Suicide and homicide by people with mental illness

BMJ 1999;318:1225-1226 ( 8 May )

Editorials

Suicide and homicide by people with mental illness

We still don't know how to prevent most of these deaths

Papers pp 1235 , 1240

The first 150 words of the full text of this article appear below.

The national confidential inquiry into suicide and homicide by people with mental illness began in 1992 in response to concernabout mental health services in the United Kingdom. The usefulnessof the initial reports was limited by the disappointing case ascertainmentrate.^1-3 Two papers in this issue (pp 1235, 1240) ⁴ ⁵ reportthe methods and results of Safer Services, the 1999 inquiry report.⁶Case finding has now been much improved and the new report providesa valuable descriptive cross section of the characteristics ofsuicides and homicides in relation to the mental healthservices.

About 1000 people who commit suicide each year (a quarter of all UK suicides) and about 40 of those who commit homicide (about8% of all UK homicides) have had some contact with the mentalhealth services in the year before death. In patients committingsuicide comorbidity, including substance misuse, and previousself harm are common. In people convicted of homicide, personality. . . [Full text of this article]

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Rapid Responses:

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Only 10 homicides?: Chris Manning
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