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Related Experiment Videos

Can suicides be identified from case records? A case control study using blind rating.

Thomas J Fahy1, Laura Mannion, Maeve Leonard

  • 1Department of Psychiatry, University College Hospital, Galway, Ireland. tafahy@iol.ie

Archives of Suicide Research : Official Journal of the International Academy for Suicide Research
|August 6, 2005
PubMed
Summary
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This study investigated if clinicians could identify psychiatric patient suicides from case records. Findings suggest current risk factor identification methods may lack clinical utility and validity for service changes.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Forensic Psychiatry

Background:

  • Numerous case-control studies indicate elevated suicide risk factors in psychiatric patients.
  • Existing studies have not been conducted blind to patient identity, potentially introducing bias.

Purpose of the Study:

  • To assess if clinicians can accurately identify suicide cases from patient records when blinded to case identity.
  • To evaluate the clinical utility and validity of current suicide risk factor assessments.

Main Methods:

  • A blinded review of case records from 39 psychiatric patient suicides and 78 matched controls.
  • Seven raters dichotomously assessed records for suicide identification.

Main Results:

Related Experiment Videos

  • Clinician success in identifying suicide cases was comparable to chance.
  • The findings question the reliability of current risk factor identification in clinical practice.

    • Conclusions:

    • The study's results challenge the clinical utility and validity of previously identified suicide risk factors in psychiatric patients.
    • Implications for service provision changes and medico-legal aspects of suicide-related records require re-evaluation.