Can suicides be identified from case records? A case control study using blind rating
Autor: | Maeve Leonard, Philip Prescott, Laura Mannion, T.J. Fahy |
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Rok vydání: | 2005 |
Předmět: |
medicine.medical_specialty
business.industry Case-control study Poison control Human factors and ergonomics medicine.disease Suicide prevention Occupational safety and health Psychiatry and Mental health Clinical Psychology Case records Injury prevention medicine Medical emergency Risk factor Psychiatry business |
Zdroj: | Archives of suicide research : official journal of the International Academy for Suicide Research. 8(3) |
ISSN: | 1381-1118 |
Popis: | A majority of case control studies of suicide risks in psychiatric patients reveal an excess of risk factors in cases. None of the case control studies has been conducted blind to case identity. The present study examined the possibility that skilled clinicians could identify suicides blind from case records of last episode of care. Records of 39 suicides of psychiatric patients and their matched controls (N = 78) were abstracted blind and dichotomously rated for suicide by seven raters. Success in identification of cases approximated to chance expectation. Pending replication, these disappointing findings call in question the clinical utility of risk factor findings to date, their validity as a basis for significant change in service provision and the medico-legal significance of records in suicide-related civil law suits. |
Databáze: | OpenAIRE |
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