TY - JOUR
PY - 2022//
TI - Psychosocial and psychiatric factors preceding death by suicide: a case-control psychological autopsy study involving multiple data sources
JO - Suicide and life-threatening behavior
A1 - McMahon, Elaine M.
A1 - Greiner, Birgit A.
A1 - Corcoran, Paul
A1 - Larkin, Celine
A1 - Leitão, Sara
A1 - McCarthy, Jacklyn
A1 - Cassidy, Eugene
A1 - Bradley, Colin
A1 - McAuliffe, Carmel
A1 - Griffin, Eve
A1 - Williamson, Eileen
A1 - Foster, Tom
A1 - Gallagher, John
A1 - Perry, Ivan J.
A1 - Kapur, Nav
A1 - Arensman, Ella
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - BACKGROUND: A range of factors including mental disorders and adverse life events can increase the risk of suicide. The objectives of this study were to examine psychosocial and psychiatric factors and service engagement among suicide decedents compared with living controls.
METHODS: A case-control study using multiple sources was conducted. Information on 132 consecutive cases of suicide was drawn from coronial files, and interviews were carried out with 35 family informants and 53 living controls. GPs completed questionnaires for 60 suicide cases and 27 controls.
RESULTS: The majority (83.3%) of suicide decedents had contacted a GP in the year prior to death, while 23.3% had 10 or more consultations during the year prior to death. Half of suicide decedents had a history of self-harm. Suicide cases were significantly more likely than controls to have a psychiatric diagnosis (60% vs. 18.5%) and a depressive illness (36.7% vs. 14.8%). Over one-quarter of suicide decedents had been treated as a psychiatric inpatient.
DISCUSSION: Primary care providers should be supported to deliver multidisciplinary interventions to engage, assess, and treat patients at risk of suicide, targeting those who present very frequently, those with a history of self-harm or substance misuse, and those with psychological presentations. Language: en
LA - en
SN - 0363-0234
UR - http://dx.doi.org/10.1111/sltb.12900
ID - ref1
ER -