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Suicide following acute admissions for physical illnesses across England and Wales / S. E. Roberts; A. John; U. Kandalama; J. G. Williams; R. A. Lyons; K. Lloyd

Psychological Medicine, Pages: 1 - 14

Swansea University Author: Williams, John

Abstract

The study aim was to evaluate the risk of suicide risk following unscheduled admission with physical illnesses.Record linkage methodology was used to analyse inpatient and death certificate data for 11 004 389 acute admissions for physical illnesses in England and 713 496 in Wales. The main outcome...

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Published in: Psychological Medicine
ISSN: 0033-2917 1469-8978
Published: 2017
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa37577
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Abstract: The study aim was to evaluate the risk of suicide risk following unscheduled admission with physical illnesses.Record linkage methodology was used to analyse inpatient and death certificate data for 11 004 389 acute admissions for physical illnesses in England and 713 496 in Wales. The main outcome measure was standardised mortality ratios (SMRs) for suicide at 1 year following discharge from hospital.There were 1781 suicides within 1 year of discharge in England (SMR = 1.7; 95% = 1.6–1.8) and 131 in Wales (SMR = 2.0; 1.7–2.3). Of 48 major physical illnesses that were associated with at least eight suicides in either country, there was high consistent suicide mortality (significant SMR >3) in both countries for constipation (SMR = 4.1 in England, 7.5 in Wales), gastritis (4.4 and 4.9) and upper gastrointestinal bleeding (3.4 and 4.5). There was high suicide mortality in one country for alcoholic liver disease, other liver disease and chronic pancreatitis; for epilepsy and Parkinson's disease; for diabetes, hypoglycaemia and hypo-osmolality & hyponatraemia; and for pneumonia, back pain and urinary tract infections.There is little or no increased suicide mortality following acute admissions for most physical illnesses. Much of the increased suicide mortality relates to gastrointestinal disorders that are often alcohol related or specific chronic conditions, which may be linked to side effects from certain therapeutic medications. Acute hospital admissions for physical illnesses may therefore provide an opportunity for targeted suicide prevention among people with certain conditions, particularly alcohol related disorders.
Keywords: suicide; physical illness; data linkage
College: Swansea University Medical School
Start Page: 1
End Page: 14