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Cited by 84Suicide and Self-Harm StudiesSchizophrenia research and treatmentHomicide, Infanticide, and Child Abuse

Suicide in schizophrenia: findings from a national clinical survey

HUNT, ISABELLE M., KAPUR, NAV, WINDFUHR, KIRSTEN, ROBINSON, JO, BICKLEY, HARRIET, FLYNN, SANDRA, PARSONS, REBECCA, BURNS, JAMES +2 more·2006·Journal of Psychiatric Practice
DOI 10.1097/00131746-200605000-00002
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Abstract

BACKGROUND: A reduction in suicide among individuals with mental illness is an international public-health priority. Approximately 10% of patients with schizophrenia will die by suicide. OBJECTIVE: The goal of this study was to describe social and clinical characteristics of people with schizophrenia who completed suicide, including aspects of the clinical care they received. METHOD: A national clinical survey was conducted based on a 4-year (1996-2000) sample of people in England and Wales who had died by suicide and had been in contact with mental health services in the previous 12 months. RESULTS: Of 20,927 individuals who committed suicide, 5,099 (24%) were known to have been in contact with mental health services in the year prior to death. Completed questionnaires were returned on 4,859 cases of suicide. Of these, 960 (20%) were diagnosed with schizophrenia. These suicides were characterized by more violent modes of death, with over a quarter (27%) jumping from a height or in front of a moving vehicle compared to 10% of the remaining sample. They were more likely than the other individuals in the sample to be young, male, unmarried, and from an ethnic minority with high rates of unemployment. Rates of previous violence and drug abuse were high and they were proportionally more likely to be inpatients at the time of death and to have been noncompliant with medication. Patients with schizophrenia and comorbid substance abuse showed particularly complex social and clinical morbidity. CONCLUSIONS: Measures that may prevent suicide among patients with schizophrenia include improved ward safety, closer supervision in both inpatient and community settings, particularly for those with poor medication compliance, and effective treatment of substance abuse.

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Authors
HUNT, I. M., KAPUR, N., WINDFUHR, K., ROBINSON, J., BICKLEY, H., FLYNN, S., PARSONS, R., BURNS, J., SHAW, J., & APPLEBY, L.
Affiliations
University of Manchester (GB)
ORCID
Venue
Journal of Psychiatric Practice
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2006-05
Volume
12
Issue
3
Pages
139-147
ISSN
  • 1527-4160 (ISSN-L)
  • 1538-1145
DOI
10.1097/00131746-200605000-00002
OpenAlex
W2119940130
Cited by
84
References
54
Citations by year
2026: 1 · 2025: 1 · 2024: 5 · 2023: 3 · 2022: 1 · 2021: 1 · 2020: 4 · 2019: 1 · 2018: 5 · 2017: 4 · 2016: 3 · 2015: 5 · 2014: 7 · 2013: 3 · 2012: 2
FWCI
9.59
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Psychiatric Practice (publishedVersion)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords
suicide, schizophrenia, suicide prevention, mental health services, violent suicide methods, substance use comorbidity, medication non-adherence, inpatient care, England and Wales
MeSH terms
Suicide Prevention, Adolescent, Adult, Aged, Aged, 80 and over, Cause of Death, Depressive Disorder, England, Female, Humans, Male, Mental Health Services, Middle Aged, Patient Compliance, Schizophrenia, Suicide, Wales, Comorbidity, Substance-Related Disorders

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