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    Suicide in high security hospital patients

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    Author
    Ferriter, Michael
    Keyword
    Suicide
    High security facilities
    Psychiatric hospitals
    Date
    2011
    
    Metadata
    Show full item record
    DOI
    10.1007/s00127-010-0239-6
    Publisher's URL
    http://link.springer.com/article/10.1007/s00127-010-0239-6
    Abstract
    Purpose: People with mental disorder and people who are violent are separately recognised as being at high risk of suicide. People detained in high security hospitals are recognised for their violence to others, but perhaps less so for their suicide potential. We aimed to investigate suicide rates among such patients during and after their high security hospital residency, and to establish risk factors for suicide. Methods: We extracted data from the Special Hospitals' Case Register on each person resident at any time between 1 January 1972 and 31 December 2000. Suicide rates were calculated for the whole period. We compared rates to the general population using standardised mortality ratios (SMRs). We used poisson regression to estimate the effects of gender, legal category of detention, offending history and length of admission on the suicide rate. Results: Of the 5,955 individuals, 218 completed suicide. The suicide rate was nearly 7 times higher among resident men (SMR 662, 95% CI 478-845) and over 40 times higher in resident women (SMR 4,012, 95% CI 2,526- 5,498) than in the general population; it was 23 times higher (SMR 2,325, 95% CI 1,901-2,751) and 45 times higher (SMR 4,486, 95% CI 2,727-6,245) among post-discharge men and women, respectively. The suicide rate was significantly higher among women than men inside high security but not after discharge. Conclusions: The suicide rate among high security hospital patients was significantly higher than in the general population. Women were especially at risk while resident, whereas for men, the risk was higher after discharge. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
    Citation
    Jones, R. M., Hales, H., Butwell, M., Ferriter, M. & Taylor, P. J. (2011). Suicide in high security hospital patients. Social Psychiatry and Psychiatric Epidemiology, 46 (8), pp.723-731.
    Type
    Article
    URI
    http://hdl.handle.net/20.500.12904/10060
    Collections
    Self-harm and Suicide
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