Critical Issues in Psychological Autopsy Studies
Abstract
This paper reviews research based on the psychological autopsy (PA) method applied to the study of suicide. It evidences the presence of a number of methodological problems. Shortcomings concern sampling biases in the selection of control subjects, confounding influences of extraneous variables, and reliability of the assessment instruments. The absence of homogeneity among studies in the procedure employed, as well as the lack of defined guidelines for performing this type of inquiry are emphasized. Questions needing empirical investigation in the future are pointed out. It is concluded that the validity and reliability of findings emerging from the use of this method of investigation would benefit from a standardization of its application.
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The psychological autopsy approach has limitations including issues relating to the choice (and selective non-response) of control subjects and the reliance on proxy reports, which are prone to recall bias and measurement error.
“In addition, there are several limitations inherent to the psychological autopsy approach,23–25 including issues relating to the choice (and selective non-response) of control subjects and the reliance on proxy reports—the latter being prone to recall bias and measurement error.”
From Risk factors for suicide in adults: systematic review and meta-analysis of psychological autopsy studies (2022) · cites this paper as [24]
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Introducing the Psychological Autopsy Methodology Checklist
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Gender differences in suicide-related communication of young suicide victims
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Communication of suicide intent by schizophrenic subjects: data from the Queensland Suicide Register
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The WHO/START Study: Promoting Suicide Prevention for a Diverse Range of Cultural Contexts
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The Psychological Autopsy, Part II: Toward a Standardized Protocol
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Qualitative Evidence in Suicide: Findings from Qualitative Psychological Autopsy Studies
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Suicide in urban Kampala, Uganda: a preliminary exploration.
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The case for case–control studies in the field of suicide prevention
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The Neuroscience of Suicidal Behavior
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General Practitioners’ Accounts of Patients Who Have Self-Harmed
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SUICIDIO Y TRASTORNO MENTAL: UNA CRÍTICA NECESARIA
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Using the stress–vulnerability model to better understand suicide in prison populations
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Suicides by persons reported as missing prior to death: a retrospective cohort study
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Suicide, Schizophrenia, and Schizoid‐Type Psychosis: Role of Life Events and Childhood Factors
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Self-citationSuicide in the absence of mental disorder
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Suicide is preventable, sometimes
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Suicide by Pesticide Poisoning
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Has the Suicide Rate Risen with the 2011 Queensland Floods?
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Suicide Risk Assessments: A Scientific and Ethical Critique
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- Authors
- Pouliot, L., & De Leo, D.
- Affiliations
- Université du Québec à Montréal (CA)
- Venue
- Suicide and Life-Threatening Behavior
- Publisher
- Wiley
- Published
- 2006-10
- Volume
- 36
- Issue
- 5
- Pages
- 491-510
- ISSN
- 0363-0234 (ISSN-L)
- 1943-278X
- OpenAlex
- W2004261778
- Cited by
- 218
- References
- 165
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 5 · 2023: 10 · 2022: 8 · 2021: 14 · 2020: 9 · 2019: 6 · 2018: 24 · 2017: 12 · 2016: 6 · 2015: 14 · 2014: 15 · 2013: 11 · 2012: 23
- FWCI
- 1.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Suicide and Life-Threatening Behavior (publishedVersion)
- PubMed (publishedVersion)
- Griffith Research Online (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Keywords
- psychological autopsy, suicide, methodological issues, sampling bias, control subjects, confounding variables, assessment instrument reliability, standardization of procedures
- MeSH terms
- Autopsy, Forensic Psychiatry, Humans, Interviews as Topic, Research Design, Suicide, Time Factors, Bias, Control Groups
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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