Article: Population-attributable risk of suicide conferred by axis I psychiatric diagnoses in a Hong Kong Chinese population

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TitlePopulation-attributable risk of suicide conferred by axis I psychiatric diagnoses in a Hong Kong Chinese population
AuthorsChan, SSM2
Chiu, HFK2
Chen, EYH1
Chan, WSC1
Wong, PWC1
Chan, CLW1
Law, YW1
Yip, PSF1
Issue Date2009
PublisherAmerican Psychiatric Publishing, Inc.. The Journal's web site is located at http://www.ps.psychiatryonline.org
CitationPsychiatric Services, 2009, v. 60 n. 8, p. 1135-1138 [How to Cite?]
DOI: http://dx.doi.org/10.1176/appi.ps.60.8.1135
AbstractObjective: This study was conducted to determine the population- attributable risk (PAR) of completed suicide among Hong Kong Chinese with axis I psychiatric diagnoses. Methods: With a case-control psychological autopsy method, 150 suicide decedents aged 15-59 were compared for axis I psychiatric diagnoses and psychosocial variables with 150 randomly selected age- and gender-matched persons living in the community. Results: In the presence of other, non-disease-related social risk factors (unemployment and unmanageable debt), past suicide attempt independently accounted for 44% of the PAR of suicide, followed by current major depressive disorder (27%), schizophrenia spectrum disorders (22%), and substance use disorder or pathological gambling (16%). Other diagnoses (such as anxiety and phobic disorders, dysthymia, adjustment disorders, and past major depressive episode) accounted for 24% of PAR. Conclusions: Psychiatric morbidity remains the major risk factor for suicide in Hong Kong despite well-developed psychiatric services. Mental health policy should be refined to target clinical groups at high risk of suicide.
ISSN1075-2730
2011 Impact Factor: 2.383
2011 SCImago Journal Rankings: 0.125
DOIhttp://dx.doi.org/10.1176/appi.ps.60.8.1135
ISI Accession Number IDWOS:000268537000022
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorChan, SSM
dc.contributor.authorChiu, HFK
dc.contributor.authorChen, EYH
dc.contributor.authorChan, WSC
dc.contributor.authorWong, PWC
dc.contributor.authorChan, CLW
dc.contributor.authorLaw, YW
dc.contributor.authorYip, PSF
dc.date.accessioned2010-09-06T09:38:50Z
dc.date.available2010-09-06T09:38:50Z
dc.date.issued2009
dc.description.abstractObjective: This study was conducted to determine the population- attributable risk (PAR) of completed suicide among Hong Kong Chinese with axis I psychiatric diagnoses. Methods: With a case-control psychological autopsy method, 150 suicide decedents aged 15-59 were compared for axis I psychiatric diagnoses and psychosocial variables with 150 randomly selected age- and gender-matched persons living in the community. Results: In the presence of other, non-disease-related social risk factors (unemployment and unmanageable debt), past suicide attempt independently accounted for 44% of the PAR of suicide, followed by current major depressive disorder (27%), schizophrenia spectrum disorders (22%), and substance use disorder or pathological gambling (16%). Other diagnoses (such as anxiety and phobic disorders, dysthymia, adjustment disorders, and past major depressive episode) accounted for 24% of PAR. Conclusions: Psychiatric morbidity remains the major risk factor for suicide in Hong Kong despite well-developed psychiatric services. Mental health policy should be refined to target clinical groups at high risk of suicide.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationPsychiatric Services, 2009, v. 60 n. 8, p. 1135-1138 [How to Cite?]
DOI: http://dx.doi.org/10.1176/appi.ps.60.8.1135
dc.identifier.doihttp://dx.doi.org/10.1176/appi.ps.60.8.1135
dc.identifier.epage1138
dc.identifier.hkuros167583
dc.identifier.isiWOS:000268537000022
dc.identifier.issn1075-2730
2011 Impact Factor: 2.383
2011 SCImago Journal Rankings: 0.125
dc.identifier.issue8
dc.identifier.openurl
dc.identifier.pmid19648205
dc.identifier.scopuseid_2-s2.0-69149099912
dc.identifier.spage1135
dc.identifier.urihttp://hdl.handle.net/10722/88104
dc.identifier.volume60
dc.languageeng
dc.publisherAmerican Psychiatric Publishing, Inc.. The Journal's web site is located at http://www.ps.psychiatryonline.org
dc.publisher.placeUnited States
dc.relation.ispartofPsychiatric Services
dc.relation.referencesReferences in Scopus
dc.titlePopulation-attributable risk of suicide conferred by axis I psychiatric diagnoses in a Hong Kong Chinese population
dc.typeArticle
Author Affiliations
  1. The University of Hong Kong
  2. Chinese University of Hong Kong