Suicide in Psychiatric Patients

Myers, D. H.; Neal, C D

doi:10.1192/bjp.133.1.38

Cited by 55 publications

(20 citation statements)

References 14 publications

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“…In the series of Myers & Neal (22), only 14 % of 44 depressed psychiatric out-patient suicides were treated at the time of their suicidal action with a sufficient dose of antidepressants; 50 % of these patients were given no antidepressants, receiving in most cases barbiturates or benzcdiazepines. The corresponding figure given by Roy (24) is 36 % of depressed psychiatric in-and outpatients receiving antidepressive therapy at the time of their suicide.…”

Section: Discussionmentioning

confidence: 99%

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Antidepressive therapy in depressed clinical suicides

Modestin¹

1985

Acta Psychiatr Scand

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A total of 61 clinical suicides, all of them fulfilling the Research Diagnostic Criteria for a depressive disorder, were examined with regard to the psychopharmacological treatment they received at the time of their suicide. Scarcely half were treated with antidepressants, and only a small minority were optimally treated. One of the reasons for this therapeutic inadequacy lies in a discrepancy between the clinical and RDC diagnoses. An improvement in diagnostic practice, in the sense of paying more attention to the presence of a depressive syndrome, along with an improvement in psychopharmacological treatment, could contribute to a reduction in the clinical suicide rate, which has recently been observed to be increasing.

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Section: Discussionmentioning

confidence: 99%

“…The question of adequate antidepressant therapy in depressed suicides (mainly out-patients) has been addressed by several authors. Their results point to the inadequacies of the drug treatment these patients receive (22)(23)(24).…”

mentioning

confidence: 94%

Antidepressive therapy in depressed clinical suicides

Modestin¹

1985

Acta Psychiatr Scand

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“…High suicide rates are particularly associated with acute episodes of illness,2 recent hospital discharge, 34 social factors such as living alone,5 and features of clinical history such as substance misuse6 and non-fatal self harm 7. However, comparatively little is known about the clinical care being provided to psychiatric patients before suicide.…”

Section: Introductionmentioning

confidence: 99%

Suicide within 12 months of contact with mental health services: national clinical survey

Appleby

Shaw

Amos

et al. 1999

BMJ

430

288

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Several suicide prevention measures in mental health services are implied by these findings, including measures to improve compliance and prevent loss of contact with services. Inpatient facilities should remove structural difficulties in observing patients and fixtures that can be used in hanging. Prevention of suicide after discharge may require earlier follow up in the community. Better suicide prevention in psychiatric patients is likely to need measures to improve the safety of mental health services as a whole, rather than specific measures for people known to be at high risk.

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“…Myers and Neal [3] have also observed that about 30% of psychiatrically ill patients were also physically ill before committing suicide.…”

Section: Introductionmentioning

confidence: 99%

Attempted Suicide in Psychiatric Outpatients with Concurrent Physical Illness

Kontaxakis¹,

Christodoulou²,

Mavreas³

et al. 1988

Psychother Psychosom

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Fifty outpatients with concurrent psychiatric and physical illness who were referred following a suicidal attempt to the Outpatient Psychiatric Department, University of Athens, during a period of 3 years (1979–1981) were compared with a random sample of 85 psychiatric outpatients without concurrent physical illness who had attempted suicide at the same time period. Attempters suffering from both mental and physical illness were more often of an older age, married, pensioners or housewifes, were living with their own family, were suffering from organic psychotic condition or major affective disorder (depressive type) and more frequently used violent methods for attempting suicide. Among attempters the commonest physical illnesses were neurological diseases (40%), cardiovascular diseases (26%) and cancer (10%).

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Suicide in Psychiatric Patients

Cited by 55 publications

References 14 publications

Antidepressive therapy in depressed clinical suicides

Antidepressive therapy in depressed clinical suicides

Suicide within 12 months of contact with mental health services: national clinical survey

Attempted Suicide in Psychiatric Outpatients with Concurrent Physical Illness

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