Suicide in secure psychiatric facilities

Gordon, Harvey

doi:10.1192/apt.8.6.408

Cited by 12 publications

(5 citation statements)

References 31 publications

(27 reference statements)

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“…The SMR for patients with Psychopathic Disorder decreased when suicide and undetermined deaths were combined. However, the sample size was smaller for patients with Psychopathic Disorder and there was only one further (Gordon, 2002). The percentage of deaths from suicide in this study was similar to that found in the previous largest follow-up of a single MSU (Maden, Rutter, McClintock et al, 1999) and that found in a national survey of MSUs (Coid, Hickey, & Yang, 2007).…”

Section: Smrs For Patients With Mha Classifications Of Mental Illnesssupporting

confidence: 85%

“…Previously, the risk of death in people with schizophrenia from all causes and suicide has been shown to be 1.5 times greater and 9 times greater than expected, respectively (Harris & Barraclough, 1998). Gordon (2002) reviewed suicide in secure psychiatric facilities and pointed out that suicides tend to be underestimated as coroners must determine intent at the time of death. Shaw, Baker, Hunt et al (2004) report the convention for studies of suicide to include probable suicides in which another verdict (usually open) was reached.…”

Section: Introductionmentioning

confidence: 98%

“…Shaw, Baker, Hunt et al (2004) report the convention for studies of suicide to include probable suicides in which another verdict (usually open) was reached. Suicides in psychiatric hospitals have risen over the last few decades, partly due to shorter length of stays and an increase in the throughput of patients (Gordon, 2002). However, the number of inpatient suicides has recently decreased (Appleby, 2007).…”

Section: Introductionmentioning

confidence: 99%

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Long-Term Suicide Risk in Forensic Psychiatric Patients

Clarke

Davies

Hollin

et al. 2011

Archives of Suicide Research

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The objectives of this study was to describe the rate of suicide and other causes of death in first admissions to a (medium) secure forensic psychiatric facility. All 595 patients were followed up for a maximum of 20 years. Death certificates were obtained and Standardized Mortality Ratios (SMRs) were calculated. At the June 2003 census, 57 patients (9.6%) had died of whom 18 (3.0%) had committed suicide; if deaths categorized as open verdicts are included the number rises to 26 (4.4%). The SMR for death by suicide was higher for a Mental Health Act classification of Mental Illness (SMR = 3,553) compared to Psychopathic Disorder (SMR = 1,892). The risks of mortality in this population are high from any cause, particularly from suicide.

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Section: Smrs For Patients With Mha Classifications Of Mental Illnesssupporting

confidence: 85%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

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Long-Term Suicide Risk in Forensic Psychiatric Patients

Clarke

Davies

Hollin

et al. 2011

Archives of Suicide Research

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“…URMs in different host countries and with different origins have high levels of mental health problems, including PTSD, depression, anxiety and emotional and behavioural problems (Huemer et al 2009 ; Bronstein et al 2012 ; Bronstein et al 2013 ; Jakobsen et al 2014 ). The psychiatric morbidity, along with the higher rate of self-harm or suicidal behaviour, contributed to the overrepresentation of URMs in voluntary and involuntary inpatient psychiatric care (Gordon 2002 ).…”

Section: Discussionmentioning

confidence: 99%

Overrepresentation of unaccompanied refugee minors in inpatient psychiatric care

et al. 2015

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BackgroundUnaccompanied refugee minors (URMs) have high levels of psychiatric symptoms, and concerns for their access to mental health services have been raised. From the mid-2000s, an increasing number of asylum-seeking URMs, mainly adolescent boys from Afghanistan, have been referred to the Child & Adolescent Psychiatry emergency unit in Malmö, Sweden. The aim of the study was to compare inpatient psychiatric care between URMs and non-URMs.FindingsAll admissions in 2011 at the emergency unit were identified and divided into URMs (n = 56) and non-URMs (n = 205). On the basis of unique patients’ first treatment occasion, a group level analysis was performed on gender, age, treatment duration, additional treatment occasions/patient, involuntary care, involuntary care by gender, and ICD-10 principal diagnosis. To retrieve further sample characteristics, a questionnaire was administered to the physicians responsible for admitting patients in 2011.More URMs than non-URMs exhibited self-harm or suicidal behaviour in conjunction with referral. 86% of URMs were admitted with symptoms relating to stress in the asylum process. In the catchment area, 3.40% of the URM population received inpatient care and 0.67% inpatient involuntary care, compared to 0.26% and 0.02% respectively of the non-URM population, both comparisons p < 0.001. There were more boys in the URM group (95%) compared to the non-URM group (29%). A difference in use of involuntary care disappeared after adjusting for gender. No differences were found in diagnoses except for neurotic disorders (F40-48), which were more common in the URM group.ConclusionFrom an epidemiological perspective, URMs were overrepresented in inpatient psychiatric care.

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“…It is often the case that patients will have histories of both which tend to correlate in terms of level of intensity, and interventions to manage one behaviour often result in the other coming to the fore (e.g. staff being assaulted when they intervene to prevent self‐harm or acts of self‐harm or suicide following interventions to manage aggression) (Hillbrand 2001, Gordon 2002).…”

Section: Ms ‘A’: a Case Studymentioning

confidence: 99%

The use of mechanical restraint in mental health: a catalyst for change?

Carr¹

2012

Psychiatric Ment Health Nurs

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The Care Quality Commission recently acknowledged the use of mechanical restraint/s as an intervention for the management of self-harm. I implemented the use of mechanical restraint for a female patient in life-threatening circumstances. This involved an exploration of the defining characteristics as well as the history and ethics of mechanical restraint. Informed consent and examining the legal, ethical and organizational frameworks supporting the use of this intervention in the clinical setting were critical to implementation. Ultimately the outcome not only proved to be life saving, but also a 'catalyst for change'.

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Suicide in secure psychiatric facilities

Cited by 12 publications

References 31 publications

Long-Term Suicide Risk in Forensic Psychiatric Patients

Long-Term Suicide Risk in Forensic Psychiatric Patients

Overrepresentation of unaccompanied refugee minors in inpatient psychiatric care

The use of mechanical restraint in mental health: a catalyst for change?

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