Author:
Foster Tom,Gillespie Kate,McLelland Roy,Patterson Chris
Abstract
BackgroundThe vast majority of suicides suffer from at least one mental disorder at the time of death.AimsTo identify risk factors for suicide, particularly those independent of current DSM–III–R Axis I disorder(s)MethodA case–control psychological autopsy study comparing suicides with matched community controls.ResultsIndependent risk factors for suicide included: Axis II (personality) disorder (particularly antisocial, avoidant and dependent); at least one of 12 life events (from the List of Threatening Experiences) during the previous 52 or 4 weeks (in particular, a ‘serious problem with close friend, neighbour or relative’); current unemployment; previous history of deliberate self-harm; and contact with a GP within 26 weeks. Relative to individuals with no current mental disorder, the estimated risk of suicide in those with Axis I–Axis II comorbidity (OR 346.0) was significantly greater than that in those with Axis I disorder(s) only (OR 52.4)ConclusionsSuicide risk assessment may be enhanced by enquiry about the aforementioned independent risk factors, and attention to Axis I–Axis II comorbidity.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
Reference16 articles.
1. The development and use of a standardised assessment of abnormal personality Psychological;Mann;Medicine,1981
2. Mental disorders and suicide prevention
3. Religious coping and depression among elderly, hospitalised medically ill men;Koenig;American Journal of Psychiatry,1992
4. A New Approach to Religious Commitment
Cited by
223 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献