@article{ref1,
title="The mental and physical health profile of people who died by suicide: findings from the Suicide Support and Information System",
journal="Social psychiatry and psychiatric epidemiology",
year="2020",
author="Leahy, Daniel and Larkin, Celine and Leahy, Dorothy and McAuliffe, Carmel and Corcoran, Paul and Williamson, Eileen and Arensman, Ella",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: There is limited research on the associations between factors relating to mental and physical health in people who died by suicide.   METHODS: Consecutive suicide cases were included in a psychological autopsy study as part of the Suicide Support and Information System in southern Ireland. Chi-square tests and logistic regression analysis were used to examine factors associated with recorded presence or absence of mental and physical health problems.   RESULTS: The total sample comprised 307 suicide cases, the majority being male (80.1%). Sixty-five percent had a history of self-harm and 34.6% of these cases had not been seen or treated following previous self-harm, although most (80.3%) had a history of recent GP attendance. Mental health diagnoses were present in 84.8% of cases where this variable was documented, and among these, 60.7% had a history of substance misuse and 30.6% had physical health problems. Variables associated with mental illness included gender, older age, previous self-harm episode(s), and presence of drugs in toxicology at time of death. Variables associated with physical illness included older age, death by means other than hanging, and previous self-harm episode(s).   CONCLUSIONS: Different factors associated with suicide were identified among people with mental and physical illness and those with and without a diagnosis, and need to be taken into account in suicide prevention. The identified factors highlight the importance of integrated care for dual-diagnosis presentations, restricting access to means, and early recognition and intervention for people with high-risk self-harm.<p /> <p>Language: en</p>",
language="en",
issn="0933-7954",
doi="10.1007/s00127-020-01911-y",
url="http://dx.doi.org/10.1007/s00127-020-01911-y"
}