Cluster Suicide Episodes: Issues and Concerns for Native Communities

This piece begins with a quote from David Clark, a psychologist from the Center for Suicide Research & Prevention. The quote describes the problem of suicide in youths. The term “suicide clusters” is defined & its history is illustrated. This work contains suggestions for community responses to suicide clusters in Native American communities. It is […]

Mortality Among Patients With Psychiatric Illness: a Ten-Year Case Register Study in an Area With a Community-Based System of Care

All South Verona patients with an ICD diagnosis who had psychiatric contacts with specialist services in 1982-1991 were included in this case register study. Mortality was studied in relation to gender, age, diagnosis, pattern of care & time since registration. The standardized mortality ratio for suicide was 17.41. Overall mortality was higher than expected, but […]

Risk Groups for Parasuicide – a Survey of Unselected People who Attempt Suicide Treated in Hospital

A registration survey of parasuicide patients seeking hospital care in Stockholm was conducted over 24 months (1989-1990). Parasuicide rates were highest among women 25-39 years old & among men 30-39 years old. Parasuicide rates were higher for single people as compared to those who are married. The number of parasuicides among women decreased significantly between […]

Urban Suicide Prevention

Native suicide prevention in urban settings is described. Chrisjohn describes the Native Crisis Team in Toronto. Special considerations of Native populations are listed. Data collected from the people who have come to the Native Crisis Team is given. 13% of those who first came were at high risk for suicide. Profiles of the type of […]

Dr. Kevorkian’s Death Wish

This article describes an investigation being conducted on the death of Hugh Gale & the assistance provided by Dr. Jack Kevorkian. At issue is the question of whether the patient changed his mind right before death. It reviews previous cases of Kevorkian-assisted suicide & the new Michigan law (February 1993) which makes assisting in a […]

Cause of Death in Reactive Psychosis

Patients admitted for the first time with reactive psychosis have a greater mortality risk than the general population. This is caused by an increased risk of almost every cause of death. However, the suicidal risk is increased considerably & suicide is the most frequent cause of death among men & women. Postpsychotic treatment that includes […]

Attempted Suicide in Adelaide and Perth: Changing Rates for Males and Females, 1971-1987

In this study, rates of attempted suicide were examined for changes in age & sex from 1971-72 & 1986-87, & a survey of all patients of a Perth hospital was completed to determine whether attempted suicides were underreported. The authors found an increase of 47% in the rate of attempted suicide for males, particularly in […]

Vital Statistics, Demography, and Schizophrenia: Editor’s Introduction

The Guest Editor introduces this theme issue of “Schizophrenia Bulletin” with an overview of the kinds of subject matters appropriate for a comprehensive understanding of the vital statistics & demography relating to schizophrenia & schizophrenic patients–births, deaths, marriages, divorces, fertility, age, sex, race, occupation, place of residence, season of birth, class mobility, homelessness, criminality, industrialization […]

The Role of the Otolaryngologist in Managing Suicidal Adolescents

From 1978 to 1987, 18 suicidal children were cared for by the otolaryngology service at Children’s Hospital of Pittsburgh. The evaluation & treatment of these patients are reviewed, & factors resulting in these self-destructive acts discussed. Pertinent risk factors & warning signals that may enhance the otolaryngologists’s ability to make the diagnosis of attempted suicide […]

The Samaritans Suicide Research

Aspects of Suicide and Parasuicide

5 aspects of suicidal behavior based on 478 suicides & parasuicide admissions in Edinburgh from 1968-74 were examined. 1) 28% of suicides had a parasuicide admission, 2) those with a recent episode were similar to those with a longer interval, 3) a history of previous parasuicide was important in delineating 2 groups of suicide, 4) […]

A Plan for Improved Research on Suicidal Behavior

The resurgence of research interest in suicidal behaviour observed in the past decade has yielded disappointing results. The lack of effective research can be attributed to methodological problems that relate to specified inadequacies in the data base. It is proposed that one regional research-oriented registry be established. The proposal outlines such key considerations as achieving […]

Overrepresentation of Epileptics in a Consecutive Series of Suicide Attempters Seen at a Children’s Hospital, 1978-1983

Of 126 children & adolescents seen for attempted suicide at a children’s hospital from 1978 to 1983, 9 of the patients were epileptic. This is over 15 times more frequent than expected. Epileptic attempters made more medically serious attempts, showed more premeditation, & had higher suicidal intent both before & after the attempt than did […]

An Empirical Study of Borderline Personality Disorder and Psychiatric Suicides

This study of completed suicides & borderline personality disorder (BPD) is based on 134 psychiatric suicides from 1961-1980. Clinical records were retrospectively diagnosed &, while there was a progressive increase in proportion of borderline suicides during the time period, the overall proportion of BPD was only 12% indicating that borderline patients are not seriously over-represented […]

Drug Overdose: Changing Concepts for Modern Drugs

A chart review of all patients admitted over a 6-month period to the University of Missouri-Columbia Medical Intensive Care Unit after intentional drug overdose revealed that the drugs ingested today are quite different from those used 5-20 years ago. Cases representative of overdose with 3 of the more commonly used drugs – acetaminophen, ethylene glycol […]

A Twin Study of Mortality in Schizophrenia and Neurosis

This report examines mortality rates for twins with recorded diagnoses of schizophrenia or neurosis. Mortality patterns in monozygotic & dizygotic pairs discordant for schizophrenia & neurosis showed that mortality cannot be due to the disease state per se; disease-related mortality in schizophrenia results largely from environmental factors shared by twins; mortality from trauma in schizophrenia […]

College Student’s Suicide: the Case for a National Clearinghouse

Counselling centre directors completed a questionnaire assessing procedures for keeping records of suicides at their institutions. Results indicated that only a small number of institutions compiled systematic records concerning suicide.

Suicide of the Elderly in Singapore

This study is based on data from coroners’ files (1969-76) and a psychological post-mortem study of all suicides in 1974 (n=57), 39 males and 18 females. Aged suicide, demographic data of the aged suicide population, methods used and causative factors are recorded, analyzed and discussed. Reactions of surviving relatives are described. Unique features of aged […]

Physical Disease, Hypochondria, and Alcohol Addiction in Suicides Committed by Mental Hospital Patients

Study of 57 suicides over a 12-yr period turned up no case of hypochondria, suggesting an inverse relationship between suicide and such a diagnosis. Alcoholic addiction was found in 13 of 26 male and 5 of 31 female suicides.

Suicide Among Children in Bangalore

The Reliability of Suicide Statistics: A Bomb-Burst

Editorial Comment

Suicide Among University Students

A Twin Study of Suicide