Citation

Gairin I, House A, Owens D. Br. J. Psychiatry 2003; 183: 28-33.

Affiliation

Yorkshire Centre for Forensic Psychiatry, Wakefield. Academic Unit of Psychiatry and Behavioural Sciences, University of Leeds, UK.

Copyright

(Copyright © 2003, Royal College of Psychiatry)

DOI

unavailable

PMID

12835240

Abstract

BACKGROUND: 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. METHOD: 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. RESULTS: 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. CONCLUSIONS: 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.

Language: en