Suicide in high security hospital patients

Jones, Roland M.; Hales, Heidi; Butwell, Martin; Ferriter, Michael; Taylor, Pamela J.

doi:10.1007/s00127-010-0239-6

Cited by 29 publications

(31 citation statements)

References 39 publications

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“…However, such data are not readily available and it is often challenging and very costly to collect such data (Jones and Swerdlow, 1998). Thus, we opted for the use of the general population as the standard as is commonly done in epidemiological and demographic studies, including in industrialized countries (Breslow and Day, 1987a;Jones and Swerdlow, 1998;Ackers et al , 2011;Crook et al, 2003;Datiko and Lindtjorn, 2010;Jones et al, 2011;Kamper-Jorgensen et al, 2008;Reulen et al, 2010;Secrest et al, 2010;Symmons et al, 1998;Trombert-Paviot et al, 2008;Wilson et al, 2010;Brinkhof et al, 2009). …”

Section: Choice Of the Standard Populationmentioning

confidence: 99%

Long term mortality after community and facility based treatment of severe acute malnutrition: Analysis of data from Bangladesh, Kenya, Malawi and Niger

Bahwere¹

2012

J. Public Health Epidemiol.

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The effectiveness of the community based therapeutic care (CTC) in treating severe acute malnutrition (SAM) has been demonstrated. However, there is still resistance from some policy makers and donors to invest into this cost-effective intervention. The mortality rate ratio (MRR) calculated by dividing the observed deaths after discharge by expected deaths was used to compare survival of 1,670 children discharged from the Dowa CTC from August 2002 to May 2005 and that of other cohorts reporting on long term survival of children after treatment of SAM retrieved from literature. A MMR of 1.1 (0.9 to 1.4) was observed for the Dowa CTC cohort while the MMR of 2.7 (1.3 to 4.9), 5.5 (3.9 to 7.6) and 20.0 (11.0 to 33.4) were observed for studies retrieved from the literature. Data showed that the survival of children who defaulted was worse than that of those who were discharged cured, and that of children treated at home after stabilisation or directly was better than those treated as inpatient until exit from the programme. The study outlines the need of using MMR when reporting on long term survival after SAM treatment and suggests that CTC should be included in the package of interventions with high potential for accelerating the progress towards reaching Millennium Developmental Goal four.

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Section: Choice Of the Standard Populationmentioning

confidence: 99%

Long term mortality after community and facility based treatment of severe acute malnutrition: Analysis of data from Bangladesh, Kenya, Malawi and Niger

Bahwere¹

2012

J. Public Health Epidemiol.

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“…Forensic psychiatric patients present challenges to treatment providers due to their complex problem constellations, with major mental disorders in combination with criminal behaviour and psychosocial problems (1-5). The pronounced vulnerability of this patient group can be seen in increased mortality and suicide risk when compared to the general population (2,6,7).…”

Section: Introductionmentioning

confidence: 99%

Mentally disordered offenders in Sweden: differentiating recidivists from non-recidivists in a 10-year follow-up study

Krona

Nyman

Andreasson

et al. 2016

Nordic Journal of Psychiatry

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Signs of childhood adversities together with early debut in criminality appeared as important risk factors for general and violent recidivism. Forensic psychiatric treatment combined with a restriction order was demonstrated as a protective factor against recidivism, suggesting that the risk of recidivism is strongly related to the level of supervision. Although the low number of recidivism cases is highly desirable, it unfortunately reduces the power of the analyses in this paper.

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“…A survey of suicides in UK high secure hospitals spanning 29 years (1972 to 2000) found increased rates of suicide among in-patients compared with the general population (Jones 2011). More interestingly, it found that women in high security were more than twice as likely to complete suicide than men, which is a significant deviation from the trend seen in general population.…”

Section: Clinical Depression Psychological Distress and Self-harmmentioning

confidence: 59%

Mindfulness-based interventions in secure settings: challenges and opportunities

Witharana¹,

Adshead²

2013

Adv. psychiatr. treat

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SummaryPsychological treatments in secure settings have traditionally been based on psychodynamic and cognitive–behavioural approaches. Recent developments, supported by an emerging evidence base, have generated a significant amount of interest in mindfulness-based psychological therapies and their utility in diverse areas of mental healthcare. In this article we analyse the current evidence base and describe possible mechanisms of action of mindfulness-based psychological approaches. On the basis of the evidence, we advocate a cautious but positive approach to using mindfulness-based interventions in secure services.

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Suicide in high security hospital patients

Abstract: The suicide rate among high security hospital patients was significantly higher than in the general population. Women were especially at risk while resident, whereas for men, the risk was higher after discharge.

Cited by 29 publications

References 39 publications

Long term mortality after community and facility based treatment of severe acute malnutrition: Analysis of data from Bangladesh, Kenya, Malawi and Niger

Long term mortality after community and facility based treatment of severe acute malnutrition: Analysis of data from Bangladesh, Kenya, Malawi and Niger

Mentally disordered offenders in Sweden: differentiating recidivists from non-recidivists in a 10-year follow-up study

Mindfulness-based interventions in secure settings: challenges and opportunities

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