Báo cáo y học: " Suicide amongst psychiatric in-patients who abscond from the ward: a national clinical survey"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Suicide amongst psychiatric in-patients who abscond from the ward: a national clinical survey | Hunt et al. BMC Psychiatry 2010 10 14 http 1471-244X 10 14 BMC Psychiatry RESEARCH ARTICLE Open Access Suicide amongst psychiatric in-patients who abscond from the ward a national clinical survey Isabelle M Hunt Kirsten Windfuhr Nicola Swinson Jenny Shaw Louis Appleby Nav Kapur the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness Abstract Background Suicide prevention by mental health services requires an awareness of the antecedents of suicide amongst high risk groups such as psychiatric in-patients. The goal of this study was to describe the social and clinical characteristics of people who had absconded from an in-patient psychiatric ward prior to suicide including aspects of the clinical care they received. Methods We carried out a national clinical survey based on a 10-year 1997-2006 sample of people in England and Wales who had died by suicide. Detailed data were collected on those who had been in contact with mental health services in the year before death. Results There were 1 851 cases of suicide by current psychiatric in-patients 14 of all patient suicides. 1 292 70 occurred off the ward. Four hundred and sixty-nine of these patients died after absconding from the ward representing 25 of all in-patient suicides and 38 of those that occurred off the ward. Absconding suicides were characterised by being young unemployed and homeless compared to those who were off the ward with staff agreement. Schizophrenia was the most common diagnosis and rates of previous violence and substance misuse were high. Absconders were proportionally more likely than in-patients on agreed leave to have been legally detained for treatment non-compliant with medication and to have died in the first week of admission. Whilst absconding patients were significantly more likely to have been under a high level of observation clinicians reported more problems in observation due to either the ward design or other patients on the