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

https://doi.org/10.1136/ebn.2.4.128

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    Appleby L, Dennehy Ja, Thomas Cs, et al.Aftercare and clinical characteristics of people with mental illness who commit suicide: a case-control study.Lancet1999 Apr 24; 353:1397–1400.OpenUrlCrossRefPubMedWeb of Science

    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 …

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    Footnotes

    • Source of funding: North West NHS Trust Executive.

    • For correspondence: Professor L Appleby, School of Psychiatry and Behavioural Sciences, University Hospital of South Manchester, West Didsbury, Manchester M20 8LR, UK. Fax +44 (0)161 445 9263.

    • A modified version of this abstract appears in Evidence-Based Mental Health.