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Psychological autopsy studies – a review

Published online by Cambridge University Press:  16 April 2020

E.T. Isometsä
E.T. Isometsä*
Affiliation:
Mood Disorders & Suicide Research Unit, Department of Mental Health and Alcohol Research, National Public Health Institute, Mannerheimintie166 FIN-00300Helsinki, Finland
*
*Correspondence and reprints. E-mail address: erkki.isometsa@ktl.fi (E.T. Isometsä).
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Summary

Psychological autopsy is one of the most valuable tools of research on completed suicide. The method involves collecting all available information on the deceased via structured interviews of family members, relatives or friends as well as attending health care personnel. In addition, information is collected from available health care and psychiatric records, other documents, and forensic examination. Thus a psychological autopsy synthesizes the information from multiple informants and records. The early generation of psychological autopsies established that more than 90% of completed suicides have suffered from usually co-morbid mental disorders, most of them mood disorders and/or substance use disorders. Furthermore, they revealed the remarkable undertreatment of these mental disorders, often despite contact with psychiatric or other health care services. More recent psychological autopsy studies have mostly used case-control designs, thus having been better able to estimate the role of various risk factors for suicide. The future psychological autopsy studies may be more focused on interactions between risk factors or risk factor domains, focused on some specific suicide populations of major interest for suicide prevention, or combined psychological autopsy methodology with biological measurements.

Keywords

alcoholismco-morbiditydepressionpsychological autopsysuicide
Type
Review
Information
European Psychiatry , Volume 16 , Issue 7 , November 2001 , pp. 379 - 385
Copyright
Copyright © European Psychiatric Association 2001

