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Mental disorders and suicide in Northern Ireland

Published online by Cambridge University Press:  03 January 2018

Tom Foster ,
Kate Gillespie  and
Roy McClelland
Tom Foster*
Affiliation:
Department of Mental Health, The Queens University of Belfast
Kate Gillespie
Affiliation:
Strathdene House, Tyrone and Fermanagh Hospital, Omagh
Roy McClelland
Affiliation:
Department of Mental Health, The Queens University of Belfast
*
Dr Tom Foster, Lissan House, 41 Dublin Road, Omagh, Northern Ireland BT78 IHE
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Abstract

Background

The aim of this part of the Northern Ireland Suicide Study was to investigate the prevalence of DSM - III - R axis I (clinical syndrome) and axis II (personality) disorders among suicides (14 years and older) in Northern Ireland during a one-year period.

Method

A psychological autopsy study based on a variety of documentary sources and interviews with bereaved informants and health care professionals.

Results

Ninety per cent of suicides (106/118) had a current axis I and/or an axis II mental disorder. At least one current axis I disorder was diagnosed in 86% of suicides (102/118), and at least one axis II disorder was diagnosed in 44% (52/118). Suicides under 30 years (92% male) were less likely to have a current axis I disorder (68%; 26/38) than those 30 years and older (95%; 76/80). Psychiatric comorbidity was present in 55% of suicides (65/118). The time between the last contact with a health care professional and death was greater among suicides under 30 years and male suicides.

Conclusions

Notwithstanding the aetiological complexity of suicide, the prevention, recognition and treatment of mental disorder will continue to play key roles in suicide prevention.

