Skip to main content Accessibility help
×
Home
Hostname: page-component-684899dbb8-67wsf Total loading time: 0.867 Render date: 2022-05-27T07:02:03.314Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "useNewApi": true }

A Hundred Cases of Suicide: Clinical Aspects

Published online by Cambridge University Press:  29 January 2018

B. M. Barraclough
Affiliation:
M.R.C. Clinical Psychiatry Unit, Graylingwell Hospital, Chichester, Sussex
J. Bunch
Affiliation:
M.R.C. Clinical Psychiatry Unit, Graylingwell Hospital, Chichester, Sussex
B. Nelson
Affiliation:
M.R.C. Clinical Psychiatry Unit, Graylingwell Hospital, Chichester, Sussex
P. Sainsbury
Affiliation:
M.R.C. Clinical Psychiatry Unit, Graylingwell Hospital, Chichester, Sussex

Extract

Historically, doctors have not always acknowledged that they have an obligation to prevent suicide, partly because they shared the prevalent idea that most suicides were caused by moral crises, no concern of theirs—and indeed suicide was a criminal matter until quite recently; but more, perhaps, because a fatalism has characterized their attitudes to its prevention, even where the suicide was clearly suffering from mental illness. Yet two recent American studies have shown more than 90 per cent of suicides to be mentally ill before their death (17, 8); this finding and the familiar clinical observation that suicidal thoughts disappear when the illness is successfully treated provide a strong case for a medical policy of prevention.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1974 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 de Alarcon, R. & Carney, W. M. P. (1969) Severe depressive mood changes following slow release intra-muscular fluphenazine injection. British Medical Journal, iii, 564–7.Google Scholar
2 Barraclough, B. M. (1972) Suicide prevention, recurrent affective disorder and lithium. British Journal of Psychiatry, 121, 391–2.CrossRefGoogle ScholarPubMed
3 Nelson, B., Bunch, J. & Sainsbury, P. (1971) Suicide and barbiturate prescribing. Journal of the Royal College of General Practitioners, 21, 645–53Google Scholar
4 Bunch, J., Barraclough, B. M., Nelson, B. & Sainsbury, P. (1971) Suicide following bereavement of parents. Social Psychiatry, 6, 193–9.Google Scholar
5 Clayton, P. J. & Pitts, F. N. (1965) Affective disorder. IV. Mania. Comprehensive Psychiatry, 6, 313–22.CrossRefGoogle Scholar
6 Copes, J. B., Freeman-Browne, D. L. & Robin, A. A. (1971) Danger periods for suicide in patients under treatment. Psychological Medicine, 1, 400404.CrossRefGoogle Scholar
7 Coppen, A., Noguera, R., Bailey, J., Burns, B. H., Swani, M. S., Hare, E. H., Gardner, R. & Maggs, R. (1971) Prophylactic lithium in affective disorders. Lancet, ii, 275–9.Google Scholar
8 Dorpat, T. & Ripley, H. S. (1960) A study of suicide in the Seattle area. Comprehensive Psychiatry, i, 349–59.Google Scholar
9 Grad, J. and Sainsbury, P. (1966) Evaluating the Community Psychiatric Service in Chichester: Results. The Milbank Memorial Fund Quarterly XLIV 246278.CrossRefGoogle Scholar
10 Guze, S. B. & Robins, E. (1970) Suicide and primary affective disorder. British Journal of Psychiatry. 117, 437–8.CrossRefGoogle Scholar
11 Jervis on Coroners (1957) 9th edition (ed. Purchase, & Wollaston, ). London.Google Scholar
12 Kreitman, N., Sainsbury, P., Morrissey, J., Towers, J. & Scrivener, J. (1961) The reliability of psychiatric assessment. Journal of Mental Science, 107, 887908.CrossRefGoogle ScholarPubMed
13 Medical Research Council (1965) Clinical trial of the treatment of depressive illness. British Medical Journal, i, 881–6.Google Scholar
14 Mindham, R. H. S., Howland, C. & Shepherd, M. (1973) An evaluation of continuation therapy with tricyclic anti-depressants in depressive illness. Psychological Medicine, 3, 517.CrossRefGoogle ScholarPubMed
15 Mass, M. L. & Beresford–Davies, E. (1967) A Survey of Alcoholism tn an English County. Cambridge.Google Scholar
16 Registrar General (1967) Sample Census 1966. County Reports for Hampshire and West Sussex. London.Google Scholar
17 Robins, E., Murphy, G. E., Wilkinson, R. H., Gassner, S. & Kayes, J. (1959) Some clinical considerations in the prevention of suicide based on a study of 134 successful suicides. American Journal of Public Health, 49, 888–98.Google ScholarPubMed
18 Sainsbury, P. (1968) Suicide and depression, in Recent Developments in Affective Disorders (ed. Coppen, A. & Walk, A.). London.Google Scholar
19 Schneider, K. O. (1950). Psychopathic Personalities. Vienna.Google Scholar
20 Shepherd, M., Lader, M. & Rodnight, R. (1968) Clinical Psychopharmacology. London.Google Scholar
21 Slater, E. & Roth, M. (1970) Clinical Psychiatry. London.Google Scholar
22 Walk, D. (1967) Suicide and community care. British Journal of Psychiatry, 113, 1381–91.CrossRefGoogle ScholarPubMed
23 Winokur, G., Clayton, P. J. & Reich, T. (1969) Manic Depressive Illness. St. Louis, U.S.A. Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.
870
Cited by

Save article to Kindle

To save this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

A Hundred Cases of Suicide: Clinical Aspects
Available formats
×

Save article to Dropbox

To save this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about saving content to Dropbox.

A Hundred Cases of Suicide: Clinical Aspects
Available formats
×

Save article to Google Drive

To save this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about saving content to Google Drive.

A Hundred Cases of Suicide: Clinical Aspects
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *