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Suicide in high security hospital patients

Jones, Roland Morgan, Hales, Heidi, Butwell, Martin, Ferriter, Mike and Taylor, Pamela Jane 2010. Suicide in high security hospital patients. Social Psychiatry and Epidemiology 46 (8) , pp. 723-731. 10.1007/s00127-010-0239-6

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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.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG)
Subjects: R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Uncontrolled Keywords: suicide, forensic psychiatry, unnatural death, violence
Publisher: Springer
ISSN: 0933-7954
Last Modified: 04 Jun 2017 03:35

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