Suicide in psychiatric hospital in-patients: Risk factors and their predictive power

British Journal of Psychiatry

Volumn 176, Issue MAR., 2000, Pages 266-272

  Powell, John ^b   Geddes, John ^a   Deeks, Jonathan ^b   Goldacre, Michael ^b   Hawton, Keith ^b  

^a WARNEFORD HOSPITAL   (United Kingdom)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CASE CONTROL STUDY; CAUSE OF DEATH; CHRONIC DISEASE; DELUSION; FAMILY HISTORY; FEMALE; HIGH RISK PATIENT; HUMAN; MAJOR CLINICAL STUDY; MALE; MENTAL HOSPITAL; MENTAL PATIENT; RISK ASSESSMENT; RISK FACTOR; SUICIDAL BEHAVIOR; SUICIDE;

ANALYSIS OF VARIANCE; CASE-CONTROL STUDIES; FEMALE; HUMANS; INPATIENTS; LIKELIHOOD FUNCTIONS; MALE; MENTAL DISORDERS; ODDS RATIO; RISK ASSESSMENT; RISK FACTORS; SENSITIVITY AND SPECIFICITY; SUICIDE;

EID: 0034029330     PISSN: 00071250     EISSN: None     Source Type: Journal    
DOI: 10.1192/bjp.176.3.266     Document Type: Article

References (28)

1. Appleby, L. (1992) Suicide in psychiatric patients: risk and prevention. British Journal of Psychiatry, 161, 749-758.
2. _, Shaw, J., Amos, J., et al (1999a) Safer Services. Report of the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. London: Stationery Office.
3. _, Dennehy, J. A., Thomas, C. S., et al (1999b) Aftercare and clinical characteristics of people with mental illness who commit suicide: a case-control study. Lancet, 353, 1397-1400.
4. Blain, P. A. & Donaldson, L. J. (1995) The reporting of inpatient suicides: identifying the problem. Public Health, 109, 293-301.
5. Charlton, J., Kelly, S., Dunnell, K., et al (1993) Suicide deaths in England and Wales: trends in factors associated with suicide deaths. Population Trends, 71, 34-42.
6. Copas, J. B. & Robin, A. (1982) Suicide in psychiatric in-patients. British Journal of Psychiatry, 141, 503-511.
7. Dean, A. G., Dean, J. A., Coulombier, D., et al (1995) Epi Info, Version 6: A Word-Processing, Database, and Statistics Program for Public Health on IBM-compatible Microcomputers. Atlanta, GA: Centers for Disease Control and Prevention.
8. Dennehy, J. A., Appleby, L., Thomas, C. S., et al (1996) Case-control study of suicide by discharged psychiatric patients. British Medical Journal, 312, 1580.
9. Feinstein, A. R. (1977) Clinical biostatistics XXXIX: The haze of Bayes, the aerial palaces of decision analysis, and the computerized Ouija board. Clinical Pharmacology and Therapeutics, 21, 482-496.
10. Fernando, S. & Storm, V. (1984) Suicide among psychiatric patients of a district general hospital. Psychological Medicine, 14, 661-672.
11. Geddes, J. R. (1999) Suicide and homicide in mentally ill patients. British Medical Journal, 318, 1225-1226.
12. Goldacre, M. J., Simmons, H., Henderson, J., et al (1988) Trends in episode-based and person-based rates of admission to hospital in the Oxford Record Linkage Study area. British Medical Journal, 296, 583-584.
13. Goldstein, R. B., Black, D. W., Nasrallah, A., et al (1991) The prediction of suicide. Sensitivity, specificity, and predictive value of a multivariate model applied to suicide among 1906 patients with affective disorders. Archives of General Psychiatry, 48, 418-422.
14. Hawton, K. (1987) Assessment of suicide risk. British Journal of Psychiatry, 150, 145-153.
15. Langley, G. E. & Bayatti, N. N. (1984) Suicides in Exe Vale Hospital, 1972-1981. British Journal of Psychiatry, 145, 463-467.
16. McGuffin, P., Farmer, A. E. & Harvey, I. (1991) A polydiagnostic application of operational criteria in studies of psychotic illness: development and reliability of the OPCRITsystem. Archives of General Psychiatry, 48, 764-770.
17. Modestin, J., Zarro, I. & Waldvogel, D. (1992) A study of suicide in schizophrenic in-patients. British Journal of Psychiatry, 160, 398-401.
18. Morgan, H. G. & Priest, P. (1991) Suicide and other unexpected deaths among psychiatric in-patients. The Bristol confidential inquiry. British Journal of Psychiatry, 158, 368-374.
19. _ & Stanton, R. (1997) Suicide among psychiatric in-patients in a changing clinical scene. Suicidal ideation as a paramount index of short-term risk. British Journal of Psychiatry, 171, 561-563.
20. Pokorny, A. D. (1983) Prediction of suicide in psychiatric patients. Report of a prospective study. Archives of General Psychiatry, 40, 249-257.
21. Proulx, F., Lesage, A. D. & Grunberg, F. (1997) One hundred in-patient suicides. British Journal of Psychiatry, 171, 247-250.
22. Read, D. A., Thomas, C. S. & Mellsop, G. W. (1993) Suicide among psychiatric inpatients in the Wellington region. Australian and New Zealand Journal of Psychiatry, 27, 392-398.
23. Roy, A. & Draper, R. (1995) Suicide among psychiatric hospital inpatients. Psychological Medicine, 25, 199-202.
24. Sharma, V., Persad, E. & Kueneman, K. (1998) A closer look at inpatient suicide. Journal of Affective Disorders, 47, 123-129.
25. Spiegelhalter, D. J. & Knill-Jones, R. P. (1984) Statistical and knowledge-based approaches to clinical decision-support systems, with an application in gastroenterology. Journal of the Royal Statistical Society, 147, 35-77.
26. SPSS (1997) SPSS 8.0 for Windows. Chicago, IL: SPSS.
27. StataCorp (1999) Stata Statistical Software: Release 6.0. College Station, TX: Stata Corporation.
28. Statistics and Epidemiology Research Corporation (1991) EGRET. Seattle, WA: SERC.