The Wessex Recent In-Patient Suicide Study, 2. Case-control study of 59 in-patient suicides.

Autor: King, Elizabeth A., Baldwin, David S., Sinclair, Julia M. A., Campbell, Michael J., King, E A, Baldwin, D S, Sinclair, J M, Campbell, M J
Předmět:
Zdroj: British Journal of Psychiatry; Jun2001, Vol. 178, p537-542, 6p
Abstrakt: Background: Psychiatric patients have an elevated risk of suicide while in hospital.Aims: To compare social, clinical and health-care delivery factors in in-patient and out-patient suicides and their controls.Method: Retrospective case-control study of 59 in-patients and 106 controls, matched for age, gender, diagnosis and admission date. Odds ratios were calculated using conditional multiple logistic regression.Results: There were seven independent increased-risk factors: history of deliberate self-harm, admission under the Mental Health Act, involvement of the police in admission, depressive symptoms, violence towards property, going absent without leave and a significant care professional being on leave. When compared with out-patient suicides, in-patients were more often female and male in-patients had a psychotic illness. Unlike the out-patient suicides, social factors were not found to be significant.Conclusions: The characteristics of in-patient and out-patient suicides differ. Identified risk factors have relatively low sensitivity and specificity. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index