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Long-term suicide risk in forensic psychiatric patients

Clarke, Martin
Davies, Steffan
Hollin, Clive R.
Duggan, Conor
Abstract
The objectives of this study was to describe the rate of suicide and other causes of death in first admissions to a (medium) secure forensic psychiatric facility. All 595 patients were followed up for a maximum of 20 years. Death certificates were obtained and Standardized Mortality Ratios (SMRs) were calculated. At the June 2003 census, 57 patients (9.6%) had died of whom 18 (3.0%) had committed suicide; if deaths categorized as open verdicts are included the number rises to 26 (4.4%). The SMR for death by suicide was higher for a Mental Health Act classification of Mental Illness (SMR=3,553) compared to Psychopathic Disorder (SMR=1,892). The risks of mortality in this population are high from any cause, particularly from suicide. © International Academy for Suicide Research.
Citation
Clarke, M., Davies, S., Hollin, C. & Duggan, C. (2011). Long-term suicide risk in forensic psychiatric patients. Archives of Suicide Research, 15 (1), pp.16-28.
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