Psychosocial and psychiatric factors preceding death by suicide: A case-control psychological autopsy study involving multiple data sources.
case-control
primary care
psychological autopsy
suicide
Journal
Suicide & life-threatening behavior
ISSN: 1943-278X
Titre abrégé: Suicide Life Threat Behav
Pays: England
ID NLM: 7608054
Informations de publication
Date de publication:
10 2022
10 2022
Historique:
revised:
09
06
2022
received:
15
03
2022
accepted:
21
06
2022
pubmed:
12
7
2022
medline:
21
10
2022
entrez:
11
7
2022
Statut:
ppublish
Résumé
A range of factors including mental disorders and adverse life events can increase the risk of suicide. The objectives of this study were to examine psychosocial and psychiatric factors and service engagement among suicide decedents compared with living controls. A case-control study using multiple sources was conducted. Information on 132 consecutive cases of suicide was drawn from coronial files, and interviews were carried out with 35 family informants and 53 living controls. GPs completed questionnaires for 60 suicide cases and 27 controls. The majority (83.3%) of suicide decedents had contacted a GP in the year prior to death, while 23.3% had 10 or more consultations during the year prior to death. Half of suicide decedents had a history of self-harm. Suicide cases were significantly more likely than controls to have a psychiatric diagnosis (60% vs. 18.5%) and a depressive illness (36.7% vs. 14.8%). Over one-quarter of suicide decedents had been treated as a psychiatric inpatient. Primary care providers should be supported to deliver multidisciplinary interventions to engage, assess, and treat patients at risk of suicide, targeting those who present very frequently, those with a history of self-harm or substance misuse, and those with psychological presentations.
Sections du résumé
BACKGROUND
A range of factors including mental disorders and adverse life events can increase the risk of suicide. The objectives of this study were to examine psychosocial and psychiatric factors and service engagement among suicide decedents compared with living controls.
METHODS
A case-control study using multiple sources was conducted. Information on 132 consecutive cases of suicide was drawn from coronial files, and interviews were carried out with 35 family informants and 53 living controls. GPs completed questionnaires for 60 suicide cases and 27 controls.
RESULTS
The majority (83.3%) of suicide decedents had contacted a GP in the year prior to death, while 23.3% had 10 or more consultations during the year prior to death. Half of suicide decedents had a history of self-harm. Suicide cases were significantly more likely than controls to have a psychiatric diagnosis (60% vs. 18.5%) and a depressive illness (36.7% vs. 14.8%). Over one-quarter of suicide decedents had been treated as a psychiatric inpatient.
DISCUSSION
Primary care providers should be supported to deliver multidisciplinary interventions to engage, assess, and treat patients at risk of suicide, targeting those who present very frequently, those with a history of self-harm or substance misuse, and those with psychological presentations.
Identifiants
pubmed: 35815892
doi: 10.1111/sltb.12900
pmc: PMC9796414
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1037-1047Subventions
Organisme : Health Research Board
ID : ARPP-A-2018-009
Pays : Ireland
Organisme : Health Research Board
ID : HRA-2013-PHR-438
Pays : Ireland
Informations de copyright
© 2022 The Authors. Suicide and Life-Threatening Behavior published by Wiley Periodicals LLC on behalf of American Association of Suicidology.
Références
Neuropsychopharmacol Hung. 2012 Dec;14(4):245-51
pubmed: 23269211
Lancet Psychiatry. 2014 Jun;1(1):73-85
pubmed: 26360404
BMC Psychiatry. 2017 Nov 21;17(1):369
pubmed: 29157221
BJPsych Open. 2021 Jul 08;7(4):e125
pubmed: 34236021
BMC Fam Pract. 2018 Feb 12;19(1):30
pubmed: 29433442
Psychol Med. 2006 Jul;36(7):923-30
pubmed: 16650347
Alcohol Clin Exp Res. 2016 Oct;40(10):2043-2055
pubmed: 27618526
Br J Psychiatry. 2017 Jun;210(6):381-383
pubmed: 28572430
Br J Psychiatry. 2008 Nov;193(5):402-5
pubmed: 18978322
J Affect Disord. 2021 May 15;287:158-164
pubmed: 33799033
Am J Psychiatry. 2020 Oct 1;177(10):902-916
pubmed: 32998550
Psychol Med. 1985 Feb;15(1):189-94
pubmed: 3991833
Suicide Life Threat Behav. 2022 Oct;52(5):1037-1047
pubmed: 35815892
Int J Soc Psychiatry. 2013 Sep;59(6):545-54
pubmed: 22582346
Suicide Life Threat Behav. 2011 Dec;41(6):594-613
pubmed: 22050639
J Forensic Sci. 1988 Nov;33(6):1445-56
pubmed: 3204347
Suicide Life Threat Behav. 2021 Aug;51(4):673-683
pubmed: 33559215
Scand J Public Health. 2019 Feb;47(1):9-17
pubmed: 29207932
Psychol Med. 2017 Apr;47(5):949-957
pubmed: 27928972
Nat Rev Dis Primers. 2019 Oct 24;5(1):74
pubmed: 31649257
Geriatr Gerontol Int. 2019 Jun;19(6):547-551
pubmed: 30957960
J Psychiatr Res. 2021 May;137:572-578
pubmed: 33158553
PLoS One. 2020 Nov 30;15(11):e0242540
pubmed: 33253178
Br J Psychiatry. 1997 May;170:447-52
pubmed: 9307695
Am J Psychiatry. 2021 Jul;178(7):611-624
pubmed: 33596680
Eur Psychiatry. 2001 Nov;16(7):379-85
pubmed: 11728849
J Nerv Ment Dis. 2003 Jul;191(7):450-7
pubmed: 12891092
BMC Psychiatry. 2019 Sep 6;19(1):275
pubmed: 31492119
Brain Behav. 2021 Dec;11(12):e2409
pubmed: 34758201
J Affect Disord. 2020 Sep 1;274:174-182
pubmed: 32469801
Arch Suicide Res. 2011;15(1):1-15
pubmed: 21293996