Psychotropics and suicide prevention : Implications from toxicological screening of 5281 suicides in Sweden 1992-1994.
Background Systematic clinical investigations ofconsecutive suicides have found psychiatric disorders in 90-95% of subjects (depressive disorder 30-87%). Aims To investigate use of psychotropics in men and women of different ages who commit suicide.
Method Results oftoxicological screening in 5281 suicides in Sweden 1992-94 were studied.
Results Psychotropics were detected in 45.3% ofthe suicides.
Antidepressants were detected in 12.4% ofthe men and 26.2% ofthe women (7.2% and 14.2%, respectively, ofthose under 30 years of age).
Neuroleptics or antiepileptics (in the absence ofantidepressants) were detected in 8.3%, and anxiolytics/hypnotics alone in 20.5% ofthe subjects.
Overdose by an antidepressant was the probable cause of death in 2.1% ofthe men and 7.9% ofthe women.
Conclusions The pattern of psychotropics detected in toxicology was incongruent with the pattern ofdiagnoses found in the clinical investigations of suicides mentioned above.
Depression appears to be undertreated in individuals committing suicide, especially in men and in subjects under 30 years of age.
Mots-clés Pascal : Suicide, Antécédent, Chimiothérapie, Psychotrope, Diagnostic, Trouble psychiatrique, Overdose, Facteur risque, Suède, Europe, Santé mentale, Homme
Mots-clés Pascal anglais : Suicide, Antecedent, Chemotherapy, Psychotropic, Diagnosis, Mental disorder, Overdose, Risk factor, Sweden, Europe, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0177968
Code Inist : 002B18C11. Création : 16/11/1999.