Screening may not reduce suicide in later life

doi:10.1136/bmj.330.7481.43

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Steve Iliffe, reader in general practice (Jill.Manthorpe@kcl.ac.uk),
Jill Manthorpe, professor of social work (s.iliffe@pcps.ucl.ac.uk)

Social Care Workforce Research Unit, King's College, London SE1 9NN
Department of Primary Care and Population Sciences, Royal Free and UCL Medical School, London NW3 2PF

EDITOR—O'Connell et al are wise to warn against a reductionist approach to the complex topic of suicide in older people since an epidemiological perspective makes older people who commit suicide into objects of disease processes rather than subjects struggling to control their lives.1 They also prescribe vigorous screening and aggressive …