Increase in parasuicide in Scotland

Stark, Cameron; Smith, Howard C.; Hall, David J.

doi:10.1136/bmj.308.6943.1569a

Cited by 14 publications

(7 citation statements)

References 4 publications

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“…In keeping with other studies (Stark et al 1994;McLoone& Crombie, 1996) there was a decline in parasuicide activity presenting to our service over the period 1972 to 1990. followed by a sharp increase continuing through to 1996. It is not possible to conclude that this reflects a true change in the epidemiology of parasuicide be cause other factors may be contributing, for example, altered clinical practice (Stark et al 1994).…”

Section: Commentssupporting

confidence: 66%

“…It is not possible to conclude that this reflects a true change in the epidemiology of parasuicide be cause other factors may be contributing, for example, altered clinical practice (Stark et al 1994). In a previous Edinburgh study it was found that 20% of parasuicide patients were treated by their general practitioner and not assessed in hospital (Kreitman, 1977).…”

Section: Commentsmentioning

confidence: 99%

“…The proportion of male admis sions has increased (Stark et al 1994), as has the proportion using paracetamol (Hawton & Fagg, 1992;McLoone & Crombie, 1996). The trend towards deinstitutionalisation and reduc tion of in-patient psychiatric beds has meant that greater numbers of people with mental disorder are now being treated in the community.…”

mentioning

confidence: 99%

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Characteristics of patients admitted to in-patient psychiatric care following parasuicide

1997

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Parasuicide referrals and subsequent transfers to psychiatric in-patient care were recorded for January to April, 1972 to 1996. Information regarding the psychiatric outcome of transfers for the years 1985, 1990 and 1994 was obtained by case note review. Parasuicide referrals show a decline from 1972 to 1990 but they have more than doubled since then. Referrals transferred to in-patient psychiatric care fell from 10.7 to 2.8% during 1985 to 1994. Fewer patients with acute stress reaction, adjustment disorder, personality disorder and substance misuse are being transferred. Transfers of patients with ‘severe mental illness' have remained constant.

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Section: Commentssupporting

confidence: 66%

Section: Commentsmentioning

confidence: 99%

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Characteristics of patients admitted to in-patient psychiatric care following parasuicide

1997

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“…39 Patterns of antidepressants prescribing have changed with the advent of the selective serotonin reuptake inhibitors (SSRIs),, known to be safer. 9 One British study has suggested that the suicide rate is no difference between those given SSRIs and tricyclic antidepressants (TCADs). Patients given TCADs were more likely to use them to end their lives, those given newer agents chose alternative methods of suicide.…”

Section: Discussionmentioning

confidence: 99%

Deliberate self-poisoning in an Irish county hospital

McMahon

McGarry

2001

Ir J Med Sci

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“…After a decline in the rate of presentations throughout the 1980s, frequency of cases began to increase again in the 1990s, especially among young men. 1,2 In 2002, the Scottish Executive identified the prevention of suicide as an urgent public health issue and aimed to reduce the numbers in Scotland by 20% by 2013. 3 There were 13,268 presentations of deliberate self-poisoning to Scottish hospitals during the year ending March 2004, accounting for 1.11% of total admissions and 2.84% of emergency admissions.…”

Section: Introductionmentioning

confidence: 99%

Self-poisoning: current trends and practice in a UK teaching hospital

2008

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-The epidemiology of deliberate selfpoisoning presentations to the emergency department (ED) of Ninewells Hospital was reviewed over a six-month period. The results were related to previously published Scottish data. During the six month period, 530 patients presented (2.1% of total). There was a female preponderance with over 65% of patients aged less than 40 years. Patients lived more commonly in areas of higher deprivation. The drugs most commonly involved were paracetamol (39.25%) and antidepressants (35.1%). Of the presentatons 80.2% required no treatment apart from basic observations. Only 1.51% received activated charcoal and no gastric lavages were performed. Of the presentations, 75.6% were discharged after observation in the ED, 8.9% were admitted to a psychiatric hospital and 5.5% were admitted to general medicine department. Deliberate self-poisoning continues to be a major cause of hospital admissions in Scotland. In Tayside, it is predominantly a problem of the young and socially deprived. Consistent with recent national trends, paracetamol was the most common drug relating to overdose. The use of an ED observation ward is supported as a vast majority of patients are admitted for less than 24 hours and require no active treatment.

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Increase in parasuicide in Scotland

Cited by 14 publications

References 4 publications

Characteristics of patients admitted to in-patient psychiatric care following parasuicide

Characteristics of patients admitted to in-patient psychiatric care following parasuicide

Deliberate self-poisoning in an Irish county hospital

Self-poisoning: current trends and practice in a UK teaching hospital

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