Suicide in mental health in-patients and within 3 months of discharge. National clinical survey

被引:198
作者
Meehan, J [1 ]
Kapur, N [1 ]
Hunt, IM [1 ]
Turnbull, P [1 ]
Robinson, J [1 ]
Bickley, H [1 ]
Parsons, R [1 ]
Flynn, S [1 ]
Burns, J [1 ]
Amos, T [1 ]
Shaw, J [1 ]
Appleby, L [1 ]
机构
[1] Univ Manchester, Ctr Suicide Prevent, Manchester M13 9PL, Lancs, England
关键词
D O I
10.1192/bjp.188.2.129
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background Suicide prevention is a health service priority Suicide risk may be greatest during psychiatric in-patient admission and following discharge. Aims To describe the social and clinical characteristics of a comprehensive sample of in-patient and post-discharge cases of suicide. Method A national clinical survey based on a 4-year (1996-2000) sample of cases of suicide in England and Wales who had been in recent contact with mental health services (n=4859). Results There were 754 (16%) current in-patients and a further 1100 (23%) had been discharged from psychiatric in-patient care less than 3 months before death. Nearly a quarter of the in-patient deaths occurred within the first 7 days of admission; 236 (31%) occurred on the ward, the majority by hanging. Post discharge suicide was most frequent in the first 2 weeks after leaving hospital: the highest number occurred on the first day. Conclusions Suicide might be prevented among in-patients by improving ward design and removing fixtures that can be used in hanging. Prevention of suicide after discharge requires early community follow-up and closer supervision of high-risk patients.
引用
收藏
页码:129 / 134
页数:6
相关论文
共 15 条
[1]  
Appleby L, 1999, BRIT MED J, V318, P1235
[2]   Aftercare and clinical characteristics of people with mental illness who commit suicide: a case-control study [J].
Appleby, L ;
Dennehy, JA ;
Thomas, CS ;
Faragher, EB ;
Lewis, G .
LANCET, 1999, 353 (9162) :1397-1400
[3]  
Appleby L., 2001, SAFETY 1 5 YEAR REPO
[4]  
*DEP HLTH, 2002, NAT SIUC PREV STRAT
[5]   PERIOD TRENDS IN RATE OF SUICIDE IN FIRST 28 DAYS AFTER-DISCHARGE FROM PSYCHIATRIC-HOSPITAL IN SCOTLAND, 1968-92 [J].
GEDDES, JR ;
JUSZCZAK, E .
BRITISH MEDICAL JOURNAL, 1995, 311 (7001) :357-360
[6]   SUICIDE AFTER-DISCHARGE FROM PSYCHIATRIC INPATIENT CARE [J].
GOLDACRE, M ;
SEAGROATT, V ;
HAWTON, K .
LANCET, 1993, 342 (8866) :283-286
[7]   The wessex recent in-patient suicide study, I - Case-control study of 234 recently discharged psychiatric patient suicides [J].
King, EA ;
Baldwin, DS ;
Sinclair, JMA ;
Baker, NG ;
Campbell, MJ ;
Thompson, C .
BRITISH JOURNAL OF PSYCHIATRY, 2001, 178 :531-536
[8]   The Wessex recent in-patient suicide study, 2 - Case-control study of 59 in-patient suicides [J].
King, EA ;
Baldwin, DS ;
Sinclair, JMA ;
Campbell, MJ .
BRITISH JOURNAL OF PSYCHIATRY, 2001, 178 :537-542
[9]  
LONNQVIST J, 1988, PSYCHIATR FENN, V19, P125
[10]   Changes in classification of suicide in England and Wales: Time trends and associations with coroners' professional backgrounds [J].
Neeleman, J ;
Wessely, S .
PSYCHOLOGICAL MEDICINE, 1997, 27 (02) :467-472