Type
Papers
Information
The British Journal of Psychiatry , Volume 170 , Issue 5 , May 1997 , pp. 447 - 452
Copyright
Copyright © 1997 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM-III-R). Washington, DC: APA.Google Scholar
Appleby, L., Shaw, J. & Amos, J. (1997) National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. British Journal of Psychiatry, 170, 101–102.Google Scholar
Arato, M., Demeter, E., Rihmar, Z., et al (1988) Retrospective psychiatric assessment of 200 suicides in Budapest. Acto Psychiatrica Scandinavica, 77, 454–456.Google Scholar
Ashbridge, E. A. & Mllne, S. (1994) The Health of the Nation and suicide prevention. Psychiatric Bulletin, 18, 110.Google Scholar
Barraclough, B. M., Bunch, J., Nelson, B., et al (1974) A hundred cases of suicide: clinical aspects. British Journal of Psychiatry, 125, 355–373.CrossRefGoogle ScholarPubMed
Black, D. W. & Winokur, G. (1990) Suicide and psychiatric diagnosis. In Suicide Over the Life Cycle (eds S. J. Blumenthal & D. J. Kupfer), pp. 136. Washington, DC: American Psychiatric Press.Google Scholar
Brent, D. A., Perper, J. A., Moritz, G., et al (1993a) Suicide in adolescents with no apparent psychopathology, Journal of the American Academy of Child and Adolescent Psychiatry. 32, 494–500.Google Scholar
Brent, D. A., Perper, J. A., Moritz, G., et al (1993b) The validity of diagnoses obtained through the psychological autopsy procedure in adolescent suicide victims: use of a family history. Acta Psychiatrica Scandinavica, 87, 118–122.Google Scholar
Cheng, A.T. A. (1995) Mental illness and suicide: a case-control study in East Taiwan. Archives of General Psychiatry, 52, 594–603.CrossRefGoogle ScholarPubMed
Chynoweth, R., Tonge, J. I. & Armstrong, J. (1980) Suicide in Brisbane: a retrospective psychosocial study. Australian and New Zealand Journal of Psychiatry. 14, 37–45.Google Scholar
Cohen, J. (1960) A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 37–46.Google Scholar
Conwell, Y. (1995) Suicide among elderly persons. Psychiatric Services, 44, 563–564.Google Scholar
Conwell, Y., Duberstein, P. R., Cox, C., et al (1994) Relationships of age and Axis I diagnoses in victims al completed suicide: a psychological autopsy study. American Journal of Psychiatry, 153, 1001–1008.Google Scholar
Curran, P. S., Finlay, R. J. & McGarry, P. J. (1988) Trends in suicide: N. Ireland 1960–1986. Irish journal al Psychological Medicine. 5, 98–102.Google Scholar
Department al Health (1992) The Health al the Nation: a Strategy for Health in England. London: HMSO.Google Scholar
Dorpat, T. L. & Ripley, H S. (1960) A study al suicide in the Seattle area. Comprehensive Psychiatry, 1, 349–359.Google Scholar
Duffy, J. & Kreltman, N. (1993) Risk factors for suicide and undetermined death among in-patient alcoholics in Scotland. Addition, 88, 757–766.Google Scholar
Edwards, G. (1996) Sensible drinking. British Medical Journal, 312, 1.CrossRefGoogle ScholarPubMed
Gunnell, D. & Frankel, S. (1994) Prevention al suicide: aspirations and evidence. British Medical Journal. 308, 1227–1233.Google Scholar
Gunnell, D. & Frankel, S., Peters, T. J., Kammerling, R. M., et al (1995) Relation between parasuicide, suicide, psychiatric admissions, and socioeconomic deprivation. British Medical Journal, 311, 226–230.Google Scholar
Hawton, K. (1992) By their own young hand British Medical Journal, 304, 1000.Google Scholar
Henriksson, M. M., Aro, H. M., Marttunen, M. J., et al (1993) Mental disorders and comorbidity in suicide. American Journal al Psychiatry, 150, 935–940.Google ScholarPubMed
Holden, N. (1993) The Health al the Nation: mental illness. British Journal al Hospital Medicine, 49, 19–20.Google Scholar
House, A. (1996) Homicides and suicides by mentally ill people. British Medical Journal, 312, 135–136.Google Scholar
Kelleher, M. J., Corcoran, P. & Kechane, B. (1995) Suicide, road traffic and cancer deaths among the young in Ireland. Irish Medical Journal, 88, 96–98.Google Scholar
Kreltman, N. (1989) Can suicide and parasuicide be prevented? Journal of the Royal Society of Medicine, 82, 648–652.CrossRefGoogle Scholar
Mann, A. H., Jenkins, R., Cutting, J. C., et al (1981) The development and use al a standardised assessment of abnormal personality. Psychological Medicine, 11, 839–847.Google Scholar
Morgan, H. G. (1993) Suicide prevention and the ‘Health of the Nation’ Psychiatric Bulletin, 17, 135–136.CrossRefGoogle Scholar
Rich, C. L., Young, D & Fowler, R. C. (1986) San Diego suicide study: I. Young vs old subjects. Archives al General Psychiatry, 43, 577–582.Google Scholar
Robins, E., Murphy, G. E., Wilkinson, R. H., et al (1959) Some clinical considerations in the prevention al suicide based on a study of 134 successful suicides. American Journal of Public Health, 49, 888–899.Google Scholar
Royal College al Psychiatrists (1994) The General Hospital Management al Adult Deliberate Self-Harm: A Consensus Statement on Standards for Service Provision. London: Royal College of Psychiatrists.Google Scholar
Sara, G., Raven, P. & Mann, A. (1996) A comparison of DSM - III-R and ICD-10 personality disorder criteria in an out-patient population. Psychological Medicine, 24, 151–160.CrossRefGoogle Scholar
Spitzer, R. L., Williams, J. B. W., Gibbon, M., et al (1989) Instruction Manual for the Structured Clinical interview. New York: Biometrics Research Department. New York State Psychiatric Institute.Google Scholar
Stack, S. (1992) Religiosity, depression, and suicide. In Religion and Mental Health (ed. Schumaker, J. F.), pp. 87–97. New York: Oxford University Press.Google Scholar
Steering Committee al the Confidential Inquiry (1996) Report al the Confidential Inquiry into Homicides and Suicides by Mentally III People. London: Royal College of Psychiatrists.Google Scholar
Yassllas, C. A. & Morgan, H. G. (1993) General practitioners' contact with victims of suicide. British Medical Journal, 307, 300–301.Google Scholar
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