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One Hundred Cases of Suicide in Elderly People

  • Howard Cattell (a1) and David J. Jolley (a2)
Abstract
Background

The White Paper The Health of the Nation targets a reduction in suicide rates. Preventive strategies must be guided by an understanding of the demography and antecedents of suicide. These issues are examined in relation to suicide by old people in Manchester.

Method

One hundred consecutive coroners' inquisitions on people aged over 65 occurring between 1980 and 1991 in which the verdict was suicide were scrutinised and related to Health Service notes.

Results

Suicides were rare, numbers ranging from 0 to seven per annum per Health District. Rates did not vary between district but did within smaller sub-populations. Most individuals died at home; 65% were physically ill, of whom 23% had been hospitalised within the previous year. At least 60% were clinically depressed, with 25% being prescribed antidepressants. A total of 43% had seen their general practitioner in the previous month but only 14% were in contact with psychiatric services.

Conclusions

Many elderly people who commit suicide are not in close contact with primary care services; those who are may not be prescribed appropriate treatment, and few are referred for specialist care. Specialist services will fail to reduce suicide rates unless they embark upon programmes to increase public awareness of therapeutic possibilities and work more closely with primary care agencies to realise these possibilities.

Copyright
Corresponding author
Dr Cattell, Department of Old Age Psychiatry, Wrexham Maelor Hospital, Croesnewydd Road, Wrexham, Clwyd LL13 7TD
References
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Asgard, U. (1990) A psychiatric study of suicide among urban women in Sweden. Acta Psychiatrica Scandinavica, 82, 115124.
Barraclough, B. (1971) Suicide in the elderly. In Recent Developments in Psychogeriatrics (eds D. W. K. Kay & A. Walks) pp. 8797. Headley, Ashford: Royal Medico-Psychological Association.
Barraclough, B. (1987) Physical illness and suicide. In Suicide, Clinical and Epidemiological Studies, pp. 3746. London: Croom Helm.
Barraclough, B., Bunch, J., Nelson, B., et al (1974) A hundred cases of suicide: clinical aspects. British Journal of Psychiatry, 125, 355373.
Cattell, H. R. (1988) Elderly suicide in London: An analysis of coroners' inquests. International Journal of Geriatric Psychiatry, 3, 251261.
Cmd. 1986 (1992) The Health of the Nation: A Strategy for Health in England. London: Her Majesty's Stationery Office.
Diekstra, R. F. W. (1989) Suicide and the attempted suicide: An international perspective. Acta Psychiatrica Scandinavica, 80 (Suppl. 345), 124.
Dorpat, T. & Ripley, H. S. (1960) A study of suicide in the Seattle area. Comprehensive Psychiatry, 1, 349359.
Goldberg, D. & Huxley, P. (1980) Mental Illness in the Community. The Pathway to Psychiatric Care. London: Tavistock.
Isacsson, G., Holmgren, P., Wasserman, D., et al (1994) Use of antidepressants among people committing suicide in Sweden. British Medical Journal, 308, 506509.
Jolley, S. & Jolley, D. (1991) Psychiatric disorders in old age. In Community Psychiatry (eds D. Bennett, H. Freeman), pp. 268296. Edinburgh: Churchill Livingstone.
King, E. & Barraclough, B. (1990) Violent death and mental illness. A study of a single catchment area over eight years. British Journal of Psychiatry, 156, 714720.
Lennon, S. & Jolley, D. (1991) An urban service in South Manchester. In Psychiatry in the Elderly (eds R. Jacoby, G. Oppenheimer), pp. 322338). Oxford: Oxford Medical Publications.
Lindesay, J. (1991) Suicide in the elderly. International Journal of Geriatric Psychiatry, 6, 355361.
Merrill, J. & Owens, J. (1990) Age and attempted suicide. Acta Psychiatrica Scandinavica, 82, 385388.
Michel, K. & Valach, L. (1992) Suicide prevention: Spreading the gospel to general practitioners. British Journal of Psychiatry, 160, 757760.
MacDonald, A. (1986) Do G.P.s ‘miss’ depression in the elderly patients? British Medical Journal, 292, 1365.
Nowers, M. (1993) Deliberate self-harm in the elderly: A survey of one London Borough. International Journal of Geriatric Psychiatry, 8, 609614.
Office of Population Censuses and Surveys (1991) Census County Report. Greater Manchester CEN91 CR18. London: Her Majesty's Stationery Office.
Ovenstone, I. & Kreitman, N. (1974) Two syndromes of suicide. British Journal of Psychiatry, 124, 336345.
Pierce, D. (1987) Deliberate self harm in the elderly. International Journal of Geriatric Psychiatry, 2, 105110.
Pritchard, C. (1992) Changes in elderly suicide in the USA and the developed world 1974–1987. Comparison with current homicide. International Journal of Geriatric Psychiatry, 7, 125134.
Rich, C. L., Young, D. & Fowler, R. C. (1986) The San Diego suicide study. 1: Young vs old subjects. Archives of General Psychiatry, 43, 577582.
Robins, E., Murphy, G. E. Wilkinson, R. H., et al (1959) Some clinical considerations in the prevention of suicide based on a study of 134 successful suicides. American Journal of Public Health, 49, 888898.
Rutz, W., Von Knorring, L. & Walinder, J. (1989) Frequency of suicide on Gotland after systematic postgraduate education of General Practitioners. Acta Psychiatrica Scandinavica, 80, 151154.
Rutz, W., Von Knorring, L. & Walinder, J. (1992) Long-term effects of an educational program for general practitioners given by the Swedish Committee for the Prevention and Treatment of Depression. Acta Psychiatrica Scandinavica, 85, 8388.
Sainsbury, P. (1955) Suicide in London. Maudsley Monograph 1. London: Chapman & Hall.
Vassilas, C. A. & Morgan, H. G. (1993) General practitioners' contact with victims of suicide. British Medical Journal, 307, 300301.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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One Hundred Cases of Suicide in Elderly People

  • Howard Cattell (a1) and David J. Jolley (a2)
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