Psychiatric diagnoses and suicide: revisiting the evidence

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Title Psychiatric diagnoses and suicide: revisiting the evidence
Author Bertolote, Jose Manoel; Fleischmann, Alexandra; De Leo, Diego; Wasserman, Danuta
Journal Name Crisis
Editor John F. Connolly, Annette L. Beautrais
Year Published 2004
Place of publication Gottingen, Germany
Publisher Hogrefe & Huber Publishers
Abstract Background: The key role of prevention and treatment of mental disorders in the prevention of suicide is widely acknowledged. Which specific disorders need to be targeted remains to be conclusively demonstrated. Aims: To re-examine the presence of psychiatric diagnosis in cases of completed suicide from a global perspective. Method: A review of studies reporting diagnoses of mental disorders in cases of completed suicide with or without history of admission to mental hospitals. Results: Most cases were from Europe and North America (82.2%). The majority (98%) of these had a diagnosis of at least one mental disorder. Among all diagnoses, mood disorders accounted for 30.2%, followed by substance-use related disorders (17.6%), schizophrenia (14.1%), and personality disorders (13.0%). Conclusions: The mental health paradigm in suicide prevention covers just a part of the problem. Antisuicide strategies focusing exclusively on the identification and treatment of depression need to be reconsidered. In addition to this, other mental disorders should be targeted, in particular alcohol-use disorders and schizophrenia. More emphasis should also be placed on psychosocial and environmental interventions diminishing and counteracting stress.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1027/0227-5910.25.4.147
Volume 25
Issue Number 4
Edition 2004
Page from 147
Page to 155
ISSN 0227-5910
Date Accessioned 2005-02-08
Date Available 2010-09-22T06:55:21Z
Language en_AU
Research Centre Australian Institute for Suicide Research and Prevention
Faculty Griffith Health Faculty
Subject PRE2009-Medical & Health Sciences
URI http://hdl.handle.net/10072/5635
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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