Suicide with psychiatric diagnosis and without utilization of psychiatric service.

BMC Public Health
Yik-wa LawPaul S F Yip

Abstract

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. 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. 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 statisticall...Continue Reading

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Oct 19, 2011·Psychiatry and Clinical Neurosciences·Akiko KameyamaTadashi Takeshima
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Feb 21, 2019·Journal of Evidence-informed Social Work·Yik Wa LawPaul Siu Fai Yip
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