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?


Case control study.


Greater Manchester area, UK.


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. …

No Related Web Pages

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article