Hostname: page-component-848d4c4894-m9kch Total loading time: 0 Render date: 2024-05-13T05:23:39.559Z Has data issue: false hasContentIssue false
  • English
  • Français

Suicide prevention: the evidence on safer clinical care is now good and should be adopted internationally

Published online by Cambridge University Press:  02 January 2018

Louis Appleby
Louis Appleby*
Affiliation:
Centre for Mental Health and Risk, University of Manchester, Manchester, UK, email louis.appleby@manchester.ac.uk
Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The global economic downturn seems to be associated with a rise in suicide rates in many countries but we should not assume that this is a social rather than a clinical phenomenon. Mental health patients may be particularly vulnerable to unemployment and other hardships and to cuts in the care they receive. There is now no shortage of evidence on how clinical services and health policies can reduce suicide, and in England a new suicide prevention strategy was recently launched for public consultation. What we lack is an effective forum where a rigorous examination of international evidence can take place, with the findings translated into actions.

Type
Guest editorial
Information
International Psychiatry , Volume 9 , Issue 2 , May 2012 , pp. 27 - 29
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits noncommercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © Royal College of Psychiatrists 2012

References

Appleby, L, Dennehy, J. A., Thomas, C. S., et al (1999) A case control study of aftercare and clinical characteristics in suicides by people with mental illness. Lancet, 353, 1397–1400.CrossRefGoogle ScholarPubMed
Department of Health (2011) Consultation on Preventing Suicide in England. A Cross-Government Outcomes Strategy to Save Lives. DH.Google Scholar
Hawton, K., Towsend, E., Deeks, J., et al (2001) Effects of paracetamol and salicylate legislation in the United Kingdom: opportunistic before and after study of suicide, liver transplantation, and self-poisoning and its consequences. BMJ, 322, 1203–1207.CrossRefGoogle Scholar
Hawton, K., Bergen, H., Simkin, S., et al (2009) Impact of withdrawal of co-proxamol: time series analysis of prescribing and drug poisoning deaths in England and Wales. BMJ, 338, b2270.10.1136/bmj.b2270CrossRefGoogle Scholar
Hunt, I. M., Kapur, N., Webb, R., et al (2007) Suicide in current psychiatric in-patients: a case–control study. Psychological Medicine, 37, 831–837.10.1017/S0033291707000104CrossRefGoogle ScholarPubMed
Kapur, N., Hunt, I., Webb, R., et al (2006) Suicide in psychiatric in-patients in England, 1997–2003. Psychological Medicine, 36, 1485–1492.CrossRefGoogle Scholar
Mann, J. J., Apter, A., Bertolote, J., et al (2005) Suicide prevention strategies: a systematic review. JAMA, 294, 2064–2074.CrossRefGoogle ScholarPubMed
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness (1999) Safer Services. Department of Health.Google Scholar
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness (2006) Avoidable Deaths. National Patient Safety Agency.Google Scholar
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness (2008) Lessons for Mental Health Care in Scotland. Scottish Government.Google Scholar
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness (2011a) Annual Report: England, Wales, and Scotland. National Patient Safety Agency.Google Scholar
National Confidential Inquiry into Suicide and Homicide by People with Mental Health (2011b) Suicide and Homicide in Northern Ireland. National Patient Safety Agency.Google Scholar
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness (2011c) A National Study of Self-Inflicted Deaths in Prison Custody in England and Wales from 1999–2007, 9 Year Report. Department of Health.Google Scholar
Stuckler, D., Basu, S., Suhrcke, M., et al (2011) Effects of the 2008 recession on health: a first look at European data. Lancet, 378, 124–125.CrossRefGoogle Scholar
While, D., Bickley, H., Roscoe, A., et al (2012) Implementation of mental health service recommendations in England and Wales and suicide rates, 1997–2006: a cross-sectional and before-and-after observational study. Lancet, 379, 1005–1012.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.