Suicide among psychiatric in-patients in a changing clinical scene : Suicidal ideation as a paramount index of short-term risk.
Background Rapid changes in styles ofclinical practice mean that we should carefully monitor the way suicides occur among psychiatric patients both in hospital and in the wider community.
Method Patients who had died through suicide either while receiving in-patient care or within 2 months ofdischarge from hospital were compared with a similar series reported 10 years previously.
Clinicians'perceptions of patients behaviour were compared with concurrent controls.
Results Patients in the more recent study were younger, more often male, and a greater proportion had been discharged from in-patient status.
Hazards which complicated risk assessment included short-lasting misleading clinical improvements, variability in degree of distress, and a reluctance to discuss suicidal ideas.
Over a range of perceived behaviours it was not possible to distinguish suicides from controls.
Conclusions In assessing suicide risk paramount importance should be attached to monitoring suicidal ideation and addressing the several hazards which might complicate this procedure.
Mots-clés Pascal : Suicide, Trouble psychiatrique, Etude comparative, Facteur sociodémographique, Dépistage, Idée suicide, Homme
Mots-clés Pascal anglais : Suicide, Mental disorder, Comparative study, Sociodemographic factor, Medical screening, Suicide ideation, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0039534
Code Inist : 002B18C11. Création : 17/04/1998.