Book contents
- Frontmatter
- Contents
- List of Contributors
- Preface
- Part I Unmet need: defining the problem
- Part II Unmet need: general problems and solutions
- Part III Unmet need: people with specific disorders
- Introduction
- 13 The unmet needs of people suffering from schizophrenia
- 14 The early course of schizophrenia: new concepts for early intervention
- 15 Unmet need in depression: varying perspectives on need
- 16 Unmet need following serious suicide attempt: follow-up of 302 individuals for 30 months
- 17 Met and unmet need for interventions in community cases with anxiety disorders
- 18 The unmet need for treatment in panic disorder and social phobia
- 19 Alcohol-use disorders: who should be treated and how?
- 20 Putting epidemiology and public health in needs assessment: drug dependence and beyond
- 21 Why are somatoform disorders so poorly recognized and treated?
- Part IV Unmet need: specific issues
- Part V Unmet need: conclusion
- Index
16 - Unmet need following serious suicide attempt: follow-up of 302 individuals for 30 months
from Part III - Unmet need: people with specific disorders
Published online by Cambridge University Press: 21 August 2009
- Frontmatter
- Contents
- List of Contributors
- Preface
- Part I Unmet need: defining the problem
- Part II Unmet need: general problems and solutions
- Part III Unmet need: people with specific disorders
- Introduction
- 13 The unmet needs of people suffering from schizophrenia
- 14 The early course of schizophrenia: new concepts for early intervention
- 15 Unmet need in depression: varying perspectives on need
- 16 Unmet need following serious suicide attempt: follow-up of 302 individuals for 30 months
- 17 Met and unmet need for interventions in community cases with anxiety disorders
- 18 The unmet need for treatment in panic disorder and social phobia
- 19 Alcohol-use disorders: who should be treated and how?
- 20 Putting epidemiology and public health in needs assessment: drug dependence and beyond
- 21 Why are somatoform disorders so poorly recognized and treated?
- Part IV Unmet need: specific issues
- Part V Unmet need: conclusion
- Index
Summary
Summary
A consecutive sample of 302 individuals who had made medically serious suicide attempts was followed for two and a half years after the index attempt, with personal interviews at six, 18, and 30 months. During the follow-up period, mortality and psychiatric morbidity were high and measures of psychosocial functioning indicated a range of long-term adverse outcomes. Within 30 months of the index suicide attempt, 19 (6.7%) people died, 51.7% made at least one further suicide attempt, and 44.4% were admitted at least once to a psychiatric hospital or residential drug treatment center. There was evidence of enduring psychiatric morbidity: 46.1% of the sample met DSM-III-R criteria for major depression at the time of at least one of the three follow-up interviews. In addition, 40.1% of the sample met DSM-III-R criteria for substance-use disorder during the follow-up period. Those who made serious suicide attempts experienced high and enduring levels of a range of difficulties during the 30 months after such attempts: 58.7% reported relationship problems; 29.5% faced legal charges; 8.9% had at least one term of imprisonment; and 72.8% were social welfare beneficiaries at the time of at least one of the three follow-up interviews. It is concluded that those who make medically serious suicide attempts are a group at high and enduring risk for a range of adverse outcomes. The needs for care for this group which are implied by these outcomes are examined.
Introduction
Suicidal behavior is a significant medical, public health and mental health problem in New Zealand, just as it is in many countries (Diekstra & Gulbinat, 1993; La Vecchia, Ludhina & Levi, 1994; New Zealand Health Information Service, 1997; World Health Organization, 1992).
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- Information
- Unmet Need in PsychiatryProblems, Resources, Responses, pp. 245 - 255Publisher: Cambridge University PressPrint publication year: 2000
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