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The Isle of Wight Suicide Study: a case study of suicide in a limited geographic area

  • H. Shahpesandy (a1), M. Oakes (a2) and Ad van Heeswijck (a3)
Abstract
Background

Suicide is a major public health problem, with mental disorders being one of its major risk factors. The high incidence of suicide on the Isle of Wight has motivated this study, the first of its kind on suicide in this small geographic area.

Aim

The aim of the study was to identify socio-demographic and clinical risk factors for suicide in the population of service users and non-service users, and gender-related characteristics of suicidal behaviour in a limited geographic region.

Method

Data were collected on 68 cases of suicide (ICD-10×60-X84) from residents of the Isle of Wight District between January 2006 and December 2009. All data were statistically analysed using Pearson’s χ2 test and Yates’ correction for continuity.

Results

The mean annual suicide rates over the period were 5.65 per 100 000 for women and 19.28 for men. Significantly (p=0.0006), more men than women (male/female ratio 3:1) died as a result of suicide. Relatively (p=0.07) more women (56.2%) than men (32.7%), and significantly more (p=0.05) service users (45.3%) than non-service users (13.3%) were unemployed. Significantly, more (p=0.0006) service users (64%) than non-service users (20%) had a history of suicide attempts and relatively (p=0.06) more (50.9%) service users than non-service users (20%) had attended the accident and emergency department before their death; 69% had an adverse life event within a year before their suicide. Depression as the most common Axis-I illness was diagnosed in 36% of all; but significantly (p=0.008) more in women (66.6%) than men (17.3%). Relatively (p=0.07) more women (56.2%) than men (32.7%) have contacted services before their death. Suicide by hanging was the most common cause, accounting for the death of 71% of men and 50% of women.

Conclusions

The study found that 80% of all suicides occurred in people suffering from mental disorder. Men are at a significant risk of suicide. Depressive disorders in women and stress-related disorders in men were the most common mental disorders. Treating mental disorders and co-morbid conditions seems to be one of the key elements in suicide prevention strategies.

Copyright
Corresponding author
*Address for correspondence: Dr H. Shahpesandy, MD, Ph.D., MSc, Consultant Psychiatrist Tees, Esk and Wear Valleys NHS Foundation Trust. (Email: homayun.shahpesandy@nhs.net; shahpesandy@hotmail.com)
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A Alvaro-Meca , T Kneib , R Gil-Prieto , A Gil de Miguel (2013). Epidemiology of suicide in Spain, 1981–2008: a spatiotemporal analysis. Public Health 127, 380385.

M Beglund , A Ojehagen (1998). The influence of alcohol drinking and alcohol-use disorders on psychiatric disorders and suicidal behaviour. Alcoholism: Clinical and Experimental Research 22, 333S345S.

M Bessant , EA King , R Peveler (2008). Characteristics of suicides in recent contact with NHS Direct. Psychiatric Bulletin 32, 9295.

AP Boardman , AH Grimbaldeston , C Handley , PW Jones , S Willmott (1999). The North Staffordshire suicide study: a case-control study of suicide in one health district. Psychological Medicine 29, 2733.

P Burgess , J Pirkis , J Morton , E Croke (2000). Lessons from a comprehensive clinical audit of users of psychiatric services who committed suicide. Psychiatric Services 51, 15551560.

SS Chang , D Gunnell , JA Sterne , TH Lu , AT Cheng (2009). Was the economic crisis 1997–1998 responsible for rising suicide rates in East/South-East Asia? A time-trend analysis for Japan, Hong Kong, South Korea, Taiwan, Singapore and Thailand. Social Science and Medicine 68, 13221331.

K Chew , R McCleary (1995). The spring peak in suicides: a cross-national analysis. Social Science and Medicine 40, 223230.

W Coryell , EA Young (2005). Clinical predictors of suicide in primary major depressive disorder. Journal of Clinical Psychiatry 66, 412416.

MJ Crawford , U Nur , K McKenzie , P Tyrer (2005). Suicidal ideation and suicide attempts among ethnic minority groups in England: results of a national household survey. Psychological Medicine 35, 369377.

DM Fergusson , A Beautrais , LJ Harwood (2003). Vulnerability and resiliency to suicidal behaviours in young people. Psychological Medicine 33, 6173.

T Foster , K Gillespie , R McClelland (1997). Mental disorders and suicide in Northern Ireland. British Journal of Psychiatry 170, 447452.

