Abstract
All patients presenting at the casualty department of King's College Hospital during the first six months of 1968 with deliberate self-poisoning or self-injury were followed up. Of 211 patients 204 (97%) were traced after a mean interval of 18 months (range one to two years). Despite official hospital policy, 22% had not been seen by a psychiatrist before discharge; these 44 untreated patients were compared with the remaining 160 who had received either brief (one or two interviews) or more prolonged psychiatric and social help.
Subsequent suicidal attempts occurred significantly more often among untreated than among treated patients, prolonged treatment being associated with the best prognosis. The same trend was observed in respect of actual suicide, though the numbers were small and differences did not reach statistical significance. These findings held good when the untreated and treated groups were controlled for other variables which were found to be correlated with outcome. These results indicate that psychiatric intervention is associated with a significant reduction in subsequent suicidal behaviour.
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Selected References
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- Aitken R. C., Buglass D., Kreitman N. The changing pattern of attempted suicide in Edinburgh, 1962-67. Br J Prev Soc Med. 1969 May;23(2):111–115. doi: 10.1136/jech.23.2.111. [DOI] [PMC free article] [PubMed] [Google Scholar]
- ETTLINGER R. W. SUICIDES IN A GROUP OF PATIENTS WHO HAD PREVIOUSLY ATTEMPTED SUICIDE. Acta Psychiatr Scand. 1964;40:363–378. doi: 10.1111/j.1600-0447.1964.tb07490.x. [DOI] [PubMed] [Google Scholar]
- Greer S., Lee H. A. Subsequent progress of potentially lethal attempted suicides. Acta Psychiatr Scand. 1967;43(4):361–371. doi: 10.1111/j.1600-0447.1967.tb05773.x. [DOI] [PubMed] [Google Scholar]
- Kessel N., McCulloch W. Repeated acts of self-poisoning and self-injury. Proc R Soc Med. 1966 Feb;59(2):89–92. [PMC free article] [PubMed] [Google Scholar]
- Kessel N. The respectability of self-poisoning and the fashion of survival. J Psychosom Res. 1966 Jul;10(1):29–36. doi: 10.1016/0022-3999(66)90132-2. [DOI] [PubMed] [Google Scholar]
- Kreitman N., Philip A. E., Greer S., Bagley C. R. Parasuicide. Br J Psychiatry. 1969 Jun;115(523):746–747. doi: 10.1192/bjp.115.523.746-a. [DOI] [PubMed] [Google Scholar]
- RUEEGSEGGER P. SELBSTMORDVERSUCHE. KLINISCHE, STATISTISCHE UND KATAMNESTISCHE UNTERSUCHUNGEN ON 132 SUICIDVERSUCH-PATIENTEN DER BASLER PSYCHIATRISCHEN UNIVERSITAETSKLINIK. Psychiatr Neurol (Basel) 1963;146:81–104. [PubMed] [Google Scholar]
- Roberts J., Hooper D. The natural history of attempted suicide in Bristol. Br J Med Psychol. 1969 Dec;42(4):303–312. doi: 10.1111/j.2044-8341.1969.tb02084.x. [DOI] [PubMed] [Google Scholar]
- SCHMIDT E. H., O'NEAL P., ROBINS E. Evaluation of suicide attempts as guide to therapy: clinical and follow-up study of one hundred nine patients. J Am Med Assoc. 1954 Jun 5;155(6):549–557. doi: 10.1001/jama.1954.03690240015005. [DOI] [PubMed] [Google Scholar]
- Walk D. Suicide and community care. Br J Psychiatry. 1967 Dec;113(505):1381–1391. doi: 10.1192/bjp.113.505.1381. [DOI] [PubMed] [Google Scholar]