Turnbull Pauline, Hunt Isabelle M, Woodhouse Tim, Monk Helen, Kapur Nav, Appleby Louis
National Confidential Inquiry Into Suicide and Safety in Mental Health (NCISH), Centre for Mental Health and Safety, School of Health Sciences, University of Manchester, Manchester, UK.
Kent County Council, Kent, UK.
Lancet Reg Health Eur. 2025 Jun 18;55:101350. doi: 10.1016/j.lanepe.2025.101350. eCollection 2025 Aug.
There is growing evidence of a link between domestic violence and suicidality. We present the first national analysis of women with mental disorders who died by suicide having experienced domestic violence. We aim to make recommendations to improve the safety of services, particularly for women who experience domestic violence.
We obtained data on women who died by suicide under the care of UK mental health services (2015-2021). We compared women who experienced domestic violence with women with no known history. Logistic regression identified associations between person and care characteristics and domestic violence.
We identified 630 women who experienced domestic violence, 26% of all women with mental disorders who died by suicide. These women were younger (median age 42 vs. 47), and more often unemployed (366, 64% v. 641, 39%; p0.002). Adverse life events were common (378, 66%), most often serious financial problems (104, 23% v. 163, 10%; p < 0.001) and/or loss of job, benefits, or housing (97, 20% v. 198, 13%; p < 0.001). Many had a diagnosis of PTSD (83, 13% v. 72, 4%), self-harm (500, 83% v. 1,077, 62%), and alcohol misuse (371, 63% v. 477, 27%). They were more likely to have a history of violence as a perpetrator (124, 22% v. 87, 5%; p < 0.001).
Many factors associated with suicide are also associated with domestic violence (e.g., unemployment, serious financial problems), suggesting intersecting disadvantages. Mental health clinicians have a responsibility to enquire about domestic violence and address its impacts as an integral part of suicide prevention.
The Healthcare Quality Improvement Partnership.
越来越多的证据表明家庭暴力与自杀倾向之间存在联系。我们首次对因自杀死亡且曾遭受家庭暴力的患有精神障碍的女性进行了全国性分析。我们旨在提出建议以提高服务安全性，特别是针对遭受家庭暴力的女性。
我们获取了英国精神卫生服务机构照料下自杀死亡女性的数据（2015 - 2021年）。我们将遭受家庭暴力的女性与无此类已知病史的女性进行了比较。逻辑回归分析确定了个人及照料特征与家庭暴力之间的关联。
我们确定了630名遭受家庭暴力的女性，占所有因自杀死亡的患有精神障碍女性的26%。这些女性更年轻（中位年龄42岁对47岁），且失业比例更高（366人，64%对641人，39%；p<0.002）。不良生活事件很常见（378人，66%），最常见的是严重财务问题（104人，23%对163人，10%；p<0.001）和/或失去工作、福利或住房（97人，20%对198人，13%；p<0.001）。许多人被诊断患有创伤后应激障碍（83人，13%对72人，4%）、有自残行为（500人，83%对1077人，62%）以及酒精滥用（371人，63%对477人，27%）。她们更有可能有作为施暴者的暴力史（124人，22%对87人，5%；p<0.001）。
许多与自杀相关的因素也与家庭暴力相关（例如失业、严重财务问题），这表明存在交叉性劣势。心理健康临床医生有责任询问家庭暴力情况并将解决其影响作为自杀预防的一个组成部分。
医疗质量改进伙伴关系组织。
