File Download
  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Suicide with psychiatric diagnosis and without utilization of psychiatric service

TitleSuicide with psychiatric diagnosis and without utilization of psychiatric service
Authors
Issue Date2010
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcpublichealth/
Citation
Bmc Public Health, 2010, v. 10 How to Cite?
AbstractBackground. Considerable attention has been focused on the study of suicides among those who have received help from healthcare providers. However, little is known about the profiles of suicide deceased who had psychiatric illnesses but made no contact with psychiatric services prior to their death. Behavioural model of health service use is applied to identify factors associated with the utilization of psychiatric service among the suicide deceased. Methods. With respect to completed suicide cases, who were diagnosed with a mental disorder, a comparison study was made between those who had (contact group; n = 52; 43.7%) and those who had not made any contact (non-contact group; n = 67; 56.3%) with a psychiatrist during the final six months prior to death. A sample of 119 deceased cases aged between 15 and 59 with at least one psychiatric diagnosis assessed by the Structured Clinical Interview for DSM-IV-TR (SCID I) were selected from a psychological autopsy study in Hong Kong. Results. The contact and non-contact group could be well distinguished from each other by "predisposing" variables: age group & gender, and most of the "enabling", and "need" variables tested in this study. Multiple logistic regression analysis has found four factors are statistically significantly associated with non-contact suicide deceased: (i) having non-psychotic disorders (OR = 13.5, 95% CI:2.9-62.9), (ii) unmanageable debts (OR = 10.5, CI:2.4-45.3), (iii) being full/partially/self employed at the time of death (OR = 10.0, CI:1.6-64.1) and (iv) having higher levels of social problem-solving ability (SPSI) (OR = 2.0, CI:1.1-3.6). Conclusion. The non-contact group was clearly different from the contact group and actually comprised a larger proportion of the suicide population that they could hardly be reached by usual individual-based suicide prevention efforts. For this reason, both universal and strategic suicide prevention measures need to be developed specifically in non-medical settings to reach out to this non-contact group in order to achieve better suicide prevention results. © 2010 Law et al; licensee BioMed Central Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/125649
ISSN
2015 Impact Factor: 2.209
2015 SCImago Journal Rankings: 1.372
PubMed Central ID
ISI Accession Number ID
Funding AgencyGrant Number
Hong Kong Jockey Club Charities Trust
Funding Information:

The study was supported by the Hong Kong Jockey Club Charities Trust (which underwrote this research study via the Chief Executive's Community Project List 2002).

References

 

DC FieldValueLanguage
dc.contributor.authorLaw, YWen_HK
dc.contributor.authorWong, PWen_HK
dc.contributor.authorYip, PSen_HK
dc.date.accessioned2010-10-31T11:43:43Z-
dc.date.available2010-10-31T11:43:43Z-
dc.date.issued2010en_HK
dc.identifier.citationBmc Public Health, 2010, v. 10en_HK
dc.identifier.issn1471-2458en_HK
dc.identifier.urihttp://hdl.handle.net/10722/125649-
dc.description.abstractBackground. Considerable attention has been focused on the study of suicides among those who have received help from healthcare providers. However, little is known about the profiles of suicide deceased who had psychiatric illnesses but made no contact with psychiatric services prior to their death. Behavioural model of health service use is applied to identify factors associated with the utilization of psychiatric service among the suicide deceased. Methods. With respect to completed suicide cases, who were diagnosed with a mental disorder, a comparison study was made between those who had (contact group; n = 52; 43.7%) and those who had not made any contact (non-contact group; n = 67; 56.3%) with a psychiatrist during the final six months prior to death. A sample of 119 deceased cases aged between 15 and 59 with at least one psychiatric diagnosis assessed by the Structured Clinical Interview for DSM-IV-TR (SCID I) were selected from a psychological autopsy study in Hong Kong. Results. The contact and non-contact group could be well distinguished from each other by "predisposing" variables: age group & gender, and most of the "enabling", and "need" variables tested in this study. Multiple logistic regression analysis has found four factors are statistically significantly associated with non-contact suicide deceased: (i) having non-psychotic disorders (OR = 13.5, 95% CI:2.9-62.9), (ii) unmanageable debts (OR = 10.5, CI:2.4-45.3), (iii) being full/partially/self employed at the time of death (OR = 10.0, CI:1.6-64.1) and (iv) having higher levels of social problem-solving ability (SPSI) (OR = 2.0, CI:1.1-3.6). Conclusion. The non-contact group was clearly different from the contact group and actually comprised a larger proportion of the suicide population that they could hardly be reached by usual individual-based suicide prevention efforts. For this reason, both universal and strategic suicide prevention measures need to be developed specifically in non-medical settings to reach out to this non-contact group in order to achieve better suicide prevention results. © 2010 Law et al; licensee BioMed Central Ltd.en_HK
dc.languageengen_HK
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcpublichealth/en_HK
dc.relation.ispartofBMC Public Healthen_HK
dc.rightsB M C Public Health. Copyright © BioMed Central Ltd.-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshMental Disorders - diagnosis-
dc.subject.meshMental Health Services - utilization-
dc.subject.meshSuicide - psychology - statistics and numerical data-
dc.titleSuicide with psychiatric diagnosis and without utilization of psychiatric serviceen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1471-2458&volume=10&issue=431&spage=&epage=&date=2010&atitle=Suicide+with+psychiatric+diagnosis+and+without+utilization+of+psychiatric+service-
dc.identifier.emailLaw, YW: flawhk@hku.hken_HK
dc.identifier.emailWong, PW: paulw@hku.hken_HK
dc.identifier.emailYip, PS: sfpyip@hku.hken_HK
dc.identifier.authorityLaw, YW=rp00561en_HK
dc.identifier.authorityWong, PW=rp00591en_HK
dc.identifier.authorityYip, PS=rp00596en_HK
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1186/1471-2458-10-431en_HK
dc.identifier.pmid20649996-
dc.identifier.pmcidPMC2920278-
dc.identifier.scopuseid_2-s2.0-77954775013en_HK
dc.identifier.hkuros182735en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77954775013&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume10en_HK
dc.identifier.issue431-
dc.identifier.isiWOS:000281863200002-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridLaw, YW=7006095381en_HK
dc.identifier.scopusauthoridWong, PW=13607861800en_HK
dc.identifier.scopusauthoridYip, PS=7102503720en_HK

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats