Robert McDonnell

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OBJECTIVE To describe the clinical circumstances in which psychiatric patients commit suicide. DESIGN National clinical survey. SETTING England and Wales. SUBJECTS A two year sample of people who had committed suicide, in particular those who had been in contact with mental health services in the 12 months before death. MAIN OUTCOME MEASURES(More)
Each year, more than 4500 pregnancies in the European Union are affected by neural tube defects (NTD). Unambiguous evidence of the effectiveness of periconceptional folic acid in preventing the majority of neural tube defects has been available since 1991. We report on trends in the total prevalence of neural tube defects up to 2002, in the context of a(More)
BACKGROUND Two crucial issues relative to the benefits and impact of folic acid in the prevention of birth defects are whether supplementation recommendations alone, without fortification, are effective in reducing the population-wide rates of neural tube defects (NTDs), and whether such policies can reduce the occurrence of other birth defects. Using data(More)
BACKGROUND The death of the Princess of Wales in 1997 was followed by widespread public mourning. Such major events may influence suicidal behaviour. AIMS To assess the impact of the Princess's death on suicide and deliberate self-harm (DSH). METHOD Analysis, using Poisson regression, of the number of suicides and open verdicts ('suicides') in England(More)
OBJECTIVE To identify pregnancy-related risk factors for different manifestations of congenital anorectal malformations (ARMs). DESIGN A population-based case-control study. SETTING Seventeen EUROCAT (European Surveillance of Congenital Anomalies) registries, 1980-2008. POPULATION The study population consisted of 1417 cases with ARM, including 648(More)
The aim of this study was to examine the prevalence of trisomies 18 and 13 in Europe and the prevalence of associated anomalies. Twenty-five population-based registries in 16 European countries provided data from 2000-2011. Cases included live births, fetal deaths (20+ weeks' gestation), and terminations of pregnancy for fetal anomaly (TOPFAs). The(More)
STUDY OBJECTIVE The objective of the study was to describe the epidemiology of neural tube defects (NTD) in the eastern region of Ireland using the EUROCAT register of congenital malformations. DESIGN, SETTING AND PATIENTS EUROCAT registries monitor the prevalence of congenital anomalies in defined populations using multiple sources for case(More)
The occurrence of congenital anomalies in proximity to municipal landfill sites in the Eastern Region (counties Dublin, Kildare, Wicklow) was examined by small area (district electoral division), distance and clustering tendancies in relation to 83 landfills, five of which were major sites. The study included 2136 cases of congenital anomaly, 37,487 births(More)
The North/South Study of methicillin-resistant Staphylococcus aureus (MRSA) in Ireland, 1999, includes a joint review of the epidemiology of MRSA across both jurisdictions on the island of Ireland. Data were gathered on all MRSA cases identified in laboratories in Northern Ireland (the North) and in the Republic of Ireland (the South) over a two-week(More)
OBJECTIVES To estimate the rate of mental disorder in those convicted of homicide and to examine the social and clinical characteristics of those with a history of contact with psychiatric services. DESIGN National clinical survey. SETTING England and Wales. SUBJECTS Eighteen month sample of people convicted of homicide. MAIN OUTCOME MEASURES(More)