Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-29T02:48:09.393Z Has data issue: false hasContentIssue false
  • English
  • Français

Against a high-risk strategy in the prevention of suicide

Published online by Cambridge University Press:  02 January 2018

Navneet Kapur  and
Allan House
Navneet Kapur*
Affiliation:
Department of Psychiatry, Rawnsley Building, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL
Allan House
Affiliation:
Department of Liaison Psychiatry, Leeds General Infirmary, Leeds
*
∗Correspondence
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Standard approaches to the prevention of suicide have concentrated on the rigorous assessment and management of suicidal risk. Using deliberate self-harm as a specific example, we discuss the relative merits of this ‘high-risk’ strategy and compare it with a population-based preventive strategy. We conclude that a combined approach offers the best hope for reducing the rate of suicide, although it may not fit easily with medical models of care.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 22 , Issue 9 , September 1998 , pp. 534 - 536
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1998 The Royal College of Psychiatrists

References

Appleby, L. (1997) Assessment of suicide risk. Psychiatric Bulletin, 21, 195–196.Google Scholar
Dennehy, J., Appleby, L., Thomas, C., et al (1996) Case–control study of suicide by discharged psychiatric patients. British Medical Journal, 312, 1580.CrossRefGoogle ScholarPubMed
D'Zurilla, T. J. (1986) Problem Solving Therapy: A Social Competence Approach to Clinical Intervention. New York: Springer.Google Scholar
Gunnell, D. & Frankel, S. (1994) Prevention of suicide: aspirations and evidence. British Medical Journal, 308, 1227–1233.CrossRefGoogle ScholarPubMed
Gunnell, D., Peters, T. J., Kammerling, R. M., et al (1995) Relation between parasuicide, suicide, psychiatric admissions, and socioeconomic deprivation. British Medical Journal, 311, 226–230.Google Scholar
Hawton, K. & Fagg, J. (1988) Suicide, and other causes of death, following attempted suicide. British Journal of Psychiatry, 152, 359–366.Google Scholar
House, A., Owens, D. & Storer, D (1992) Psycho-social intervention following attempted suicide: is there a case for better services? International Review of Psychiatry, 4, 15–22.Google Scholar
Kapur, N., House, A., Creed, F., et al (1998) The management of deliberate self-poisoning in four teaching hospitals: descriptive study. British Medical Journal, 316, 831–832.CrossRefGoogle ScholarPubMed
Kreitman, N. & Foster, J. (1991) Construction and selection of predictive scales, with special reference to parasuicide. British Journal of Psychiatry, 159. 185–192.CrossRefGoogle ScholarPubMed
Lewis, G., Hawton, K. & Jones, P. (1997) Strategies for preventing suicide. British Journal of Psychiatry, 171. 351–354.CrossRefGoogle ScholarPubMed
Morgan, G. (1997) Management of suicide risk. Psychiatric Bulletin, 21, 214–216.CrossRefGoogle Scholar
Owens, D. (1990) Self-harm patients not admitted to hospital. Journal of the Royal College of Physicians of London, 24, 281–283.Google Scholar
Owens, D. Dennis, M., Read, S., et al (1994) Outcome of deliberate self-poisoning: an examination of risk factors for repetition. British Journal of Psychiatry, 165, 797–801.CrossRefGoogle ScholarPubMed
Rose, G. (1992) The Strategy of Preventive Medicine. Oxford: Oxford University Press.Google Scholar
Schotte, D. & Clum, G. (1987) Problem solving skills in suicidal psychiatric patients. Journal of Consulting and Clinical Psychology, 55, 49–54.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.