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  1. Rich Braithwaite, consultant psychiatrist1
  1. 1Isle of Wight NHS Trust, St Mary’s Hospital, Newport PO30 5TG, UK
  1. richard.braithwaite{at}iow.nhs.uk

Is Kamerow as guilty of lacking specificity and focus as the US surgeon general he criticises?1 “Psychiatric disorders” may be present in around 90% of people who kill themselves, but what does this actually mean?

Meta-analysis of North American autopsies of patients with psychiatric disorders shows that substance misuse, present in 40%, predominates.2 However, this includes “harmful use” …

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