-
Tytuł:
-
The mental and physical health profile of people who died by suicide: findings from the Suicide Support and Information System.
-
Autorzy:
-
Leahy D; Department of Child and Adolescent Psychiatry, North Lee North, Unit 9, St Stephen's Hospital, Glanmire, Cork, Ireland.
Larkin C; Department of Emergency Medicine, University of Massachusetts Medical School, Worcester, MA, USA.
Leahy D; School of Public Health, College of Medicine and Health, University College Cork, 4.28 Western Gateway Building, Cork, Ireland.; National Suicide Research Foundation, University College Cork, Cork, Ireland.
McAuliffe C; St. Patrick's Mental Health Services, Cork, Ireland.
Corcoran P; School of Public Health, College of Medicine and Health, University College Cork, 4.28 Western Gateway Building, Cork, Ireland.; National Suicide Research Foundation, University College Cork, Cork, Ireland.
Williamson E; National Suicide Research Foundation, University College Cork, Cork, Ireland.
Arensman E; School of Public Health, College of Medicine and Health, University College Cork, 4.28 Western Gateway Building, Cork, Ireland. .; National Suicide Research Foundation, University College Cork, Cork, Ireland. .
-
Źródło:
-
Social psychiatry and psychiatric epidemiology [Soc Psychiatry Psychiatr Epidemiol] 2020 Nov; Vol. 55 (11), pp. 1525-1533. Date of Electronic Publication: 2020 Jul 12.
-
Typ publikacji:
-
Journal Article
-
Język:
-
English
-
Imprint Name(s):
-
Original Publication: [Berlin] : Springer International, [c1988-
-
MeSH Terms:
-
Mental Disorders*/epidemiology
Self-Injurious Behavior*/epidemiology
Suicide*
Aged ; Humans ; Ireland/epidemiology ; Male ; Research Design ; Risk Factors
-
Grant Information:
-
HRA-2013-phr-438 Ireland HRBI_ Health Research Board
-
Contributed Indexing:
-
Keywords: Mental health; Physical health; Psychological autopsy; Self-harm; Suicide
-
Entry Date(s):
-
Date Created: 20200714 Date Completed: 20201120 Latest Revision: 20201120
-
Update Code:
-
20240105
-
DOI:
-
10.1007/s00127-020-01911-y
-
PMID:
-
32656640
-
Purpose: There is limited research on the associations between factors relating to mental and physical health in people who died by suicide.
Methods: Consecutive suicide cases were included in a psychological autopsy study as part of the Suicide Support and Information System in southern Ireland. Chi-square tests and logistic regression analysis were used to examine factors associated with recorded presence or absence of mental and physical health problems.
Results: The total sample comprised 307 suicide cases, the majority being male (80.1%). Sixty-five percent had a history of self-harm and 34.6% of these cases had not been seen or treated following previous self-harm, although most (80.3%) had a history of recent GP attendance. Mental health diagnoses were present in 84.8% of cases where this variable was documented, and among these, 60.7% had a history of substance misuse and 30.6% had physical health problems. Variables associated with mental illness included gender, older age, previous self-harm episode(s), and presence of drugs in toxicology at time of death. Variables associated with physical illness included older age, death by means other than hanging, and previous self-harm episode(s).
Conclusions: Different factors associated with suicide were identified among people with mental and physical illness and those with and without a diagnosis, and need to be taken into account in suicide prevention. The identified factors highlight the importance of integrated care for dual-diagnosis presentations, restricting access to means, and early recognition and intervention for people with high-risk self-harm.
Zaloguj się, aby uzyskać dostęp do pełnego tekstu.