TY  - JOUR
PY  - 2006//
TI  - Suicide within 12 months of mental health service contact in different age and diagnostic groups: National clinical survey
JO  - British journal of psychiatry
A1  - Hunt, Isabelle M.
A1  - Kapur, Navneet
A1  - Robinson, Jeff
A1  - Shaw, Jon
A1  - Flynn, Sandra Marie
A1  - Bailey, Heatherlee
A1  - Meehan, Janet
A1  - Bickley, Harriet
A1  - Burns, J.
A1  - Appleby, Louis
A1  - Parsons, Rebecca
SP  - 135
EP  - 142
VL  - 188
IS  - 
N2  - BACKGROUND: Suicide prevention is a health service priority but the most effective approaches to prevention may differ between different patient groups. AIMS: To describe social and clinical characteristics in cases of suicide from different age and diagnostic groups. METHOD: A national clinical survey of a 4-year (1996-2000) sample of cases of suicide in England and Wales where there had been recent (<1 year) contact with mental health services (n=4859). RESULTS: Deaths of young patients were characterised by jumping from a height or in front of a vehicle, schizophrenia, personality disorder, unemployment and substance misuse. In older patients, drowning, depression, living alone, physical illness, recent bereavement and suicide pacts were more common. People with schizophrenia were often in-patients and died by violent means. About a third of people with depressive disorder died within a year of illness onset. Those with substance dependence or personality disorder had high rates of disengagement from services. CONCLUSIONS: Prevention measures likely to benefit young people include targeting schizophrenia, dual diagnosis and loss of service contact; those aimed at depression, isolation and physical ill-health should have more effect on elderly people.
LA  - 
SN  - 0007-1250
UR  - http://dx.doi.org/10.1192/bjp.188.2.135
ID  - ref1
ER  -