RT Journal Article
T1 Risk assessment and suicide by patients with schizophrenia in secondary mental healthcare: a case-control study
A1 Lopez-Morinigo, Javier-David
A1 Ayesa-Arriola, Rosa
A1 Torres-Romano, Beatriz
A1 Fernandes, Andrea C.
A1 Shetty, Hitesh
A1 Broadbent, Matthew
A1 Dominguez-Ballesteros, Maria-Encarnacion
A1 Stewart, Robert
A1 David, Anthony S.
A1 Dutta, Rina
K1 1st-episode psychosis
K1 Brc case register
K1 Completed suicide
K1 Prevention trial
K1 South london
K1 Follow-up
K1 Mortality
K1 Behavior
K1 Metaanalysis
K1 Dimensions
AB Objectives: To investigate the role of risk assessment in predicting suicide in patients with schizophrenia spectrum disorders (SSDs) receiving secondary mental healthcare. We postulated that risk assessment plays a limited role in predicting suicide in these patients.Design: Retrospective case-control study.Setting: Anonymised electronic mental health record data from the South London and Maudsley National Health Service (NHS) Foundation Trust (SLaM) (London, UK) linked with national mortality data.Participants: In 242 227 SLaM service users up to 31 December 2013, 635 suicides were identified. 96 (15.1%) had a SSD diagnosis. Those who died before 1 January 2007 (n=25) were removed from the analyses. Thus, 71 participants with SSD who died from suicide over the study period (cases) were compared with 355 controls.Main outcome measure: Risk of suicide in relation to risk assessment ratings.Results: Cases were younger at first contact with services (mean +/- SD 34.5 +/- 12.6 vs 39.2 +/- 15.2) and with a higher preponderance of males (OR=2.07, 95% CI 1.18 to 3.65, p=0.01) than controls. Also, suicide occurred within 10 days after last contact with services in half of cases, with the most common suicide methods being hanging (14) and jumping (13). Cases were more likely to have the following 'risk assessment' items previously recorded: suicidal history (OR=4.42, 95% CI 2.01 to 9.65, p
PB Bmj publishing group
SN 2044-6055
YR 2016
FD 2016-01-01
LK http://hdl.handle.net/10668/19030
UL http://hdl.handle.net/10668/19030
LA en
DS RISalud
RD Apr 11, 2025