I Gairin , A House , D Owens (2003). Attendance at the accident and emergency department in the year before suicide: retrospective study. British Journal of Psychiatry 183, 2833.

D Gunnell , G Lewis (2005). Studying suicide from the life course perspective: implications for prevention. British Journal of Psychiatry 187, 206208.

D Gunnell , A Lopatatzidis , D Dorling , et al. (1999). Suicide and unemployment in young people. Analysis of trends in England and Wales, 1921–1995. British Journal of Psychiatry 175, 263270.

K Hor , M Taylor (2010). Suicide and schizophrenia: a systematic review of rates and risk factors. Journal of Psychopharmacology 24 (Suppl. 4): 8190.

ET Isometsä , JK Lönnqvist (1998). Suicide attempts preceding completed suicide. British Journal of Psychiatry 173, 531535.

S Joe , SC Marcus , MS Kaplan (2007). Racial differences in the characteristics of firearm suicide decedents in the United States. American Journal of Orthopsychiatry 77, 124130.

EA King (2001). The Wessex suicide audit 1988–1993: a study of 1457 suicides with and without a recent psychiatric contact. International Journal of Psychiatry in Clinical Practice 5, 111118.

EA King , DS Baldwin , JM Sinclair , NG Baker , MJ Campbell , C Thompson (2001a). The Wessex recent in-patient suicide study, 1. Case-control study of 234 recently discharged psychiatric patient suicides. British Journal of Psychiatry 178, 537542.

JK Lönnqvist (2000). Psychiatric aspects of suicidal behaviour: depression. In The International Handbook of Suicide and Attempted Suicide (ed. K. Hawton and K. Van Heeringen), pp. 107120. John Wiley: Chichester.

PB Mortensen , E Agerbo , T Erikson , et al. (2000). Psychiatric illness and risk factors for suicide in Denmark. Lancet 355, 912.

E Petridou , F Papadopoulos , C Frangakis , et al. (2002). A role of sunshine in the triggering of suicide. Epidemiology 13, 106109.

A Preti , P Miotto (1998). Seasonality in suicides: the influence of suicide method, gender and age on suicide distribution in Italy. Psychiatry Research 81, 219231.

A Preti (2000). Seasonal variation and meteotropism in suicide. Current Opinion in Psychiatry 13, 655660.

P Qin , E Agerbo , PB Mortensen (2003). Suicide risk in relation to socio-economic, demographic, psychiatric, and familial factors: a national register-based study of all suicides in Denmark, 1981–1997. American Journal of Psychiatry 160, 765772.

P Rasanen , H Hakko , J Jokelainen , et al. (2002). Seasonal variation in specific methods of suicide: a national register study of 20 234 Finnish people. Journal of Affective Disorders 71, 5159.

D Rock , D Greenberg , J Hallmeyer (2003). Increasing seasonality of suicide in Australia 1970–1999. Psychiatry Research 120, 4351.

W Rutz , L von Knorring , J Walinder (1989). Frequency of suicide on Gotland after systematic postgraduate education of general practitioners. Acta Psychiatrica Scandinavica 80, 151154.

J Sareen , T Houlahan , BJ Cox , GJ Asmundson (2005). Anxiety disorders associated with suicidal ideation and suicide attempts in the national co morbidity survey. Journal of Nervous and Mental Disease 193, 450454.

M Schwartz-Lifshitz , G Zalsman , L Giner , MA Oquendo (2012). Can we really prevent suicide? Current Psychiatry Reports 14, 624633.

S Simkin , K Hawton , PS Yip , et al. (2003). Seasonality in suicide: a study of farming suicides in England and Wales. Crisis 24, 9397.

EN Stenager , E Stenager (2000). Physical illness and suicidal behaviour. In International Handbook of Suicide and Attempted Suicide (ed. K. Hawton and K. van Heeringen), pp. 405420. Wiley: Chichester.

P Värnik (2012). Suicide in the world. International Journal of Environmental Research and Public Health 9, 760771.

PSF Yip , C Callanan , HP Yuen (2000). Urban/rural and gender differentials in suicide rates: East and West. Journal of Affective Disorders 57, 99106.

A Yur’yev , A Värnik , P Värnik , M Sisask , L Leppik (2012). Employment status influences suicide mortality in Europe. International Journal of Social Psychiatry 58, 6268.

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Irish Journal of Psychological Medicine
  • ISSN: 0790-9667
  • EISSN: 2051-6967
  • URL: /core/journals/irish-journal-of-psychological-medicine
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