BMJ 2002;325:1155 ( 16 November )

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Suicide rate 22 years after parasuicide: cohort study

Gary R Jenkins, consultant psychiatrist ^a, Robert Hale, consultant psychotherapist ^b, Maria Papanastassiou, specialist registrar in psychiatry ^c, Michael J Crawford, senior lecturer in psychiatry ^c, Peter Tyrer, professor of community psychiatry ^c. 

^a Department of Psychiatry, East Ham Memorial Hospital, London E7 8QR, ^b Portman Clinic, Tavistock and Portman NHS Trust, London NW3 5NA, ^c Department of Public Mental Health, Faculty of Medicine, Imperial College of Science, Technology and Medicine, London W2 1PD

Correspondence to: G R Jenkins Newnham Centre for Mental Health, Glen Road, London E13 8SP gary.jenkins@elcmht.nhs.uk

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

The rate of suicide for people who have had an episode of parasuicide is 100 times higher in the year following the episode than that of the general population.¹ Providing a high standard of care to patients who deliberately harm themselves could help to reduce this rate.² Long term follow up studies show that the increased rate of suicide persists.³ However, the long term risk of suicide in patients in the United Kingdom is uncertain. We traced a consecutive sample of patients 22 years after they presented to a central London teaching hospital after an episode of parasuicide in the late 1970s.

	Method and results

From May 1977 to March 1980 one of us (RH) collected demographic and clinical data on a consecutive sample of weekday ward referrals to psychiatric services after patients had an episode of parasuicide. Twenty two years later we attempted to trace the patients, using data from the Office for National Statistics. In . . . [Full text of this article]

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