Survival as a patient-centered outcome of mental health care

Exploring the use of telephone helpline pertaining to older adult suicide prevention: A Hong Kong experience.

BACKGROUND: Older adults usually have a higher suicide rate than the general population. There are helpline services provided to older adults but limited studies have examined the suicidal risks among the users, and how those services could be used as a platform to engage older adults in suicide prevention. METHODS: In regard to elderly suicide […]

Mortality of Doctors in Taiwan

This study evaluated the survival data of all Taiwanese doctors & ascertained whether doctors experience premature mortality. Death & census data from 1990-2006 were obtained for all practicing doctors in Taiwan. Cause-specific standardized mortality ratios were calculated using the general population of Taiwan as the reference. Doctors in Taiwan were found to be less likely […]

Self-Harm and Self-Poisoning in Southern India: Choice of Poisoning Agents and Treatment

Community-based surveillance over a period of 2 years recorded cases of suicide & attempted suicide in a population of 108,000 people living in a primarily rural area of southern India. The overall suicide rate was 71.4 per 100,000 population; the highest burden was among men. 31% of victims died by self-poisoning & 80% of these […]

Severe Pain Predicts Greater Likelihood of Subsequent Suicide

Using data from the 1999 Large Health Survey of Veterans, Veterans’ Affairs medical records, & the National Death Index, the association between self-reported pain severity & suicide among veterans was examined, after accounting for demographic variables & psychiatric diagnoses. A Cox proportional hazards regression demonstrated that veterans with severe pain were more likely to die […]

Schizophrenia, an illness with bad outcomes: myth or reality?

OBJECTIVE: Different myths about schizophrenia endorsed by clinicians maintain the pessimism about outcome thus reducing chances of improvement. There are no recent North American studies on the long-term outcome of first-episode schizophrenia to clarify if these beliefs are myths or reality. Our study describes the long-term outcome (10 to 16 years) of a first-episode schizophrenia […]

Immigration and Suicidal Behavior Among Mexicans and Mexican Americans

Migration to the United States was examined as a risk factor for suicidal behaviour among people of Mexican origin. Data was pooled from 2 nationally representative surveys in the United States & Mexico. Discrete time survival models were used to account for time-varying & time-invariant characteristics, including psychiatric disorders. Risk for suicide ideation was higher […]

Method of Attempted Suicide as Predictor of Subsequent Successful Suicide: National Long Term Cohort Study

The assocation between method of attempted sucide & risk of subsequent suicide was studied in a Swedish cohort followed up for 21-31 years. 48,649 individuals admitted to hospital in 1973-1982 afet attempted suicide were included. 5,740 individuals died by suicide during the follow-up, 1973-2003. The risk of suicide varied substantially according to the method used […]

Mortality Rates of Males who Commit Parricide or Other Violence Offense Against a Parent

This study examined & compared the mortality of matricidal & patricidal offenders by using a comprehensive national data set with follow-up ranging from 3-24 years. 99 matricidal, 113 patricidal, & 111 control violent male offenders were evaluated over the period 1973-2004 in Finland. One-third of deaths among parricidal offenders were due to suicide. The matricidal […]

Out-of-Hospital Cardiac Arrest in Patients Aged 35 Years and Under: a 4-Year Study of Frequency and Survival in London

This study described the frequency & characteristics of cardiac arrest patients, 35 years & younger, attended by the London Ambulance Service NHS Trust between April 2003-March 2007. Data were analysed for 3084 patients & reported retrospectively. Over 75% of patients were aged 18-35 years. There were significantly more males in this age group compared to […]

Prospective Predictors of Suicide Attempts in Borderline Personality Disorder at one, two, and two-to-Five Year Follow-Up


Prospective Study of Major Depressive Disorder With White Matter Hyperintensity: Comparison of Patients With and Without Lacunar Infarction

Clinical characteristics, outcome, & risk factors for cerebrovascular disease were studied in Japanese patients with major depressive disorder & white matter hyperintensity. 123 patients were placed into 1 of 3 groups after undergoing magnetic resonance imaging: patients with no abnormal findings; patients with white matter hyperintensity & no lacunar infarction; & patients with lacunar infarction. […]

