BMJ 1994;309:196-197 (16 July)

Letters

Prevention of suicide

EDITOR, - David Gunnell and Stephen Frankel's review of the literature on the prevention of suicide highlights the difficulties for psychiatric services in identifying those at greatest risk.1 This point is further illustrated by data from a follow up study conducted in Nottingham. Consecutive first admissions to Saxondale Hospital (the Nottinghamshire County Asylum) were identified for the years 1974 and 1975. A cohort of 91 patients, comprising all those aged between 16 and 65 who were admitted from the borough of Broxtowe (total population roughly 100 000), was followed up 16 years later. Case notes of index admissions were examined to establish a diagnosis (according to the Diagnostic and Statistical Manual of Mental Disorders, third edition, revised2) and obtain other relevant clinical and demographic data. All 91 subjects were traced either up to their death or to their current general practitioner. Death certificates were obtained for all of those . . . [Full text of this article]


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Relevant Article

Prevention of suicide: aspirations and evidence
D Gunnell and S Frankel
BMJ 1994 308: 1227-1233. [Extract] [Full Text]




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