TY  - JOUR
PY  - 2000//
TI  - The Clarke Institute experience with completed suicide: 1966 to 1997
JO  - Canadian journal of psychiatry, The
A1  - Martin, B. A.
SP  - 630
EP  - 638
VL  - 45
IS  - 7
N2  - OBJECTIVES: To describe the caseload of completed suicides at a single psychiatric facility and to review the perceived deficiencies in the care of those patients. METHOD: Demographic and diagnostic data, clinical circumstances, and the deficiencies in care and documentation or both were extracted from medical records and post-suicide audit reports. RESULTS: There were 276 completed suicides over the period reviewed, yielding suicide rates of 206 per 100,000 registered patients and 123.5 per 100,000 inpatient discharges. The male to female ratio was 2:1, and patients with schizophrenia or depression accounted for 63.7% of the caseload. Only 18% of inpatients were involuntary, and only 10% were under individual observation at the time of suicide. Individual psychiatrists had up to 15 suicides in their caseloads. Deficiencies and recommendations pursuant to case audits are summarized. CONCLUSION: This is the first report of the entire cumulative experience with completed suicide, including audited deficiencies in the care and documentation of that caseload, at a single Canadian psychiatric facility.<p /> <p>Language: en</p>
LA  - en
SN  - 0706-7437
UR  - http://dx.doi.org/
ID  - ref1
ER  -