Adjustment Disorder and the Course of the Suicidal Process in Adolescents

The association of adjustment disorders (with depressed mood) & suicide in adolescents was investigated by means of a psychological autopsy study. Relatives & other informants of 19 Belgian suicide victims were interviewed. Differences in the duration of the suicidal process between suicide victims diagnosed with adjustment disorder & suicide cases diagnosed with other psychiatric disorders […]

Non-Fatal Suicidal Behavior Among South Africans: Results From the South Africa Stress and Health Study

This study examined the prevalence, age of onset, & sociodemographic correlates of suicide ideation, planning, & attempts among South Africans. Nationally representative data are from the South Africa Stress & Health Study. Bivariate & survival analyses were used to delineate patterns & correlates of nonfatal suicidal behaviour. Transitions are estimated using life table analysis. The […]

Suicide Among Personality-Disordered Offenders: a Follow-Up Study of 1943 Male Criminal Offenders

Suicide was studied among all 1943 male criminal offenders in Sweden who had undergone a major forensic psychiatric examination 1988-1991, with special reference to offenders with personality disorders. The cohort was followed until the end of 1995. 50 individuals died by suicide during the follow-up period. The standardised mortality ratio among personality-disordered offenders was 1212. […]

Substance use and Male Gender as Risk Factors for Deaths and Suicide: a 5-Year Follow-Up Study After Deliberate Self-Harm

This study determined mortality by suicide & other causes of death in a cohort of suicide attempters & identified predictive factors, including contacts with healthcare after the attempt. All consecutive 1198 deliberate self-harm patients treated during a 12-month period in Helsinki were identified. By the end of the 5-year follow-up period, 171 patients had died; […]

Long-Term Suicide Risk in Schizophrenia Spectrum Psychoses: Survival Analysis by Gender

This study investigated the long-term suicide risk in schizophrenia spectrum psychoses in relation to gender. A cohort from 1973-1987 of 385 inpatients with schizophrenia spectrum psychoses in Stockholm were followed up for cause of death in 2006. 26 suicides occurred during the follow-up. There was no significant difference in suicide mortality between men & women. […]

Mortality Among Residents of Shelters, Rooming Houses, and Hotels in Canada: 11 Year Follow-Up Study

This study examined mortality in a representative nationwide sample of homeless & marginally housed people in Canada. A follow-up study was done of 15,100 persons enumerated in the 1991 census. Data were compared with data from the poorest & richest income fifths as well as with data from the entire cohort. Of the homeless & […]

Service use Among Mexico City Adolescents With Suicidality

The lifetime & 12-month prevalence & associations of mental health treatment among Mexican adolescents with suicide-related outcomes are reported. A representative multistage probability household survey of 3005 adolescents in Mexico City was done in 2005. Discrete-time survival analyses were used. The prevalence of lifetime service use among respondents with suicide-related outcomes was 35% for those […]

Psychotropic Prescriptions and Elderly Suicide Rates

The association between a decline in elderly suicide rates in England & Wales & changes in the prescribing of psychotropics for the period 1985-1996 was studied. Spearman’s rank correlation coefficient was used to examine this relationship. Highly significant negative correlations were found between elderly suicide rates & tricyclic antidepressants, selective serotonin reuptake inhibitors, antimanics, antipsychotics, […]

Suicide Risk in Schizophrenia – a Follow-Up Study After 20 Years. Part 1: Outcome and Associated Social Factors

This study reevaluated, after a period of 20 years, a cohort of patients with schizophrenia who had been considered to be at high risk for suicide. Subjects were contacted & interviewed face-to-face using a questionnaire devised for this purpose & other rating scales were also administered. A psychological autopsy was performed for those individuals who […]

Suicide Risk After Homicide in Sweden


Subsequent Suicide Mortality Among Emergency Department Patients Seen for Suicidal Behavior

Patients presenting for suicide attempt or ideation, self-harm, or overdose between 1994-2004 were compared with patients coming to a New Mexico emergency room for other reasons. Among the 218,304 patients, the average follow-up was 6.0 years; there were 408 suicides. Males had a higher rate than females. A single emergency department visit for overdose, suicide […]