A closer look at inpatient suicide.
We examined the risk factors for suicide among inpatients in an Ontario provincial psychiatric hospital.
Forty-four inpatients who had committed suicide during their hospital stay from 1969 to 1995 were compared with a group of inpatient controls matched for sex, age and date of admission.
The diagnosis for each patient was reviewed by the authors.
Suicide victims were more likely to have had a mood disorder, family history of psychiatric problems, mention of suicide risk in chart notes and a previous suicide attempt.
Two findings necessitated further scrutiny
The most common diagnosis among inpatients who committed suicide in this study was a mood disorder and not schizophrenia as previously reported.
A large proportion of patients (24) had experienced a rapidly fluctuating clinical course prior to the time of suicide.
The implications of these findings, including the possible role of antidepressants in the induction of cycling prior to suicide, are discussed.
Mots-clés Pascal : Tentative suicide, Facteur risque, Hospitalisation, Hôpital psychiatrique, Facteur sociodémographique, Association morbide, Trouble psychiatrique, Histoire familiale, Etude longitudinale, Epidémiologie, Ontario, Canada, Amérique du Nord, Amérique, Santé mentale, Homme
Mots-clés Pascal anglais : Suicide attempt, Risk factor, Hospitalization, Psychiatric hospital, Sociodemographic factor, Concomitant disease, Mental disorder, Family story, Follow up study, Epidemiology, Ontario, Canada, North America, America, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0149179
Code Inist : 002B18C11. Création : 21/07/1998.