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Suicide within 12 months of mental health service contact in different age and diagnostic groups

National clinical survey

Published online by Cambridge University Press:  02 January 2018

Isabelle M. Hunt ,
Navneet Kapur ,
Jo Robinson ,
Jenny Shaw ,
Sandra Flynn ,
Hayley Bailey ,
Janet Meehan ,
Harriet Bickley ,
Rebecca Parsons  and
James Burns
...Show all authors
Isabelle M. Hunt
Affiliation:
Centre for Suicide Prevention, University of Manchester, Manchester, UK
Navneet Kapur
Affiliation:
Centre for Suicide Prevention, University of Manchester, Manchester, UK
Jo Robinson
Affiliation:
Centre for Suicide Prevention, University of Manchester, Manchester, UK
Jenny Shaw
Affiliation:
Centre for Suicide Prevention, University of Manchester, Manchester, UK
Sandra Flynn
Affiliation:
Centre for Suicide Prevention, University of Manchester, Manchester, UK
Hayley Bailey
Affiliation:
Centre for Suicide Prevention, University of Manchester, Manchester, UK
Janet Meehan
Affiliation:
Centre for Suicide Prevention, University of Manchester, Manchester, UK
Harriet Bickley
Affiliation:
Centre for Suicide Prevention, University of Manchester, Manchester, UK
Rebecca Parsons
Affiliation:
Centre for Suicide Prevention, University of Manchester, Manchester, UK
James Burns
Affiliation:
Centre for Suicide Prevention, University of Manchester, Manchester, UK
Tim Amos
Affiliation:
Centre for Suicide Prevention, University of Manchester, Manchester, UK
Louis Appleby*
Affiliation:
Centre for Suicide Prevention, University of Manchester, Manchester, UK
*
Professor Louis Appleby, Centre for Suicide Prevention, University of Manchester, Williamson Building, Oxford Road, Manchester M13 9PL, UK. E-mail: [email protected]
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Abstract

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Background

Suicide prevention is a health service priority but the most effective approaches to prevention may differ between different patient groups.

Aims

To describe social and clinical characteristics in cases of suicide from different age and diagnostic groups.

Method

A national clinical survey of a 4-year (1996–2000) sample of cases of suicide in England and Wales where there had been recent (< 1 year) contact with mental health services (n=4859).

Results

Deaths of young patients were characterised by jumping from a height or in front of a vehicle, schizophrenia, personality disorder, unemployment and substance misuse. In older patients, drowning, depression, living alone, physical illness, recent bereavement and suicide pacts were more common. People with schizophrenia were often in-patients and died by violent means. About athird of people with depressive disorder died within a year of illness onset. Those with substance dependence or personality disorder had high rates of disengagement from services.

Conclusions

Prevention measures likely to benefit young people include targeting schizophrenia, dual diagnosis and loss of service contact; those aimed at depression, isolation and physical ill-health should have more effect on elderly people.

Type
Papers
Information
The British Journal of Psychiatry , Volume 188 , Issue 2 , February 2006 , pp. 135 - 142
Copyright
Copyright © 2006 The Royal College of Psychiatrists 

Footnotes

†

See pp. 129–134 and 143–147, this issue.

Declaration of Interest

L.A. is the National Director of Mental Health for England. Funding detailed in Acknowledgements.

References

Appleby, L., Shaw, J., Amos, T., et al (1999) Safer Services: Report of the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. London: Department of Health.Google Scholar
Appleby, L., Shaw, J., Sherratt, J., et al (2001) Safety First: Five-Year Report of the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. London: Department of Health.Google Scholar
Cattell, H. R. (1988) Elderly suicide in London: an analysis of coroners’ inquests. International Journal of Geriatric Psychiatry, 3, 251–261.Google Scholar
Chiu, H. F., Yip, P. S., Chi, I., et al (2004) Elderly suicide in Hong Kong – a case-controlled psychological autopsy study. Acta Psychiatrica Scandinavica, 109, 299–305.Google Scholar
Conwell, Y., Duberstein, P. R., Cox, C., et al (1996) Relationships of age and axis I diagnoses in victims of completedsuicide: apsychological autopsystudy. American Journal of Psychiatry, 153, 1001–1008.Google Scholar
Cooper, J., Appleby, L. & Amos, T. (2002) Life events precedingsuicide by youngpeople. Social Psychiatry and Psychiatric Epidemiology, 37, 271–275.CrossRefGoogle Scholar
De Hert, M., McKenzie, K. & Peuskens, J. (2001) Risk factors for suicide in young people suffering from schizophrenia: along-term follow-up study. Schizophrenia Research, 47, 127–134.Google Scholar
Department of Health (2002) National Suicide Prevention Strategy for England. London: Stationery Office.Google Scholar
Harris, E. C. & Barrowclough, B. (1997) Suicide as an outcome for mental disorders. A meta-analysis. British Journal of Psychiatry, 170, 205–228.CrossRefGoogle ScholarPubMed
Harwood, D. M. J., Hawton, K., Hope, T., et al (2000) Suicidein older people: mode of death, demographic factors, and medical contact before death. International Journal of Geriatric Psychiatry, 15, 736–743.Google Scholar
Hiroeh, U., Appleby, L., Mortensen, P. B., et al (2001) Death by homicide, suicide, and other unnatural causes in people with mental illness: a population-based study. Lancet, 358, 2110–2112.CrossRefGoogle ScholarPubMed
Houston, K., Hawton, K. & Shepperd, R. (2001) Suicidein people aged 15–24: a psychological autopsy study. Journal of Affective Disorders, 63, 159–170.Google Scholar
H⊘yer, E. H., Olesen, A. V. & Mortensen, P. B. (2004) Suiciderisk in patients hospitalised because of an affective disorder: a follow-up study, 1973–1993. Journal of Affective Disorders, 78, 209–217.Google Scholar
Isometsa, E. T., Henriksson, M. M., Hillevi, M. O., et al (1994) Suicide in major depression. American Journal of Psychiatry, 155, 530–536.Google Scholar
Isometsa, E. T., Henriksson, M. M., Heikkinen, M. E., et al (1996) Suicide among subjects with personality disorders. American Journal of Psychiatry, 153, 667–673.Google Scholar
Kreyenbuhl, J. A., Kelly, D. L. & Conley, R. R. (2002) Circumstances of suicide among individuals with schizophrenia. Schizophrenia Research, 58, 253–261.Google Scholar
Meehan, J., Kapur, N., Hunt, I. M., et al (2006) Suicide in mental health in-patients and within 3 months of discharge. National clinical survey. British Journal of Psychiatry, 188, 129–134.Google Scholar
National Institute for Mental Health in England (2003) Personality Disorder No Longer a Diagnosis of Exclusion: Policy Implementation Guidance for the Development of Services for People with Personality Disorder. London: Department of Health.Google Scholar
Rossau, C. D. & Mortensen, P. B. (1997) Risk factors for suicide in patients with schizophrenia: nested case-control study. British Journal of Psychiatry, 171, 355–359.Google Scholar
Rubenowitz, E., Waern, M., Wilelmson, K., et al (2001) Life events and psycho-social factors in elderly suicides – case-control study. Psychological Medicine, 31, 1193–1202.Google Scholar
Timonen, M., Viilo, K., Vaisanen, E., et al (2002) Burden of illness and suicide in elderly people. BMJ, 325, 441.Google Scholar
World Health Organization (1992) The ICD-10 Classification of Mental and Behavioural Disorders. Geneva: WHO.Google Scholar
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