Background The study aimed to define the characteristics and assess the clinical predictability and possible prevention of psychiatric in-patient suicides.
Method The coroner's files on all suicides in the Greater Montreal Region from 1 April 1986 to 31 March 1991 were examined.
The medical records ofeach case ofsuspected in-patient suicide were then reviewed and rated for predictability and preventive measures taken.
Results Atotal of 3079 suicides were recorded over this five-year period (mean annual rate of 16.4 per 100 000 inhabitants).
Ofthese, 104 (3.4%) involved hospital in-patients.
Nearly half (48%) of these in-patient suicides occurred outside the hospital setting.
The methods most frequently employed were hanging (36%) and jumping from high places (24%). Patients suffering from an affective disorder (45%) or schizophrenia (35%) comprised the majority ofthe sample.
Suicides were significantly more predictable in general hospital psychiatric wards.
Suicide prevention measures did not differ significantly across settings.
Conclusions The majority of in-patient suicides were not highly predictable.
For highly predictable suicides, the results underline the importance of actively treating and protecting these patients.
Mots-clés Pascal : Suicide, Symptomatologie, Prédiction, Prévention, Epidémiologie, Facteur risque, Québec, Canada, Amérique du Nord, Amérique, Homme
Mots-clés Pascal anglais : Suicide, Symptomatology, Prediction, Prevention, Epidemiology, Risk factor, Quebec, Canada, North America, America, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0480669
Code Inist : 002B18C11. Création : 03/02/1998.