the previous 1-3 years, or more than one previous admission should be regarded as priority groups for suicide prevention by mental health services.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 117 citations exist upstream.

References

1997Suicide as an outcome for mental disorders 1975Book Review: Measurement and Classification of Psychiatric Symptoms 1993Mental disorders and comorbidity in suicide

Cited by

2005The Lifetime Risk of Suicide in Schizophrenia 2003Suicide Risk in Relation to Socioeconomic, Demographic, Psychiatric, and Familial Factors: A National Register–Based Study of All Suicides in Denmark, 1981–1997 2015The American Psychiatric Association Practice Guidelines for the Psychiatric Evaluation of Adults 2014Preventing Suicide among Inpatients 2005Axis I disorders and personality disorders as risk factors for suicide 2003ALCOHOL DEPENDENCE AND MISUSE IN ELDERLY SUICIDES 2003Review Article: Establishing a set of mental health indicators for Europe 2007Serum BDNF Levels in Suicide Attempters Related to Psychosocial Stressors: A Comparative Study with Depression

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.