PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of jepicomhJournal of Epidemiology and Community HealthVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
 
J Epidemiol Community Health. 1997 August; 51(4): 430–434.
PMCID: PMC1060514

Suicide in the 12 months after discharge from psychiatric inpatient care, Scotland 1968-92.

Abstract

STUDY OBJECTIVE: To investigate the rate of suicide in the 12 months after discharge from psychiatric hospital and to determine its relationship to age, diagnosis, and period. DESIGN: Cohort study of patients discharged from psychiatric hospital. SETTING: Scotland. PARTICIPANTS: Altogether 159,742 men and 178,271 women, aged 15-84, who were discharged from Scottish psychiatric hospitals during 1968-92. MAIN RESULTS: During the 25 year period, 1212 male patients committed suicide in 198,059 person years at risk (612 per 100,000; 95% confidence interval (CI) 578,647) and 1099 female patients committed suicide in 228,993 person years at risk (480 per 100,000; 95% CI 452, 509). The overall standardised mortality ratio (general population rate = 1) was 27 (95% CI 26, 29) in men and 40 (95% CI 38, 43) in women. There were variations in the suicide rates in relation to age, diagnosis, and period. The ratio of the 1-28 day rate to the rate between days 29 and 365 over the whole study period was 1.7 (95% CI 1.4, 1.9) in men and 1.6 (95% CI 1.3, 1.8) in women. CONCLUSIONS: The variations in the post discharge suicide rate by age, sex, diagnosis, geographical location, and period suggest that there are several risk factors which vary in their distribution. Further study of these may lead to the development of effective interventions.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (857K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Goldacre M, Seagroatt V, Hawton K. Suicide after discharge from psychiatric inpatient care. Lancet. 1993 Jul 31;342(8866):283–286. [PubMed]
  • Gunnell D, Frankel S. Prevention of suicide: aspirations and evidence. BMJ. 1994 May 7;308(6938):1227–1233. [PMC free article] [PubMed]
  • Dennehy JA, Appleby L, Thomas CS, Faragher EB. Case-control study of suicide by discharged psychiatric patients. BMJ. 1996 Jun 22;312(7046):1580–1580. [PMC free article] [PubMed]
  • Geddes JR, Juszczak E. Period trends in rate of suicide in first 28 days after discharge from psychiatric hospital in Scotland, 1968-92. BMJ. 1995 Aug 5;311(7001):357–360. [PMC free article] [PubMed]
  • Kendrick S, Clarke J. The Scottish Record Linkage System. Health Bull (Edinb) 1993 Mar;51(2):72–79. [PubMed]
  • Coleman M, Douglas A, Hermon C, Peto J. Cohort study analysis with a FORTRAN computer program. Int J Epidemiol. 1986 Mar;15(1):134–137. [PubMed]
  • Naylor CD, Guyatt GH. Users' guides to the medical literature. X. How to use an article reporting variations in the outcomes of health services. The Evidence-Based Medicine Working Group. JAMA. 1996 Feb 21;275(7):554–558. [PubMed]
  • McGonigal G, McQuade C, Thomas B. Accuracy and completeness of Scottish mental hospital in-patient data. Health Bull (Edinb) 1992 Jul;50(4):309–314. [PubMed]
  • Vassilas CA, Morgan HG. General practitioners' contact with victims of suicide. BMJ. 1993 Jul 31;307(6899):300–301. [PMC free article] [PubMed]
  • Jenkins R. Towards a system of outcome indicators for mental health care. Br J Psychiatry. 1990 Oct;157:500–514. [PubMed]

Articles from Journal of Epidemiology and Community Health are provided here courtesy of BMJ Publishing Group