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Evid Based Nurs 2:128 doi:10.1136/ebn.2.4.128
  • Causation

A decrease in care was associated with suicide in people with mental illness


 
 Question In people with severe mental illness who commit suicide, what is the relation of suicide to aspects of mental health care, clinical features, and historical variables?

Design

Case control study.

Setting

Greater Manchester area, UK.

Participants

Cases were 149 people (median age 38 y) who committed suicide in Greater Manchester within 5 years of discharge from inpatient psychiatric care. Controls were 149 discharged psychiatric inpatients matched to cases by age (within 5 y), sex, clinical diagnosis, and date of admission (within 6 mo).

Assessment of risk factors

Historical variables, clinical features since final inpatient admission, and details about care after inpatient discharge (aftercare). Care variables included components of care at the time of suicide, decreases in care (decrease in frequency of follow up and drug dosage, transfer to a setting with less observation, and discharge from follow up), and corresponding increases in care. …

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