Do-Not-Resuscitate Orders in Suicidal Patients: Clinical, Ethical, and Legal Dilemmas

The authors review the literature related to patients who obtain a Do-Not-Resuscitate order in preparation for a suicide attempt & the ethical issues involved in mkaing a decision to resuscitate or not in these cases. The authors address the potential legal consequences of action or inaction & clinical issues to consider before such an order […]

Characteristics of poisoning cases in adult intensive care units in Sanliurfa, Turkey

An analysis of the rate and characteristics of acute poisoning cases admitted to adult intensive care unit. Study was conducted between 2002 and 2005 and found a particularly high rate of suicide attempts in young single females.

Self-Poisoning Suicide Deaths in England: Could Improved Medical Management Contribute to Suicide Prevention?

This study described the characteristics & management of a national sample of individuals who died by intentional self-poisoning in hospital & assessed the quality of the care they received. Adults who had died by self-poisoning in English hospitals in 2005 were included; information was obtained on 121 cases. Expert assessors rated 41/104 as having received […]

Attempted Suicide Among Injecting and Noninjecting Cocaine Users in Sydney, Australia

A sample of 183 current cocaine users, were administered a structured interview to ascertain attempted suicide histories, methods used, & factors associated with suicide attempts. Of the sample, 31% had attempted suicide, 18% had done so on more than one occasion, & 8% had made an attempt in the preceding 12 months. Overall, 28% of […]

Re: “Mortality Among Canadian Women With Cosmetic Breast Implants”

In this letter to the editor, the authors comment on an article by Villeneuve et al which reported an increased suicide rate among women who received breast implants or other cosmetic surgery compared with the general population. Didie & Phillips raise the possibility that some women may have had body dysmorphic disorder & suggest that […]

Youth Risk Behavior Surveillance – United States, 2009

Report includes 104 data tables.

Differences in the Outcomes and Treatments of Extensively Burned Patients Between a Chinese Hospital and a Japanese Hospital

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Self-Inflicted and Other-Inflicted Intentional Burns Versus Unintentional Burns: a Comparison Study

This study examined group differences between intentional & unintentional burn injuries, comparing 109 individuals with self-inflicted & 109 individuals with other-inflicted burns to an unintentional burn group. Those were intentional burn injuries (self- & other-inflicted) were more likely to be young, female, unmarried, unemployed, abuse substances, & have positive alcohol/drug screens at hospital admission. Individuals […]

Differences in Mortality and Suicidal Behaviour Between Treated and Never-Treated People With Schizophrenia in Rural China

This study explored 10-year mortality & suicidal behaviour among never-treated Chinese individuals with schizophrenia. Data from a 10-year prospective follow-up study (1994-2004) was used. The mortality rate for never-treated individuals was 2761 per 100,000 person years during follow-up. There were no significant differences of rates of suicide & all-cause mortality between never treated & treated […]

Parkinson’s Disease, DBS and Suicide: a Role for Serotonin?

In this letter to the editor, the authors comment on a multicentre study by Voon et al (2008) on the risk of death by suicide in patients with Parkinson’s disease who had received subthalamic stimulation. They also briefly review results from a preclinical study they have done. The reply of Voon et al follows.

Receipt of Clinical Preventive Medical Services Among Psychiatric Patients

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Risk for Suicide Among Medicaid Beneficiaries

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Suicide in the National Protocol for Monitoring Sentinel Events

This study describes sentinel events reported to the Italian Ministry of Welfare in the first 18 months of activity. 123 reports were received, suicide being the most reported event. The analysis of the causes & contributing factors has highlighted the lack of application, & sometimes the total absence of appropriate procedures & guidelines which would […]

Service Needs of Clients in Outpatient Substance-Use Disorder Treatment: a Latent Class Analysis

This study examined whether there are common classes of service needs among clients in outpatient substance-use disorder treatment. Data were derived from the National Treatment Improvement Evaluation Survey & focused on 2,256 clients in outpatient treatment. Latent class analysis was used to explore different class solutions. A four-class solution exhibited best fit. 14.0% of clients […]

The NSDUH Report: Suicidal Thoughts and Behaviors Among Adults

This article reports on suicidal thoughts & behaviours among American adults in 2008. In 2008, an estimated 8.3 million adults aged 18 or older had serious thoughts of suicide in the past year, 2.3 million made a suicide plan, & 1.1 million attempted suicide. Young adults, aged 18-25, were more likely than adults aged 26-49 […]

Management of Therapeutic Drug Overdose

This presentation discussed the medical management of drug overdoses, particularly examining cases in which the drugs that were used had been prescribed for therapeutic purposes.

Cosmetic Breast Augmentation and Suicide

This article discusses the unexpected relationship between cosmetic breast implants & suicide that has been found in 6 epidemiological investigations completed in the last several years. Across the six studies, the suicide rate of women who received cosmetic breast implants is approximately twice the expected rate based on estimates of the general population. This finding […]

Attempted and Completed Suicides After Subthalamic Nucleus Stimulation for Parkinson’s Disease

The authors conducted a retrospective survey of 200 patients with Parkinson’s Disease who underwent subthalamic nucleus deep brain stimulation. Two patients died by suicide & four attempted suicide, despite clear motor improvements. Suicidal patients did no differ from non-suicidal patients with respect to age, disease duration or preoperative depressive & cognitive status. Suicidal behaviour was […]

Annual Report 2004

This report provides an overview of the mandate, structure, & activities of the Office of the Chief Coroner for the Province of Ontario in 2004. There were 1106 suicides in 2004, accounting for 5% of all deaths.

Neurosurgery for Mental Disorder

The authors review contemporary indications for neurosurgical interventions in the management of chronic & refractory mental disorder, the procedures involved, their efficacy, & known adverse effects, including suicide. It is noted most of the patients undergoing neurosurgery for mental disorder have had chronic severe illness, often with a history of suicide attempts. 4 studies in […]

Excess Mortality From Suicide and Other External Causes of Death Among Women With Cosmetic Breast Implants

The authors extended by 8 years an earlier follow-up mortality study of 3527 Swedish women with cosmetic breast implants. The mean follow-up period was 18.7 years. Overall, 175 deaths occurred versus 133.4 expected. Statistically significant 3-fold excesses of suicide & deaths from alcohol or drug dependence were observed as well as an excess of deaths […]

Causes of Death Among Finnish Women With Cosmetic Breast Implants, 1971-2001

Cause-specific mortality was examined among Finnish women who underwent cosmetic breast implantation between 1970-2000. Causes of death through 2001 were identified through the national mortality register. Among the 2166 women with cosmetic breast implants, 31 deaths were observed versus 32.1 expected. There was a statistically significant excess of suicide, based on 10 deaths, which was […]

The Safety of Silicone Gel-Filled Breast Implants: a Review of the Epidemiologic Evidence

This article summarizes the epidemiologic evidence on the safety of breast implants. Topics addressed include suicide. 5 large-scale epidemiological mortality studies conducted in various populations have reported women with cosmetic breat implants have a 2-3-fold higher rate of suicide than similar-aged women in the general population. Three nationwide cohort studies in Scandinavia have been conducted […]