Document Detail


Potentially lethal suicide attempts using sharp objects during psychotic illness.
MedLine Citation:
PMID:  21371969     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Recent studies have reported that serious violence toward self and others is more common in the first episode of psychosis than after treatment.
AIMS: To estimate the proportion of survivors of potentially lethal suicide attempts with sharp objects who have a diagnosis of psychotic illness, and the proportion of those patients who had never received treatment for psychosis with antipsychotic medication.
METHODS: An audit of the medical records of patients from three major teaching hospitals in Sydney, Australia, who survived a self inflicted stab wound to the abdomen, torso, or a laceration to the neck.
RESULTS: The files of 95 survivors of self-inflicted wounds by cutting or stabbing who met the inclusion criteria for the study were examined. A psychotic illness was diagnosed in 46 cases (48%), of which 26 (57%) had never received treatment with antipsychotic medication and, hence, were in the first episode of psychosis.
CONCLUSIONS: Psychosis is strongly associated with potentially lethal suicide attempts using sharp objects and patients who have never received treatment for psychosis appear to be at particular risk.
Authors:
Olav B Nielssen; Matthew M Large
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Crisis     Volume:  32     ISSN:  0227-5910     ISO Abbreviation:  Crisis     Publication Date:  2011  
Date Detail:
Created Date:  2011-03-04     Completed Date:  2011-07-14     Revised Date:  2012-01-24    
Medline Journal Info:
Nlm Unique ID:  8218602     Medline TA:  Crisis     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  37-42     Citation Subset:  IM    
Affiliation:
Clinical Research Unit for Anxiety and Depression, School of Psychiatry, University of New South Wales at St. Vincent's Hospital, Darlinghurst, Sydney, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Male
Psychotic Disorders / psychology*
Suicide, Attempted / psychology*,  statistics & numerical data
Victoria / epidemiology
Wounds, Stab / epidemiology,  psychology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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