NICE guidance recommends that all people who self-harm and are admitted to hospital are given mental health and risk assessment: Everyone who has self-harmed should have a comprehensive assessment of needs and risk; engaging the service user is a prerequisite. – Taken from NICE Self-harm guidance (CG16), Nov 2004 This new prospective cohort study conducted [read the full story…]
Assessing the risk of suicide and self-harm in older people: results from new prospective cohort study
There is a clear need for specialist assessment and care for older people who self-harm, according to two papers published in the May issue of the British Journal of Psychiatry. Researchers from the University of Manchester studied 1,177 people over the age of 60 who were admitted to six general hospitals in Oxford, Manchester and Derby [read the full story…]
Young people recently in contact with psychiatric services are 12 times more likely than other young people to attempt suicide
Driving down suicidal behaviour in young people has long been a major target for public health professionals. This new study from researchers in Denmark will help inform this important work. The case control study used data from the Danish national register (403,431 in total) to assess the risk of suicide attempts after contact with a [read the full story…]
Are we under-reporting suicide rates? Findings of a new systematic review
World Health Organization statistics estimate the global annual suicide rate to be 16 per 100,000 people or about one million people per year. The rate of suicide attempts is about 10-15 times higher than the actual suicide rate. There is considerable variation between countries, with some national mortality statistics reporting no suicides per 100,000 people [read the full story…]
Children who have lived in care homes are at greater risk of suicide
There is remarkably little research in this field. Epidemiological studies of suicidal behaviour in children and young people from the care system have previously come mainly from Scandinavia. A Swedish longitudinal national cohort study (ref 2) from last year concluded that every seventh girl (14%) who left long-term foster family care after age 17 was [read the full story…]
New evidence suggests that antidepressants do not influence suicidal thinking in young people
In 2004 the US Food and Drug Administration published a “black box” warning that highlighted an increased risk of suicide and suicidal thoughts in young people who were taking antidepressants. This warning was updated in 2007. A new analysis of 41 randomised controlled trials has been published in the Archives of General Psychiatry, which suggests [read the full story…]
Find out which mental health services have the biggest impact on reducing suicide rates
Every year in England and Wales, a suicide occurs in roughly one patient for every thousand in mental health treatment. These numbers make it hard to research what mental health service providers can do to prevent further suicides, so it’s encouraging to see a new cross-sectional observational study published in the Lancet with funding from [read the full story…]
New suicide prevention toolkits for community, emergency and general practice staff
The prevention of suicide in inpatient mental health settings has long been a focus for clinicians and managers. Understanding what can be done in community, emergency and general practice settings to reduce the number of suicides has presented more of a challenge. This briefing introduces the National Patient Safety Agency’s (NPSA) new suicide prevention toolkits [read the full story…]
Children of parents who commit suicide are more likely to commit suicide themselves
Suicide is rarely far from the headlines these days, but the last week has seen a number of high profile stories in the mainstream media. First there was the tragic death of the much loved footballer Gary Speed, which has been followed by a huge amount of press coverage. Then on Saturday The Sun newspaper [read the full story…]
Antidepressants reduce suicide risk by 20% in patients with affective disorders, according to new cohort study
In November 2007, the US Food and Drug Administration required that black box warnings be placed on all antidepressant medications warning they may result in increased risk of suicidal tendencies in children and adolescents. It is now considered good practice that patients of all ages who initiate antidepressants should be monitored for clinical worsening or [read the full story…]