Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-22T16:02:14.540Z Has data issue: false hasContentIssue false

Violent Death and Mental Illness

A Study of a Single Catchment Area over Eight Years

Published online by Cambridge University Press:  02 January 2018

Elizabeth King*
Affiliation:
Southampton University Department of Psychiatry, Royal South Hants Hospital, Graham Road, Southampton SO9 4PE
Brian Barraclough
Affiliation:
Southampton University Department of Psychiatry, Royal South Hants Hospital, Graham Road, Southampton
*
Correspondence

Abstract

The names of 412 residents of the catchment population of a district general hospital unit who died potentially self-inflicted deaths in the eight years 1974–81 were identified. They were classified as suicide (245), accidental death (126), and undetermined (41). In each group, over half had a lifetime history of psychiatric treatment and over a third were psychiatric patients at the time of their death. The relative risk of a violent death for those who died within a year of their last psychiatric contact was 27 times greater than that of residents with no recent psychiatric contact. The relative risk was highest for those aged 35–44 and lowest for those of 75 years and over.

Type
Lecture
Copyright
Copyright © Royal College of Psychiatrists, 1990 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adelstein, A. & Mardon, C. (1975) Suicides 1961–74 Population Trends, 2, 1318.Google Scholar
Arato, M., Demeter, E., Rilmer, Z., et al (1988) Retrospective psychiatric assessment of 200 suicides in Budapest. Acta Psychiatrica Scandinavica, 77, 454456.Google Scholar
Barraclough, B., Bunch, J., Nelson, B., et al (1974) A hundred cases of suicide: clinical aspects. British Journal of Psychiatry, 125, 355373.Google Scholar
Black, D. W. Warrack, G. & Winokur, G. (1985) Excess mortality among psychiatric patients: the Iowa record-linkage study. Journal of the American Medical Association, 253, 5861.Google Scholar
Chynoweth, R., Tonge, J. I. & Armstrong, J. (1980) Suicide in Brisbane – a retrospective study. Australian and New Zealand Journal of Psychiatry, 14, 3745.Google Scholar
Crammer, J. L. (1984) The special characteristics of suicide in hospital in-patients. British Journal of Psychiatry, 145, 460463.Google Scholar
Dorpat, T. L. & Ripley, H. S. (1960) A study of suicide in the Seattle area. Comprehensive Psychiatry, 1, 349359.Google Scholar
Gardner, M. J. (1989) Confidence Interval Analysis (CIA). London: British Medical Journal.Google Scholar
Holding, T. A. & Barraclough, B. M. (1975) Psychiatric morbidity in a sample of a London coroner's open verdicts. British Journal of Psychiatry, 127, 133143.CrossRefGoogle Scholar
Holding, T. A. & Barraclough, B. M. (1977) Psychiatric morbidity in a sample of accidents. British Journal of Psychiatry, 130, 244252.CrossRefGoogle Scholar
Holding, T. A. & Barraclough, B. M. (1978) Undetermined death-suicide or accident. British Journal of Psychiatry, 133, 542549.CrossRefGoogle ScholarPubMed
Innes, G. & Millar, W. M. (1970) Mortality among psychiatric patients. Scottish Medical Journal, 15, 143148.Google Scholar
Jacobson, S. & Jacobson, D. M. (1972) Suicide in Brighton. British Journal of Psychiatry, 121, 369377.Google Scholar
Jennings, C. (1981) Statistics from the Southampton Psychiatric Case Register, 1974–1980. Southampton: Southampton Psychiatric Case Register.Google Scholar
Jennings, C. (1982) Annual Statistical Bulletin, 1981, No. 2. Southampton: Southampton Psychiatric Case Register.Google Scholar
King, E. (1983) Identifying out-patients and ex-patients who have died suddenly. Bulletin of the Royal College of Psychiatrists, 7, 47.Google Scholar
Koranyi, E. K. (1977) Fatalities in 2070 psychiatric outpatients. Archives General Psychiatry, 34, 11371142.CrossRefGoogle Scholar
Kraft, D. P. & Babigian, H. M. (1976) Suicide by persons with and without psychiatric contacts. Archives General Psychiatry, 33, 209215.CrossRefGoogle ScholarPubMed
Martin, R. L., Clonginer, R., Guze, S. B., et al (1985) Mortality in a follow-up of 500 psychiatric outpatients. II: Cause specific mortality. Archives of General Psychiatry, 42, 5866.Google Scholar
Office of Population Censuses and Surveys (1974) Area Code for Recording Place of Residence and Place of Birth. London: OPCS.Google Scholar
Office of Population Censuses and Surveys (1974–80) Series DH2 (Deaths by Cause). London: OPCS.Google Scholar
Office of Population Censuses and Surveys (1981) Census 1981 Small Area Statistics. London: OPCS.Google Scholar
Robins, E., Murphy, G. E., Wilkinson, R. H., et al (1959) Some clinical considerations in the prevention of suicide based on a study of 134 successful suicides. American Journal of Public Health, 49, 888899.Google Scholar
Rorsman, B., Hagnel, O. & Lanke, J. (1982) Violent death and mental disorders in the Lundby study. Neuropsychobiology, 8, 233240.Google Scholar
Sundquist-Stensman, U. B. (1987) Suicides in close connection with psychiatric care: an analysis of 57 cases in a Swedish county. Acta Psychiatrica Scandinavica, 76, 1520.Google Scholar
Wing, J. K. & Hailey, A. M. (1972) Evaluating a Community Psychiatric Service, Ch. 4. London: Oxford University Press.Google Scholar
World Health Organization (1977) Manual of the International Statistical Classification of Diseases, Injuries, and Causes of Death, vols I, II. Geneva: WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.