TY - JOUR PY - 2011// TI - Patients committing suicide whilst under the care of the elderly suicide prevention programme of a regional hospital in Hong Kong JO - East Asian archives of psychiatry A1 - Wong, M. M. C. A1 - Tsui, C. F. A1 - Li, S. W. A1 - Chan, C. F. A1 - Lau, Y. M. SP - 17 EP - 21 VL - 21 IS - 1 N2 - OBJECTIVE: To examine the risk factors for suicide in elderly Hong Kong Chinese. METHODS: Case notes, mortality reports and hospital records of all the patients, who committed suicide from 1 July 2002 to 31 March 2010 whilst under the active care of the Elderly Suicide Prevention Programme of the Castle Peak Hospital in Hong Kong, were reviewed. RESULTS: A total of 1230 elderly with high risk of suicide were assessed and treated from 1 July 2002 to March 2010. A total of 8 patients in this programme who committed suicide during this period were identified, of whom 63% were male and the most frequent method employed was jumping from a height. All the suicides ensued within the first 6 weeks of treatment under the programme. All these patients were diagnosed to have a depressive illness, and all but 1 had an associated physical illness that possibly precipitated the suicide. They had all been admitted to either a mental or general hospital, about 1 month before committing suicide. CONCLUSIONS: The first 2 months of treatment is associated with the highest risk of suicide. Intensive care and support with proper education about effects of antidepressants, and the building-up of a trusted therapeutic alliance with close relatives are particularly important in this vulnerable period.
Language: en
LA - en SN - 2078-9947 UR - http://dx.doi.org/ ID - ref1 ER -