Psychosocial and psychiatric factors preceding death by suicide: A case-control psychological autopsy study involving multiple data sources.
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Authors
McMahon, Elaine M
Greiner, Birgit A
Corcoran, Paul
Larkin, Celine
Leitao, Sara
McCarthy, Jacklyn
Cassidy, Eugene
Bradley, Colin
McAuliffe, Carmel
Griffin, Eve
Issue Date
2022-07-11
Type
Journal Article
Research Support, Non-U.S. Gov't
Research Support, Non-U.S. Gov't
Language
en
Keywords
case-control , primary care , psychological autopsy , suicide
Alternative Title
Abstract
A range of factors including mental disorders and adverse life events can increase the risk of suicide. The objectives of this study were to examine psychosocial and psychiatric factors and service engagement among suicide decedents compared with living controls.
A case-control study using multiple sources was conducted. Information on 132 consecutive cases of suicide was drawn from coronial files, and interviews were carried out with 35 family informants and 53 living controls. GPs completed questionnaires for 60 suicide cases and 27 controls.
The majority (83.3%) of suicide decedents had contacted a GP in the year prior to death, while 23.3% had 10 or more consultations during the year prior to death. Half of suicide decedents had a history of self-harm. Suicide cases were significantly more likely than controls to have a psychiatric diagnosis (60% vs. 18.5%) and a depressive illness (36.7% vs. 14.8%). Over one-quarter of suicide decedents had been treated as a psychiatric inpatient.
Primary care providers should be supported to deliver multidisciplinary interventions to engage, assess, and treat patients at risk of suicide, targeting those who present very frequently, those with a history of self-harm or substance misuse, and those with psychological presentations.
A case-control study using multiple sources was conducted. Information on 132 consecutive cases of suicide was drawn from coronial files, and interviews were carried out with 35 family informants and 53 living controls. GPs completed questionnaires for 60 suicide cases and 27 controls.
The majority (83.3%) of suicide decedents had contacted a GP in the year prior to death, while 23.3% had 10 or more consultations during the year prior to death. Half of suicide decedents had a history of self-harm. Suicide cases were significantly more likely than controls to have a psychiatric diagnosis (60% vs. 18.5%) and a depressive illness (36.7% vs. 14.8%). Over one-quarter of suicide decedents had been treated as a psychiatric inpatient.
Primary care providers should be supported to deliver multidisciplinary interventions to engage, assess, and treat patients at risk of suicide, targeting those who present very frequently, those with a history of self-harm or substance misuse, and those with psychological presentations.
Description
Citation
McMahon, E. M., Greiner, B. A., Corcoran, P., Larkin, C., Leitao, S., McCarthy, J., Cassidy, E., Bradley, C., McAuliffe, C., Griffin, E., Williamson, E., Foster, T., Gallagher, J., Perry, I. J., Kapur, N., & Arensman, E. (2022). Psychosocial and psychiatric factors preceding death by suicide: A case-control psychological autopsy study involving multiple data sources. Suicide & life-threatening behavior, 52(5), 1037–1047. https://doi.org/10.1111/sltb.12900
Publisher
License
© 2022 The Authors. Suicide and Life-Threatening Behavior published by Wiley Periodicals LLC on behalf of American Association of Suicidology.
Journal
Suicide & life-threatening behavior
Volume
52
Issue
5
PubMed ID
DOI
10.1111/sltb.12900
10.1002/brb3.2409
10.1186/s12888-019-2249-6
10.1017/S0033291716002841
10.1111/j.1943-278X.2011.00057.x
10.1111/sltb.12738
10.1016/j.jad.2021.03.014
10.1371/journal.pone.0242540
10.1192/bjp.170.5.447
10.1080/13811118.2011.540213
10.1192/bjp.bp.116.197459
10.1016/s0924-9338(01)00594-6
10.1192/bjp.bp.107.042069
10.1017/S0033291706007707
10.1016/j.jad.2020.05.071
10.1186/s12888-017-1508-7
10.1176/appi.ajp.2020.20060864
10.1176/appi.ajp.2020.20081224
10.1177/0020764012444259
10.1111/ggi.13658
10.1016/S2215-0366(14)70222-6
10.1186/s12875-018-0718-5
10.1016/j.jpsychires.2020.10.041
10.1177/1403494817746274
10.1192/bjo.2021.962
10.1038/s41572-019-0121-0
10.1111/acer.13203
10.1097/01.NMD.0000081613.03157.D9
10.1002/brb3.2409
10.1186/s12888-019-2249-6
10.1017/S0033291716002841
10.1111/j.1943-278X.2011.00057.x
10.1111/sltb.12738
10.1016/j.jad.2021.03.014
10.1371/journal.pone.0242540
10.1192/bjp.170.5.447
10.1080/13811118.2011.540213
10.1192/bjp.bp.116.197459
10.1016/s0924-9338(01)00594-6
10.1192/bjp.bp.107.042069
10.1017/S0033291706007707
10.1016/j.jad.2020.05.071
10.1186/s12888-017-1508-7
10.1176/appi.ajp.2020.20060864
10.1176/appi.ajp.2020.20081224
10.1177/0020764012444259
10.1111/ggi.13658
10.1016/S2215-0366(14)70222-6
10.1186/s12875-018-0718-5
10.1016/j.jpsychires.2020.10.041
10.1177/1403494817746274
10.1192/bjo.2021.962
10.1038/s41572-019-0121-0
10.1111/acer.13203
10.1097/01.NMD.0000081613.03157.D9
ISSN
1943-278X