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It is sometimes argued that the implementation of an overall similarity classification is less effortful than the implementation of a single-dimension classification. In the current article, we argue that the evidence securely in support of this view is limited, and report additional evidence in support of the opposite proposition--overall similarity(More)
BACKGROUND Individuals with first-episode psychosis demonstrate high rates of suicide attempt (SA). AIMS 1) To examine the prevalence of, and risk factors for, SA in a first-episode psychosis (FEP) cohort over a 7.4 year follow-up period. 2) To investigate differences between single versus multiple suicide attempters. METHODS This study reports baseline(More)
BACKGROUND Suicide prevention is a health service priority. Suicide risk may be greatest during psychiatric in-patient admission and following discharge. AIMS To describe the social and clinical characteristics of a comprehensive sample of in-patient and post-discharge cases of suicide. METHOD A national clinical survey based on a 4-year (1996-2000)(More)
OBJECTIVE Studies investigating medication adherence in psychosis are limited by the need of a certain degree of medication adherence and the inclusion of mostly multiple-episode patients. By contrast, noninformed consent, epidemiological studies in first-episode psychosis (FEP) allow the assessment of an important subgroup of patients who persistently(More)
OBJECTIVE Few studies have described rates of schizophrenia in a national sample of homicide perpetrators. This study aimed to describe this group's social and clinical characteristics, mental state features, offense details, and outcome in court. METHOD Analyses used a national clinical survey that collected data on people convicted of homicide in(More)
BACKGROUND Few controlled studies have investigated factors associated with suicide in current in-patients. We aimed to identify psychosocial, behavioural and clinical risk factors, including variations in care, for in-patient suicide. METHOD We conducted a national population-based case-control study of people who died by suicide between 1 April 1999 and(More)
BACKGROUND A reduction in suicide among individuals with mental illness is an international public-health priority. Approximately 10% of patients with schizophrenia will die by suicide. OBJECTIVE The goal of this study was to describe social and clinical characteristics of people with schizophrenia who completed suicide, including aspects of the clinical(More)
Background Certain sites have gained notoriety as 'hotspots' for suicide by jumping. Structural interventions (e.g. barriers and safety nets) have been installed at some of these sites. Individual studies examining the effectiveness of these interventions have been underpowered. Method We conducted a meta-analysis, pooling data from nine studies. Results(More)
AIM Suicide attempt, ideation and deliberate self-harm are common among adolescents. Limited evidence exists regarding interventions that can reduce risk; however, research indicates that maintaining contact with at-risk adults following discharge from services via letter or postcard can reduce risk. The aim of the study was to test a postcard intervention(More)
BACKGROUND Previous studies of people convicted of homicide have used different definitions of mental disorder. AIMS To estimate the rate of mental disorder in people convicted of homicide; to examine the relationship between definitions, verdict and outcome in court. METHOD A national clinical survey of people convicted of homicide (n=1594) in England(More)