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Suicides by mentally ill people.

Said Shahtahmasebi1

  • 1School of Mathematics and Statistics, Faculty of Health and Sciences, Christchurch Polytechnic Institute of Technology, POBox 540, Christchurch, New Zealand. saids@cpit.ac.nz

Thescientificworldjournal
|August 16, 2003
PubMed
Summary

The link between mental illness and suicide is questionable. More life event data is needed to understand suicide as a social process, not just a mental health issue.

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Area of Science:

  • Psychiatry
  • Criminology
  • Public Health

Background:

  • The UK Department of Health established a confidential inquiry into homicides and suicides by mentally ill individuals in 1992.
  • Secondary mental health services collect data via questionnaires for the inquiry.
  • Leeds utilized broader records, including Coroner Reports, police, social, educational, and health records, for a comprehensive analysis.

Purpose of the Study:

  • To conduct an exploratory analysis of health/life event histories of suicide cases.
  • To examine the characteristics of suicide cases with and without contact with psychiatric services.
  • To investigate factors associated with suicide attempts and their relationship with mental health services.

Main Methods:

  • Collected detailed information on contact with secondary mental health services.
  • Integrated data from Coroner Reports, police, social, educational, and health records in Leeds.
  • Analyzed health/life event histories of suicide cases.

Main Results:

  • Less than one-third of Leeds suicide cases had contact with psychiatric services, consistent with UK national figures.
  • 46% of the sample's first contact with psychiatric services was via a failed suicide attempt.
  • Identified roles of prescribed drugs in repeat attempts, education levels, and employment stability.

Conclusions:

  • The direct link between mental illness and suicide requires further investigation.
  • There is a critical need for comprehensive life event history data for all suicide cases.
  • Suicide should be studied as a complex social process, not solely as a consequence of mental illness.

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