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Estimating Suicide Risk Among Attempted Suicides

II. Efficiency of Predictive Scales After the Attempt

Published online by Cambridge University Press:  29 January 2018

D. J. Pallis ,
J. S. Gibbons  and
D. W. Pierce
D. J. Pallis*
Affiliation:
MRC Clinical Psychiatry Unit, Graylingwell Hospital, Chichester, West Sussex PO19 4PQ
J. S. Gibbons
Affiliation:
Department of Sociology and Social Administration, University of Southampton SO9 5NH
D. W. Pierce
Affiliation:
East Glamorgan General Hospital, Church Village, Nr. Pontypridd, Glamorgan
*
∗Correspondence
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Summary

We predicted that the closer the resemblance of attempted suicide to completed suicide, the greater the risk of patients later killing themselves after an unsuccessful attempt. Using two risk scales, one of 6 and the other of 18 socio-demographic and clinical items, weighted according to their value in discriminating between suicides and attempted suicides, and a rating of intent to die during the index suicide attempt, we followed up 1263 attempted suicides for two years. Ten of the twelve suicidal deaths in the first year occurred in patients scoring in the top quartile on the 6-item scale; and among high-risk scorers there was an excess of those defined as ‘failed suicides' at the index attempt. The 18-item scale was superior to the shorter one, but both scales were improved by taking into account the rating of intent-to-die. The potential value of these findings is discussed in the light of some inherent problems of predicting suicide in the clinical setting.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 144 , Issue 2 , February 1984 , pp. 139 - 148
Copyright
Copyright © 1984 The Royal College of Psychiatrists 

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References

Barraclough, B. M. (1972) Suicide prevention, recurrent affective disorder and lithium. British Journal of Psychiatry, 121, 391–2.Google Scholar
Barraclough, B. M. (1974) Classifying poisoning deaths by motivation: Anglo-Scottish differences. Acta Psychiatrica Scandinavica, 50, 625–35.CrossRefGoogle ScholarPubMed
Barraclough, B. M., Nelson, B., Bunch, & Sainsbury, P. (1971) Suicide and barbiturate prescribing. Journal of the Royal College of General Practitioners, 21, 645–53.Google Scholar
Beck, A. T., Schuyler, D. & Herman, I. (1974a) Development of suicidal intent scales. In The Prediction of Suicide (eds Beck, A. T. et al), pp.45–56. Bowie, Maryland: The Charles Press.Google Scholar
Beck, R. W., Morris, J. B. & Beck, A. T. (1974) Cross-validation of the suicidal intent scale. Psychological Reports, 34, 445–6.Google Scholar
Card, J. J. (1974) Lethality of suicidal methods and suicide risk: two distinct concepts. Omega, 5, 37–45.Google Scholar
Diekstra, R. W. F. (1972) Social and interpersonal factors in suicidal behaviour. In The Cost of Crisis (eds Diekstra, R. F. W. and Van de Loo, K. J. M.). Assen: Van Gorcum.Google Scholar
Freeman, D. J., Wilson, K., Thigpen, J. & McGee, P. K. (1974) Assessing intention to die in self-injury behaviour. In Psychological Assessment of Suicide Risk (ed. Neuringer, C.), pp. 18–42. Springfield, Illinois: Charles Thomas.Google Scholar
Gibbons, J. S., Butler, J., Urwin, P. & Gibbons, J. L. (1978a) Evaluation of a social work service for self-poisoning patients. British Journal of Psychiatry, 133, 111–8.CrossRefGoogle ScholarPubMed
Gibbons, J. S., Elliot, J., Urwin, P. & Gibbons, J. L. (1978b) The urban environment and deliberate self-poisoning: trends in Southampton 1972–1977. Social Psychiatry, 13, 159–66.CrossRefGoogle Scholar
Greer, S. & Lee, H. A. (1967) Subsequent progress in potentially lethal attempted suicides. Acta Psychiatrica Scandinavica, 43, 361–71.CrossRefGoogle ScholarPubMed
Holding, T. A. & Barraclough, B. M. (1975) Psychiatric morbidity in a sample of a London coroner's open verdicts. British Journal of Psychiatry, 127, 133–43.Google Scholar
Kreitman, N. (1976) Age and parasuicide (‘attempted suicide’). Psychological Medicine, 6, 113–21.Google Scholar
Ovenstone, I. M. R. (1972) An epidemiological study of Suicidal Behaviours in Edinburgh. M.D. Thesis, University of Dundee.Google Scholar
Pallis, D. J. (1977) The Psychiatric Assessment of Attempted Suicides: Personality, Intent and Suicide Risk. M.D. Thesis, University of Aberdeen.Google Scholar
Pallis, D. J. & Barraclough, B. M. (1977) Seriousness of suicide attempt and future risk of suicide: a comment on Card's paper. Omega, 8, 141–9.Google Scholar
Pallis, D. J., Barraclough, B. M., Levey, A. B., Jenkins, J. S. & Sainsbury, P. (1982) Estimating suicide risk among attempted suicides: I. The development of new clinical scales. British Journal of Psychiatry, 141, 37–44.Google Scholar
Pallis, D. J. & Sainsbury, P. (1976) The value of assessing intent in attempted suicide. Psychological Medicine, 6, 487–92.Google Scholar
Pierce, D. W. (1977) Suicidal intent in self-injury. British Journal of Psychiatry, 130, 377–85.Google Scholar
Rockwell, D. A. (1973) Physician's knowledge and attitudes about suicide. Journal of American Medical Association, 225, 1347–9.Google Scholar
Rosen, D. H. (1954) Detection of suicidal patients: an example of some limitations in the prediction of infrequent events. Journal of Consulting Psychology, 18, 397–403.Google Scholar
Sainsbury, P. (1982) Depression and suicide prevention. Bibliotheca Psychiatrica, 162, 17–32.Google Scholar
Stengel, E. & Cook, N. (1958) Attempted Suicide: Its Social Significance and Effects. Maudsley Monograph No. 4. London: Chapman and Hall.Google Scholar
Tuckman, J. & Youngman, W. F. (1968) A scale for assessing suicide risk of attempted suicides. Journal of Clinical Psychology, 24, 17–19.Google Scholar
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