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Related Experiment Videos

One hundred in-patient suicides

F Proulx1, A D Lesage, F Grunberg

  • 1Hôpital Charles LeMoyne, Department of Psychiatry, University of Sherbrooke, Quebec, Canada.

The British Journal of Psychiatry : the Journal of Mental Science
|October 24, 1997
PubMed
Summary

Most psychiatric in-patient suicides were not highly predictable. Active treatment and protection are crucial for those identified as high-risk, improving suicide prevention strategies.

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Area of Science:

  • Psychiatry
  • Public Health
  • Forensic Medicine

Background:

  • In-patient suicides represent a critical challenge in psychiatric care.
  • Understanding the characteristics of these suicides is essential for effective prevention.

Purpose of the Study:

  • To characterize psychiatric in-patient suicides.
  • To assess the clinical predictability of these events.
  • To explore potential prevention strategies.

Main Methods:

  • Analysis of coroner's files for suicides in Greater Montreal (1986-1991).
  • Review and rating of medical records for predictability and prevention measures in suspected in-patient suicides.

Main Results:

  • 104 (3.4%) of 3079 total suicides involved hospital in-patients.
  • Nearly half of in-patient suicides occurred outside the hospital.
  • Hanging and jumping were the most common methods; affective disorders and schizophrenia were prevalent diagnoses.
  • Suicides were more predictable in general hospital psychiatric wards.

Conclusions:

  • The majority of in-patient suicides were not highly predictable.
  • Active treatment and protection are vital for highly predictable cases.
  • Current suicide prevention measures showed no significant differences across settings.

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