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One hundred in-patient suicides

Published online by Cambridge University Press:  03 January 2018

France Proulx ,
Alain D. Lesage  and
Frédéric Grunberg
France Proulx*
Affiliation:
Hôpital Charles LeMoyne, Department of Psychiatry, University of Sherbrooke, Quebec, Canada
Alain D. Lesage
Affiliation:
Centre de Recherche Fernand-Seguin Hôpital Louis-H. Lafontaine, Department of Psychiatry, University of Montreal, Quebec, Canada
Frédéric Grunberg
Affiliation:
Centre de Recherche Fernand-Seguin Hôpital Louis-H. Lafontaine, Department of Psychiatry, University of Montreal, Quebec, Canada
*
Dr France Proulx, Hôpital Charles LeMoyne, Department of Psychiatry, 3120 Taschereau Blvd, Greenfield Park, Quebec, Canada J4V 2HI
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Abstract

Background

The study aimed to define the characteristics and assess the clinical predictability and possible prevention of psychiatric in-patient suicides.

Method

The coroner's files on all suicides in the Greater Montreal Region from 1 April 1986 to 31 March 1991 were examined. The medical records of each case of suspected in-patient suicide were then reviewed and rated for predictability and preventive measures taken.

Results

A total of 3079 suicides were recorded over this five-year period (mean annual rate of 16.4 per 100 000 inhabitants). Of these, 104 (3.4%) involved hospital in-patients. Nearly half (48%) of these in-patient suicides occurred outside the hospital setting. The methods most frequently employed were hanging (36%) and jumping from high places (24%). Patients suffering from an affective disorder (45%) or schizophrenia (35%) comprised the majority of the sample. Suicides were significantly more predictable in general hospital psychiatric wards. Suicide prevention measures did not differ significantly across settings.

Conclusions

The majority of in-patient suicides were not highly predictable. For highly predictable suicides, the results underline the importance of actively treating and protecting these patients.

Type
Papers
Information
The British Journal of Psychiatry , Volume 171 , Issue 3 , September 1997 , pp. 247 - 250
Copyright
Copyright © 1997 The Royal College of Psychiatrists 

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References

Copas, J. B. & Robin, A. (1982) Suicide in psychiatric in-patients. British Journal of Psychiatry, 141, 503–511.Google Scholar
Crammer, J. L. (1984) The special characteristics of suicide in hospital in-patients. British Journal of Psychiatry, 145, 460–463.Google Scholar
Farberow, N. L. (1981) Suicide prevention in the hospital. Hospital and Community Psychiatry, 32, 99–104.Google Scholar
Goh, S. E., Salmons, P. & Whittington, R. M. (1989) Hospital suicides: are there preventable factors? Profile of the psychiatric hospital suicide. British Journal of Psychiatry, 154, 247–249.CrossRefGoogle ScholarPubMed
Morgan, H. G. & Priest, P. (1991) Suicide and other unexpected deaths among psychiatric in-patients: the Bristol Confidential Inquiry. British Journal of Psychiatry, 158, 368–374.CrossRefGoogle ScholarPubMed
Oehmichen, M. & Staak, M. (1988) Suicide in the psychiatric hospital: international trends and medico legal aspects. Acta Medicinae et Socialis, 38, 215–223.Google ScholarPubMed
Perr, I. N. (1985) Suicide litigation and risk management: a review of 32 cases. Bulletin of the American Academy of Psychiatry and Law, 13, 209–219.Google Scholar
Shapiro, S. & Waltzer, H. (1980) Successful suicides and serious attempts in a general hospital over a 15-year period. General Hospital Psychiatry, 2, 118–126.CrossRefGoogle Scholar
Wolfersdorf, M., Keller, F., Schmidt-Michel, P. O., et al (1988) Are hospital suicides on the increase? A survey of reports on hospital suicides in the psychiatric literature of the 19th and 20th century. Social Psychiatry and Psychiatric Epidemiology, 23, 207–216.CrossRefGoogle Scholar
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