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Attendance at the accident and emergency department in the year before suicide: retrospective study.
- Source :
- British Journal of Psychiatry; Jul2003, Vol. 183, p28-33, 6p, 1 Diagram, 2 Charts
- Publication Year :
- 2003
-
Abstract
- <bold>Background: </bold>The National Confidential Inquiry into suicides in England and Wales found that a quarter of suicides are preceded by mental health service contact in the year before death. However, visits to accident and emergency departments due to self-harm may not lead to a record of mental health service contact. Aims To determine the proportion of suicides preceded by accident and emergency attendance in the previous year.<bold>Method: </bold>We obtained the list of probable suicides in Leeds for a 38-month period, and examined the records from the city's accident and emergency departments for a year before each death.<bold>Results: </bold>Eighty-five (39%) of the 219 people who later died by suicide had attended an accident and emergency department in the year before death, 15% because of non-fatal self-harm. Final visits due to self-harm were often shortly before suicide (median 38 days), but the National Confidential Inquiry recorded about a fifth of them as 'not in contact' with local mental health services.<bold>Conclusions: </bold>Although many suicides are preceded by recent attendance at accident and emergency departments due to non-fatal self-harm, local mental health service records may show no recent contact. Suicide prevention might be enhanced were accident and emergency departments and mental health services to work together more closely. [ABSTRACT FROM AUTHOR]
- Subjects :
- PSYCHIATRIC research
SUICIDE prevention
MENTAL health services
EMERGENCY medical services
CAUSES of death
DRUG overdose
SELF-poisoning
ATTEMPTED suicide
HOSPITAL emergency services
MEDICAL emergencies
SELF-injurious behavior
SUICIDE
RELATIVE medical risk
RETROSPECTIVE studies
PATIENTS' attitudes
PSYCHOLOGICAL factors
THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 00071250
- Volume :
- 183
- Database :
- Complementary Index
- Journal :
- British Journal of Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 24882761
- Full Text :
- https://doi.org/10.1192/bjp.183.1.28