Safe in our Hands? A Study of Suicide and Self-Harm in Asylum Seekers

This study examined the incidence of suicide & self-harm in asylum seekers in the United Kingdom, both those in detention & in the community. Available data showed high levels of self-harm & suicide for detained asylum seekers as compared with the United Kingdom prison population. It is suggested this could be attributed to routine failure […]

Suicidal Behaviour Among Youth in Five Public Sectors of Care

Rates of suicide ideation & behaviours as well as associated risk factors were examined among youth recruited from 5 public sectors of care – child welfare, juvenile justice, special education services, alcohol & drug services, & county mental health. 1057 California youth, ages 11-18, completed a diagnostic interview & questionnaires assessing relevant suicide risk factors […]

Suicide, Mental Illness, and Psychiatry in Queensland, 1890-1950

This paper examines the practice of institutional & community psychiatry in early twentieth-century Queensland. Several conclusions are reached. First, asylums responded to the diversity of illnesses by making case-based judgments about the duration of treatment & the possibility of paroles. Many suicidal patients were not locked up for long periods if their ailments showed promise […]

Institutional Child Sexual Abuse and Suicidal Behaviour: Outcomes of a Literature Review, Consultation Meetings and a Qualitative Study

This report has 3 parts: a literature review; outcomes of consultation meetings with survivors of institutional child sexual abuse; & a qualitative study involving specialist support services. There is a lack of studies addressing the relationship between institutional child sexual abuse, suicidal behaviour, & related mental health difficulties, as well as protective factors. The qualitative […]

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.

Book Review – Suicide Among the Elderly in Long-Term Care Facilities by N J Osgood and B A Brant et al


Driven to Despair: Asylum Deaths in the UK

The authors examine recent research from the Institute of Race Relations, which documents the deaths of over 200 asylum seekers and undocumented migrants who have lost their lives trying to reach the UK or in work-related accidents, as a result of racial attacks and, most often, as a result of self-harm, especially in detention centres.

Organization Liability: Beyond Respondeat Superior

Mental Health Service Delivery and Suicide Risk: the Role of Individual Patient and Facility Factors


Two Australian National Policies on Self-injury and Suicide: a Submission to the Human Rights Commission on Children in Detention

Therapeutic Uses of Security: Mapping Forensic Mental Health Services by Stratifying Risk


Adolescent Mothers in a Transitional Living Facility: an Exploratory Study of Support Networks and Attachment Patterns


Health Care Providers’ Perceptions of Spirituality While Caring for Veterans


The Epidemiology and Prevention of Suicide by Hanging: a Systematic Review

This review summarizes the published literature on suicide by hanging, with a focus on its epidemiology in England & on potential means of prevention. The authors found that only a small proportion (around 10%) of hanging suicides occur in the controlled environments of hospitals, prisons, & police custody; the remainder occur in the community. Case […]

Potentially Preventable Suicide


The Rape of Boys and the Impact of Sexually Predatory Environments: Review and Case Reports

This paper describes the effect of rape & the impact of sexually predatory environments on young boys & the resulting sequelae in adulthood. 2 case histories are presented which illustrate the psychic devastation, including suicidal ideation & suicide attempts, that occurs following childhood sexual trauma. Suicide is discussed throughout in terms of being a long […]

When Depression Becomes Terminal: the Impact of Patient Suicide During Residency

This paper examines the issue of patient suicide from the perspective of a resident-in-training who experienced the suicide of a long-term outpatient. Issues explored include personal & professional reactions to the patient’s death as well as a discussion of the organizational response to the event. (32 refs)

The Institutional Turn in Professional Ethics

This article examines professional health care workers’ attitudes to physician-assisted suicide. The author states that the traditional ideal in which professionals serve their patients & clients in accord with a public-spirited goal is giving way to practice in which professionals serve in organizations that value mainly their expertise & expect them to act in accord […]

Suicidal Thoughts and Associated Factors in an Elderly Population

This study examined the prevalence of suicidal thoughts and associated factors in an elderly population. In total, it was found that 13.3% of the subjects assessed had had suicidal thoughts during two weeks prior to being interviewed. 50% of those who had frequent suicidal thoughts were found to be depressed. In addition, suicidal thoughts were […]

Characteristics of Problem Gambling in a Canadian Context: a Preliminary Study Using a DSM-IV-Based Questionnaire

The purpose of this study was to develop a self-report instrument to assess diagnostic criteria and associated features of pathological gambling in order to learn more about the characteristics of individuals who seek treatment for gambling problems in a Canadian setting. Fifty-seven adults seeking treatment for gambling problems were surveyed. Approximately 50% of them reported […]

Voluntary Euthanasia and the Risks of Abuse: can we Learn Anything From The Netherlands?

The author investigates the issue of abuse in the debate over volunatry active euthanasia. She focuses on two central questions regarding the legalization of aid-in-dying: 1) Will there be abuse, & if so, precisely what kind?; 2) Can abuse of this sort be prevented? In exploring these questions, she considers the possible effects of legalizing […]

Evangelium Vitae, Euthanasia, and Physician-Assisted Suicide: John Paul II’s Dialogue…(IN: Choosing Life, edited by K M Wildes and A C Mitchell)

See SIEC #2002-1204 & 2002-1205 for responses to this article

How Health Care Institutions in The Netherlands Approach Physician Assisted Death

This article discusses Netherlands health care institutions with reference to institutions for the mentally handicapped, psychiatric hospitals, nursing homes, & general hospitals. Regarding patient’s decisions toward the end of life, 3 responsibilties for hospitals are noted: attend to needs of the patient; offer professional expertise & experience; & execute responsibilities entrusted by society. While some […]