Psychiatrists' experience of suicide in their patients

Ninety-nine psychiatrists from a defined geographical area were sent a questionnaire asking them to report on clinical, social and demographic characteristics of patients who suicided while under their care. Seventy-three psychiatrists returned the questionnaire and reported having seen a total of 122 suicides. This resulted in a mean of 0.12 suicides per psychiatrist per year of practice. Twenty-four percent of the patients were reported to have had a diagnosis of schizophrenia which is significantly higher than in studies based on coroner's cases. Evidence of withdrawal, considering oneself a burden to others and help negation are factors that had frequently been present in the month prior to the suicide. The authors recommend that these three factors should be examined further by using a prospective strategy.