TY - JOUR PY - 2001// TI - The Wessex Recent In-Patient Suicide Study, 2. Case-control study of 59 in-patient suicides JO - British journal of psychiatry A1 - King, E. A. A1 - Baldwin, D. S. A1 - Sinclair, J. M. A1 - Campbell, M. J. SP - 537 EP - 542 VL - 178 IS - N2 - BACKGROUND: Psychiatric patients have an elevated risk of suicide while in hospital. AIMS: To compare social, clinical and health-care delivery factors in in-patient and out-patient suicides and their controls. METHOD: Retrospective case-control study of 59 in-patients and 106 controls, matched for age, gender, diagnosis and admission date. Odds ratios were calculated using conditional multiple logistic regression. RESULTS: There were seven independent increased-risk factors: history of deliberate self-harm, admission under the Mental Health Act, involvement of the police in admission, depressive symptoms, violence towards property, going absent without leave and a significant care professional being on leave. When compared with out-patient suicides, in-patients were more often female and male in-patients had a psychotic illness. Unlike the out-patient suicides, social factors were not found to be significant. CONCLUSIONS: The characteristics of in-patient and out-patient suicides differ. Identified risk factors have relatively low sensitivity and specificity.

Language: en

LA - en SN - 0007-1250 UR - http://dx.doi.org/10.1192/bjp.178.6.537 ID - ref1 ER -