Citation

Morgan HG, Stanton R. Br. J. Psychiatry 1997; 171: 561-563.

Affiliation

Department of Mental Health, University of Bristol.

Copyright

(Copyright © 1997, Royal College of Psychiatry)

DOI

unavailable

PMID

9519097

Abstract

BACKGROUND: Rapid changes in styles of clinical practice mean that we should carefully monitor the way suicides occur among psychiatric patients both in hospital and in the wider community. METHOD: Patients who had died through suicide either while receiving in-patient care or within 2 months of discharge from hospital were compared with a similar series reported 10 years previously. Clinicians' perceptions of patients' behaviour were compared with concurrent controls. RESULTS: Patients in the more recent study were younger, more often male, and a greater proportion had been discharged from in-patient status. Hazards which complicated risk assessment included short-lasting misleading clinical improvements, variability in degree of distress, and a reluctance to discuss suicidal ideas. Over a range of perceived behaviours it was not possible to distinguish suicides from controls. CONCLUSIONS: In assessing suicide risk paramount importance should be attached to monitoring suicidal ideation and addressing the several hazards which might complicate this procedure.

Language: en