Document Detail


Suicidal behaviors in adult psychiatric outpatients, I: Description and prevalence.
MedLine Citation:
PMID:  8417551     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Because the findings of previous studies of suicidal behaviors in psychiatric outpatients may not necessarily generalize to outpatients with a wide spectrum of psychiatric diagnoses, the authors evaluated the prevalence of suicidal behaviors in a large general psychiatric outpatient clinic whose patients represented a full spectrum of psychiatric illness. METHOD: A total of 651 patients participated in the study between 1987 and 1989. These patients had sought treatment at the outpatient psychiatry department of a private nonprofit hospital. Before being interviewed for treatment, all patients were given a comprehensive self-rating survey packet that included the Harkavy Asnis Suicide Survey and the Hopkins Symptom Checklist-90. The Harkavy Asnis Suicide Survey is a self-report questionnaire that assesses demographic variables, current and past history of suicidal behaviors of the patient as well as family members and peers, and a detailed description of each previous attempt. RESULTS: Fifty-five percent of the patients had a history of suicidal ideation, and 25% reported at least one previous suicide attempt. Approximately half of the suicide attempters reported multiple attempts. The predominant methods of attempt were overdose (53%), jumping (17%), and wrist cutting (17%). Suicidal behavior was prevalent in most diagnostic groups. The rates of suicidal ideation among patients with mood disorders (major depression, dysthymia, and bipolar disorder), adjustment disorders, and alcohol/substance abuse were significantly greater than that of the patients with generalized anxiety disorder. CONCLUSIONS: The authors conclude that suicidal behavior is prevalent among patients who seek treatment in a general outpatient department.
Authors:
G M Asnis; T A Friedman; W C Sanderson; M L Kaplan; H M van Praag; J M Harkavy-Friedman
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of psychiatry     Volume:  150     ISSN:  0002-953X     ISO Abbreviation:  Am J Psychiatry     Publication Date:  1993 Jan 
Date Detail:
Created Date:  1993-01-26     Completed Date:  1993-01-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370512     Medline TA:  Am J Psychiatry     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  108-12     Citation Subset:  AIM; IM    
Affiliation:
Department of Psychiatry, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY 10467-2490.
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MeSH Terms
Descriptor/Qualifier:
Adjustment Disorders / diagnosis,  psychology
Adult
Ambulatory Care*
Depressive Disorder / diagnosis,  psychology
Female
Humans
Male
Mental Disorders / diagnosis*,  psychology
Personality Inventory
Prevalence
Psychiatric Status Rating Scales
Recurrence
Suicide / psychology,  statistics & numerical data*
Suicide, Attempted / psychology,  statistics & numerical data

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


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