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Related Experiment Videos

Suicide in a psychiatric practice population

J R Morrison

    The Journal of Clinical Psychiatry
    |September 1, 1982
    PubMed
    Summary

    Adult psychiatric patients with schizophrenia and bipolar disorder face significantly elevated suicide risks. Unipolar depression rates were only slightly higher than the general population, highlighting specific diagnostic concerns for suicide prevention.

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    Area of Science:

    • Psychiatry
    • Epidemiology
    • Mental Health Research

    Background:

    • Suicide remains a critical concern in psychiatric care.
    • Understanding diagnostic-specific suicide rates is crucial for targeted interventions.
    • Existing data may not fully capture suicide risk in treated patient populations.

    Purpose of the Study:

    • To determine suicide rates among adult private psychiatric patients.
    • To identify specific psychiatric diagnoses associated with increased suicide risk.
    • To compare suicide rates in treated patients with the general population.

    Main Methods:

    • Retrospective analysis of 12,500 adult private psychiatric patients.
    • Follow-up data spanning 40,100 patient-years.
    • Calculation of suicide rates per 100,000 patient-years based on diagnostic profiles.

    Main Results:

    • The overall suicide rate was calculated across the patient cohort.
    • Schizophrenia (411) and bipolar affective disorder (318) showed markedly high suicide rates.
    • Unipolar depression (42) had a rate only slightly above the general population; personality disorder, alcoholism, multiple diagnoses, and psychosis were linked to higher risk.

    Conclusions:

    • Schizophrenia and bipolar disorder represent high-risk diagnoses for suicide in psychiatric patients.
    • Coroner's office data may underestimate suicide risk in treated psychiatric populations.
    • Accurate risk assessment requires considering diagnostic profiles and comorbidities in psychiatric patients.

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