Shahtahmasebi Said
School of Mathematics and Statistics, Faculty of Health and Sciences, Christchurch Polytechnic Institute of Technology, POBox 540, Christchurch, New Zealand.
ScientificWorldJournal. 2003 Aug 2;3:684-93. doi: 10.1100/tsw.2003.51.
In 1992, following consultations with the Royal College of Psychiatrists, the confidential inquiry into homicides and suicides by mentally ill people was set up by the United Kingdom Department of Health. The inquiry collects detailed information on contact with secondary mental health services by means of a questionnaire from clinical audit or information departments from these organisations. In Leeds, however, a wider range of available records including Coroner Reports, police, social, educational, and all health records were consulted. This resulted in a series of health/life event histories of suicide cases that had been in contact with psychiatric services. This paper presents an exploratory analysis of these data. The Leeds suicide cases formed less than one-third of all suicide cases in Leeds; the remainder had not come into contact with psychiatric services. This proportion is consistent with the U.K. national figures. Records show that 46% of the sample"s first contact with the psychiatric services was through a first failed attempted suicide. Other results include the role of prescribed drugs in repeat suicide attempts, education levels, and employment stability. It is concluded that the link between mental illness and suicide is questionable. Life event history type data on all suicide cases is desperately required to study suicide as a social process.
1992年，在与皇家精神病学院协商后，英国卫生部设立了对精神病患者杀人及自杀事件的保密调查。该调查通过来自这些机构临床审计或信息部门的问卷，收集与二级心理健康服务接触的详细信息。然而，在利兹，查阅了更广泛的可用记录，包括验尸官报告、警方记录、社会记录、教育记录以及所有健康记录。这产生了一系列与精神科服务有接触的自杀案例的健康/生活事件史。本文对这些数据进行了探索性分析。利兹的自杀案例占利兹所有自杀案例的比例不到三分之一；其余案例未与精神科服务有过接触。这一比例与英国全国数据一致。记录显示，样本中46%首次与精神科服务接触是通过首次自杀未遂。其他结果包括处方药在重复自杀未遂中的作用、教育水平和就业稳定性。结论是，精神疾病与自杀之间的联系值得怀疑。迫切需要所有自杀案例的生活事件史类型数据，以便将自杀作为一个社会过程来研究。
