Suicide and recency of health care contacts

@article{Pirkis1998SuicideAR,
  title={Suicide and recency of health care contacts},
  author={Jane Pirkis and Philip Burgess},
  journal={British Journal of Psychiatry},
  year={1998},
  volume={173},
  pages={462 - 474}
}
  • J. Pirkis, P. Burgess
  • Published 1 December 1998
  • Medicine, Psychology
  • British Journal of Psychiatry
Background Many countries have set targets for suicide reduction, and suggested that mental health care providers and general practitioners have a key role to play. Method A systematic review of the literature. Results Among those in the general population who commit suicide, up to 41% may have contact with psychiatric inpatient care in the year prior to death and up to 9% may commit suicide within one day of discharge. The corresponding figures are 11 and 4% for community-based psychiatric… 
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Patients who suicide ‘look’ similar to those who do not, suggesting prevention approaches should ensure that all psychiatric patients receive optimal care.
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Primary care data on a clinical sample of individuals who died by suicide and were in recent contact with mental health services is explored in order to investigate the frequency and nature of general practice consultations and gain GPs’ views on patient non-adherence to treatment and service availability for the management of suicidal patients.
Title Suicide with psychiatric diagnosis and without utilization ofpsychiatric service
TLDR
The non-contact group was clearly different from the contact group and actually comprised a larger proportion of the suicide population that they could hardly be reached by usual individual-based suicide prevention efforts, and both universal and strategic suicide prevention measures need to be developed specifically in non-medical settings in order to achieve better suicide prevention results.
Primary care contact prior to suicide in individuals with mental illness.
  • A. Pearson, P. Saini, N. Kapur
  • Medicine, Psychology
    The British journal of general practice : the journal of the Royal College of General Practitioners
  • 2009
TLDR
Consultation prior to suicide is common but suicide prevention in primary care is challenging, and possible strategies might include examining the potential benefits of risk assessment and collaborative working between primary and secondary care.
Managing Suicide Risk in Primary Care: Practice Recommendations for Behavioral Health Consultants
TLDR
Recommendations for suicide screening, accurate and time-efficient risk assessment, and effective risk management strategies, as well as suggestions for consultation with primary care physicians, all of which are consistent with the BHC model are offered.
Suicide with psychiatric diagnosis and without utilization of psychiatric service
TLDR
The non-contact group was clearly different from the contact group and actually comprised a larger proportion of the suicide population that they could hardly be reached by usual individual-based suicide prevention efforts.
Managing depression and suicide risk in men presenting to primary care physicians.
Preventing Suicidal Behaviour in a General Hospital Psychiatric Service: Priorities for Programming
  • P. Links, B. Hoffman
  • Medicine, Psychology
    Canadian journal of psychiatry. Revue canadienne de psychiatrie
  • 2005
TLDR
Several program and policy recommendations are made, including regularly updating clinical assessment skills, using guidelines for assessment of patients following a suicide attempt, assessing the risk of suicide 24 to 48 hours before discharge from hospital, and incorporating education about reducing access to means into routine psychiatric care.
Contact with mental health and primary care providers before suicide: a review of the evidence.
TLDR
Alternative approaches to suicide-prevention efforts may be needed for those less likely to be seen in primary care or mental health specialty care, specifically young men.
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