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The mental and physical health profile of people who died by suicide: findings from the Suicide Support and Information System.

Abstract：

PURPOSE:There is limited research on the associations between factors relating to mental and physical health in people who died by suicide. METHODS:Consecutive suicide cases were included in a psychological autopsy study as part of the Suicide Support and Information System in southern Ireland. Chi-square tests and logistic regression analysis were used to examine factors associated with recorded presence or absence of mental and physical health problems. RESULTS:The total sample comprised 307 suicide cases, the majority being male (80.1%). Sixty-five percent had a history of self-harm and 34.6% of these cases had not been seen or treated following previous self-harm, although most (80.3%) had a history of recent GP attendance. Mental health diagnoses were present in 84.8% of cases where this variable was documented, and among these, 60.7% had a history of substance misuse and 30.6% had physical health problems. Variables associated with mental illness included gender, older age, previous self-harm episode(s), and presence of drugs in toxicology at time of death. Variables associated with physical illness included older age, death by means other than hanging, and previous self-harm episode(s). CONCLUSIONS:Different factors associated with suicide were identified among people with mental and physical illness and those with and without a diagnosis, and need to be taken into account in suicide prevention. The identified factors highlight the importance of integrated care for dual-diagnosis presentations, restricting access to means, and early recognition and intervention for people with high-risk self-harm.

journal_name

Soc Psychiatry Psychiatr Epidemiol

journal_title

Social psychiatry and psychiatric epidemiology

authors

Leahy D,Larkin C,Leahy D,McAuliffe C,Corcoran P,Williamson E,Arensman E

doi

10.1007/s00127-020-01911-y

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

1525-1533

issue

11

eissn

0933-7954

issn

1433-9285

pii

10.1007/s00127-020-01911-y

journal_volume

55

pub_type

杂志文章

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