Hunt Isabelle M, Robinson Jo, Bickley Harriet, Meehan Janet, Parsons Rebecca, McCann Kerry, Flynn Sandra, Burns James, Shaw Jenny, Kapur Navneet, Appleby Louis
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, Centre for Suicide Prevention, Manchester, UK.
Br J Psychiatry. 2003 Aug;183:155-60. doi: 10.1192/bjp.183.2.155.
Information on suicide by psychiatric patients from ethnic minority groups is scarce.
To establish the number of patients from ethnic minorities who kill themselves; to describe their suicide methods, and their social and clinical characteristics.
A national clinical survey was based on a 4-year sample of suicides in England and Wales. Detailed data were collected on those who had been in contact with mental health services in the year before death.
In total 282 patients from ethnic minorities died by suicide--6% of all patient suicides. The most common method of suicide was hanging; violent methods were more common than in White patient suicides. Schizophrenia was the most common diagnosis. Ethnic minority patients were more likely to have been unemployed than White patients and to have had a history of violence and recent non-compliance. In around half, this was the first episode of self-harm. Black Caribbean patients had the highest rates of schizophrenia (74%), unemployment, living alone, previous violence and drug misuse.
In order to reduce the number of suicides by ethnic minority patients, services should address the complex health and social needs of people with severe mental illness.
关于少数族裔精神病患者自杀的信息匮乏。
确定少数族裔自杀患者的数量；描述他们的自杀方式、社会及临床特征。
一项全国性临床调查基于英格兰和威尔士4年的自杀样本。收集了那些在死亡前一年曾接触过精神卫生服务者的详细数据。
共有282名少数族裔患者自杀死亡——占所有患者自杀人数的6%。最常见的自杀方式是上吊；暴力方式比白人患者自杀中更常见。精神分裂症是最常见的诊断。少数族裔患者比白人患者更可能失业，且有暴力史和近期不遵医嘱情况。约半数患者此次是首次自伤。加勒比黑人患者的精神分裂症发病率最高（74%），失业、独居、既往暴力及药物滥用情况也最为严重。
为减少少数族裔患者的自杀人数，服务机构应满足重症精神病患者复杂的健康和社会需求。
