| Autor: |
Foster, Tom, Gillespie, Kate, McClelland, Roy, Patterson, Chris, Foster, T, Gillespie, K, McClelland, R, Patterson, C |
| Předmět: |
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| Zdroj: |
British Journal of Psychiatry; Aug99, Vol. 175, p175-179, 5p, 2 Charts |
| Abstrakt: |
Background: The vast majority of suicides suffer from at least one mental disorder at the time of death.Aims: To identify risk factors for suicide, particularly those independent of current DSM-III-R Axis I disorder(s).Method: A case-control psychological autopsy study comparing suicides with matched community controls.Results: Independent risk factors for suicide included: Axis II (personality) disorder (particularly antisocial, avoidant and dependent); at least one of 12 life events (from the List of Threatening Experiences) during the previous 52 or 4 weeks (in particular, a 'serious problem with close friend, neighbour or relative'); current unemployment; previous history of deliberate self-harm; and contact with a GP within 26 weeks. Relative to individuals with no current mental disorder, the estimated risk of suicide in those with Axis I-Axis II comorbidity (OR 346.0) was significantly greater than that in those with Axis I disorder(s) only (OR 52.4).Conclusions: Suicide risk assessment may be enhanced by enquiry about the aforementioned independent risk factors, and attention to Axis I-Axis II comorbidity. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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