Suicide after discharge from psychiatric hospitals in Scotland

doi:10.1136/bmj.311.7016.1368c

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Cameron Stark,
David Hall,
Fiona O'Brien,
Helen Smith

Consultant in public health medicine Ayrshire and Arran Health Board, Ayr KA7 4DW
Consultant psychiatrist Crichton Royal Hospital, Dumfries DG1 4TG
Health information scientist Record Linkage Project, Information Services Directorate, Edinburgh
Consultant in public health medicine Argyll and Clyde Health Board, Paisley PA1 1DU

EDITOR,--John R Geddes and Ed Juszczak provide information on trends in suicide after discharge from psychiatric hospitals in Scotland.1 They comment that studies in other countries indicate that the peak incidence of suicide and undetermined deaths occurs in the 28 days after discharge. Our data on deaths recorded as E950-959 (suicide and self inflicted injury) confirm that this is also the case in Scotland (figure). Our findings also indicate that, while the …