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Journal Article

Citation

Saxby Pridmore, Pim Kuipers, Abdul Majeed Zainab, Sam Restifo, Adrian Lee, Julie Appleton. Malays. J. Med. Sci. 2012; 50-56.

Copyright

(Copyright © 2012, School of Medical Sciences, Universiti Sains Malaysia)

DOI

unavailable

PMID

unavailable

Abstract

BACKGROUND: Suicide may be conceptualized as an escape from intolerable predicaments, in particular, mental illness and environmental stressors. The operationalized predicaments of suicide (OPS) is a 4 category framework designed to assist in the classification of suicide. The objective was to examine whether this framework is potentially useful.

METHOD: 18 psychiatrists from 6 different countries examined 12 written coroners' reports of suicide and rated each report according to the OPS. 16 of these raters then also completed a qualitative questionnaire regarding the framework.

RESULTS: In 89.8% of cases the raters where able to make a decision regarding the drivers which led to the suicides. The respondents displayed modest inter-rater correlation (Kappa = 0.42; P < 0.0001). In the qualitative section, respondents supported the face validity of OPS and considered it potentially useful. Feedback allowed improved wording of the OPS instructions.

CONCLUSION: The OPS has potential as a useful framework. The OPS instructions have been improved and further studies are justified.


Language: en

Keywords

mental health; suicide; public health; social medicine

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