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A study of psychiatric inpatient suicides

Published online by Cambridge University Press:  13 June 2014

Gráinne M Coakley ,
Teresa G Carey  and
John M Owens
John M Owens
Affiliation:
St Davnet' Hospital, Co Monaghan, Ireland
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Abstract

Objective: The aim of this paper was to elucidate factors associated with inpatient suicide.

Method: A retrospective review of inpatient suicides over a 20 year period in the Cavan/Monaghan mental health service was undertaken. Clinical files, statutory reports and Central Statistics Office returns were studied and information was obtained on demography, diagnosis and circumstances of the event.

Results: Eight patients committed suicide, giving a rate of 0.55/1,000 discharges and 0.39/100,000 population per year. Depressive illness and Schizophrenia were the diagnoses found. Repeated admissions and long duration of illness were noted. Previous suicidal behaviour was common. Four of the patients were considered a suicide risk at some time during the index admission. Underreporting of the suicides and inaccurate registration of institutional location by the Central Statistics Office were found.

Conclusion: More formal clinical procedures in registering suicide risk are recommended. New procedures for investigating inpatient suicides are suggested. Largescale studies at a national level are essential in defining more specific and sensitive risk factors. Procedural changes involving accurate central registration of data are required.

Keywords

SuicidePsychiatric inpatientPsychiatric services
Type
Brief Reports
Information
Irish Journal of Psychological Medicine , Volume 13 , Issue 3 , September 1996 , pp. 102 - 104
Copyright
Copyright © Cambridge University Press 1996

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References

1.Kreitman, N. In: Kendell, RE and Zeally, AK, eds. Companion to Psychiatric Studies. 5th Edition. Churchill Livingstone, 1993.Google Scholar
2.Robins, E, Murphy, G, Wilkinson, RH. Some clinical observations in the prevention of suicide based on a study of 134 successful suicides. Am J Public Health 1959; 49: 888–99.CrossRefGoogle Scholar
3.McCarthy, PD, Walsh, D. Suicide in Dublin: The under–reporting of suicide and the consequences for National statistics. Br J Psychiatry 1975; 126: 301–8.CrossRefGoogle ScholarPubMed
4.Kelleher, MJ. [Editorial.] Ir Med J 1991; 84: 400–15.Google Scholar
5.Kelleher, MJ. Clinical directors position paper on suicide. Ir J Psych Med 1993; 10: 52–5.CrossRefGoogle Scholar
6.Appelby, L. Suicide in psychiatric patients: Risk and prevention. Br J Psychiatry 1992; 161: 749–58.CrossRefGoogle Scholar
7.Morgan, HG, Priest, P. Assessment of suicide risk in psychiatric inpatients. Br J Psychiatry 1984; 145: 467–69.CrossRefGoogle Scholar
8.Seng Eng, Goh, Salmons, PH, Whittington, RM. Hospital suicides: are there preventable factors? Br J Psychiatry 1989; 154: 247–49.Google Scholar
9.Langley, GE, Bayatti, N. Suicides in Exe Vale Hospital 1972-1981. Br J Psychiatry 1984; 145: 463–67.CrossRefGoogle ScholarPubMed
10.Gale, SW, Mesnikoff, A, Fine, J, et al.A study of suicide in state mental hospitals. Psychiatr Q 1980; 52: 201–13.CrossRefGoogle ScholarPubMed
11.Salmons, PH. Suicide in high buildings. Br J Psychiatry 1984; 145: 469–72.CrossRefGoogle ScholarPubMed
12.Crammer, JL. The special characteristics of suicide in hospital inpatients. Br J Psychiatry 1984; 145: 460–76.CrossRefGoogle Scholar
13.The health of the nation: A Strategy for health in England. London: HMSO, 1992.Google Scholar