Emergency Psychiatry Flashcards
How many deaths in E+W are due to suicide?
1%
How many patients with mood disorder will die by suicide?
6-10%
Risk factors for suicide in patients with depression
History of impulsive and aggressive behaviour
Cluster B PD
History of attempted suicide - increases risk by 40x
Alcohol and drug use
Lifetime risk of suicide in those with alcohol dependence
7%
Risk of suicide in anorexia
20x higher than general population
Lifetime risk of suicide in SCZ
6% - 10x higher than general population
Most common in active phase of disorder after depressive sx
M:F ratio of suicide
2-4:1
Most common age groups who commit suicide
15-24 females
25-34 males
Most common mental illness in those who commit suicide
Depression 30-31%
Alcohol dependence 17-24%
How many people who self-harm will self-harm again in one yer
30%
How many people who commit suicide have at least one previous recorded DSH attempt
40-60%
How may people who commit suicide were in contact with MH services within a year of death
25%
How many attempt suicide while under influence of alcohol
25%
How many people who commit suicide saw a psychiatrist in last week
12.5%
How many people who commit suicide in inpatients committed suicide in first week of admission
25%
How many people who committed suicide were discharged from inpatients within 3 months
25%
40% of these occurred before first follow up
Preventable suicides in E+W according to MH teams
22%
Strongest risk factor for suicide
DSH history
Risk of suicide within one year of DSH
Males 1.1%
Females 0.5%
66x gen pop risk
How many inpatient suicides occurred while on leave?
33%
Prevalence of suicidal ideation
9.2%
Prevalence of suicidal plans
3.1%
Prevalence of suicide attempts
2.7%
Rate of self-harm
3 per 1000 per year
