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Did Manic–Depressive Patients Who Committed Suicide Receive Prophylactic or Continuation Treatment at the Time?

Published online by Cambridge University Press:  02 January 2018

M. Schou  and
A. Weeke
M. Schou*
Affiliation:
The Psychopharmacology Research Unit, Aarhus University Institute of Psychiatry, Risskov
A. Weeke
Affiliation:
Department A, The Psychiatric Hospital, Risskov, Denmark
*
∗The Psychopharmacology Research Unit, Aarhus University Institute of Psychiatry, The Psychiatric Hospital, Skovagervaj 2, 8240 Risskov, Denmark
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Abstract

Ninety-two Danish manic–depressive patients with a first psychiatric admission between 1969 and 1983, who committed suicide before 1 July 1986, were considered. Information on any prophylactic or continuation treatment at the time of the suicide was obtained. In 64 of the patients, every precaution seems to have been taken: 28 patients committed suicide during ongoing treatment; 10 while not receiving prophylactic treatment (not indicated); 7 while not in prophylactic treatment because the patients refused or did not tolerate such; and 19 while in prophylactic treatment with antidepressants (10), or lithium (6), or both (3), in usually adequate dosage. In 28 of the patients, suicide might have been obviated. Guidelines for improvement of suicide prevention in manic–depressive illness are presented.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 153 , Issue 3 , September 1988 , pp. 324 - 327
Copyright
Copyright © Royal College of Psychiatrists, 1988 

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References

Achte, K. (1986) Depression and suicide. Psychopathology, 19, (Sappl. 2), 210–214.Google Scholar
Baastrup, P. C. & Schou, M. (1967) Lithium as a prophylactic agent: its effect against recurrent depressions and manic–depressive psychosis. Archives of General Psychiatry, 16, 162–172.CrossRefGoogle ScholarPubMed
Causemann, B. & Müller-Oerlinghausen, B. (1988) Does lithium prevent suicides or suicidal attempts? In Lithium: Inorganic Pharmacology and Psychiatric Use (ed. Birch, N. J.). Oxford: IRL Press.Google Scholar
Coppen, A., Abou-Saleh, M. T., Millin, P., Bailey, J., Metcalfe, M., Burns, B. H. & Armond, A. (1981) Lithium continuation therapy following electroconvulsive therapy. British Journal of Psychiatry, 139, 284–287.Google Scholar
Dunner, D. L. & Fieve, R. R. (1974) Clinical factors in lithium carbonate prophylaxis failure. Archives of General Psychiatry, 30, 229–233.Google Scholar
Dupont, A. (1983) A national psychiatric case register as a tool for mental health planning, research, and administration: the Danish model. In Information Support to Mental Health Programs: An International Perspective (eds Laska, E. M., Gulbinat, W. H. & Regier, D. A.). New York: Human Sciences Press.Google Scholar
Glen, A. I. M., Johnson, A. L. & Shepherd, M. (1984) Continuation therapy with lithium and amitriptyline in unipolar depressive illness: a randomized, double-blind, controlled trial. Psychological Medicine, 14, 37–50.Google Scholar
Hanus, H. & Zapletalek, M. (1984) Sebevrazedna aktivita nemocnych afektivnimi poruchami v prubehu lithioprofylaxe. Ceskoslovenska Psychiatrie, 80, 97–100.Google Scholar
Imlah, N. W., Ryan, E. & Harrington, J. A. (1965) The influence of antidepressant drugs on the response to electroconvulsive therapy and on subsequent relapse rates. In Neuro-Psychopharmacology (eds Bente, D. & Bradley, P. D.). Amsterdam: Elsevier.Google Scholar
Modestin, J. (1985) Antidepressive therapy in depressed clinical suicides. Acta Psychiatrica Scandinavica, 71, 111–116.Google Scholar
Myers, D. H. & Neal, C. D. (1978) Suicide in psychiatric patients. British Journal of Psychiatry, 133, 38–44.CrossRefGoogle ScholarPubMed
Perry, P. & Tsuang, M. T. (1979) Treatment of unipolar depression following electroconvulsive therapy: relapse rate comparisons between lithium and tricyclics therapies following ECT. Journal of Affective Disorders, 1, 123–129.CrossRefGoogle ScholarPubMed
Poole, A. J., James, H. D. & Hughes, W. C. (1978) Treatment experiences in the lithium dink at St. Thomas' Hospital. Journal of the Royal Society of Medicine, 71, 890–894.Google Scholar
Prien, R. F., Kupfer, D. J., Mansky, P. A., Small, J. G., Tuason, V. B., Voss, C. B. & Johnson, W. E. (1984) Drug therapy in the prevention of recurrences in unipolar and bipolar disorders. Archives of General Psychiatry, 41, 1096–1104.Google Scholar
Sainsbury, P. (1986) Depression, suicide, and suicide prevention. In Suicide (ed. Roy, A.). Baltimore, London: Williams & Wilkins.Google Scholar
Weeke, A., Juel, K. & Vaeth, M. (1987) Cardiovascular death and manic-depressive psychosis. Journal of Affective Disorders, 13, 287–292.CrossRefGoogle ScholarPubMed
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