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References

Appleby, LCooper, JAmos, TFaragher, B.Psychological autopsy of suicides by people under 35. Br J Psychiatry 1999; 175: 168–74.CrossRefGoogle ScholarPubMed
Apter, ABleich, AKing, RAKron, SFluch, AKotler, M. et al. Death without warning? A clinical postmortem study of suicide in 43 Israeli adolescent males. Arch Gen Psychiatry 1993; 50: 138–42.CrossRefGoogle Scholar
Arato, MDemeter, ERihmer, ZSomogyi, E.Retrospective psychiatric assessment of 200 suicides in Budapest. Acta Psychiatr Scand 1988; 77: 454–6.CrossRefGoogle ScholarPubMed
Åsgård, U.A psychiatric study of suicide among urban Swedish women. Acta Psychiatr Scand 1990; 82: 115–24.CrossRefGoogle ScholarPubMed
Barraclough, BMBunch, JNelson, BSainsbury, P.A hundred cases of suicide: clinical aspects. Br J Psychiatry 1974; 125: 355–73.CrossRefGoogle ScholarPubMed
Beskow, J.Suicide and mental disorder in Swedish men. Acta Psychiatr Scand 1979; 277 (Suppl): 1–138.Google Scholar
Brent, DABridge, JJohnsson, BConolly, J.Suicidal behavior runs in families. A controlled family study of adolescent suicide victims. Arch Gen Psychiatry 1996; 53: 1145–57.CrossRefGoogle ScholarPubMed
Brent, DAPerper, JAGoldstein, CEKolko, DJAllan, MJAllman, CJ. et al. Risk factors for adolescent suicide: a comparison of adolescent suicide victims with suicidal inpatients. Arch Gen Psychiatry 1988; 45: 581–8.CrossRefGoogle ScholarPubMed
Cavanagh, JTOOwens, DGCJohnstone, EC.Suicide and undetermined death in south east Scotland. A case-control study using the psychological autopsy method. Psychol M 1999; 29: 1141–9.CrossRefGoogle Scholar
Cheng, ATChen, THChen, CCJenkins, R.Psychosocial and psychiatric risk factors for suicide. Case-control psychological autopsy study. Br J Psychiatry 2000; 177: 360–5.CrossRefGoogle ScholarPubMed
Cheng, ATAMann, AHChan, KA.Personality disorder and suicide. Br J Psychiatry 1997; 170: 441–6.CrossRefGoogle ScholarPubMed
Cheng, ATA.Mental illness and suicide. A case-control study in East Taiwan. Arch Gen Psychiatry 1995; 52: 594–603.CrossRefGoogle ScholarPubMed
Chynoweth, RTonge, JIArmstrong, J.Suicide in Brisbane: a retrospective psychosocial study. Aust NZ J Psychiatry 1980; 14: 37–45.CrossRefGoogle ScholarPubMed
Clark, DCHorton-Deutsch, S.L.Assessment in absentia: the value of the psychological autopsy method for studying antecedents of suicide and predicting future suicides. Maris, RWBerman, ALMaltsberger, JTYufit, RI, Eds.; Assessment and prediction of suicide. New York: Guilford Press; 1992. 144–82.Google Scholar
Conwell, YDuberstein, PCox, CHerrmann, JHForbes, NTCaine, ED.Relationships of age- and axis I diagnoses in victims of completed suicide: a psychological autopsy study. Am J Psychiatry 1996; 153: 1001–8.Google ScholarPubMed
Dorpat, TLRipley, HS.A study of suicide in the Seattle area. Compr Psychiatry 1960; 1: 349–59.CrossRefGoogle ScholarPubMed
Foster, TGillespie, KMcClelland, RPatterson, C.Risk factors for suicide independent of DSM-III-R Axis I disorder. Br J Psychiatry 1999; 175: 175–9.CrossRefGoogle ScholarPubMed
Foster, TGillespie, KMcClelland, R.Mental disorders and suicide in Northern Irelend. Br J Psychiatry 1997; 170: 447–52.CrossRefGoogle Scholar
Hawton, KAppleby, LPlatt, SFoster, TCooper, JMalmberg, A. et al. The psychological autopsy method: a review of methodological issues. J Affect Disord 1998; 50: 269–76.Google ScholarPubMed
Heilä, HIsometsä, ETHenriksson, MMHeikkinen, MEMarttunen, MJLönnqvist, JK.Suicide victims with schizophrenia in different treatment phases and the adequacy of antipsychotic medication. J Clin Psychiatry 1999; 60: 200–8.CrossRefGoogle ScholarPubMed
Henriksson, MMAro, HMMarttunen, MJHeikkinen, MEIsometsä, ETKuoppasalmi, KI. et al. Mental disorders and comorbidity in suicide. Am J Psychiatry 1993; 150: 935–40.Google ScholarPubMed
Isometsä, EHenriksson, MLönnqvist, J.Completed suicide and recent lithium treatment. J Affect Disord 1992; 26: 101–4.CrossRefGoogle ScholarPubMed
Isometsä, ETHeikkinen, MEMarttunen, MJHenriksson, MMAro, HMLönnqvist, JK.The last appointment before suicide: is suicidal intent communicated?. Am J Psychiatry 1995; 152: 919–22.Google Scholar
Isometsä, ETHenriksson, MMAro, HMHeikkinen, MEKuoppasalmi, KILönnqvist, JK.Suicide in major depression. Am J Psychiatry 1994; 151: 530–6.Google ScholarPubMed
Lesage, ADBoyer, RGrunberg, FVanier, CMorissette, RMénard-Buteau, C. et al. Suicide and mental disorders: a case-control study of young men. Am J Psychiatry 1994; 151: 1063–8.Google ScholarPubMed
Mann, JJHuang, JYUnderwood, MDKassir, SAOppenheim, SKelly, TM. et al. A serotonin transporter gene promoter polymorphism (5-HTTLPR) and prefrontal cortical finding in major depression and suicide. Arch Gen Psychiatry 2000; 57: 729–38.CrossRefGoogle Scholar
Marttunen, MJAro, HMHenriksson, MMLönnqvist, JK.Mental disorder in adolescent suicide. DSM-III-R Axes I and II among 13 to 19 year olds in Finland. Arch Gen Psychiatry 1991; 48: 834–839.CrossRefGoogle Scholar
Mitterauer, B.Mehrdimensionale Diagnostik von 121 Suiziden im Bundesland Salzburg im Jahre 1978. Wiener Med Wochensch 1981; 131: 229–34.Google Scholar
Pirkis, JBurgess, P.Suicide and recency of health care contacts. A systematic review. Br J Psychiatry 1998; 173: 462–74.CrossRefGoogle ScholarPubMed
Pirkola, SIsometsä, EHenriksson, MHeikkinen, MMarttunen, MLönnqvist, J.The treatment received by substance dependent male and female suicide victims. Acta Psychiatrica Scandinavica 1999; 99: 207–13.CrossRefGoogle ScholarPubMed
Rich, CLYoung, DFowler, RC.San Diego Suicide Study. I: young vs. old subjects. Arch Gen Psychiatry 1986; 43: 577–82.Google ScholarPubMed
Robins, EGassner, SKayes, JWilkinson, RHMurphy, GE.The communication of suicidal intent: a study of 134 consecutive cases of successful (completed) suicide. Am J Psychiatry 1959; 115: 724–33.CrossRefGoogle ScholarPubMed
Runeson, B.Mental disorders in youth suicide: DSM-III-R axes I and II. Acta Psychiatr Scand 1989; 79: 490–7.CrossRefGoogle ScholarPubMed
Shaffer, DGould, MFisher, PTrautman, PMoreau, DKleinman, M. et al. Psychiatric diagnosis in child and adolescent suicide. Arch Gen Psychiatry 1996; 53: 339–48.CrossRefGoogle ScholarPubMed
Shafii, MSteltz-Lenarsky, JDerrick, AMBeckner, CWhittinghill, JR.Comorbidity of mental disorders in the post-mortem diagnosis of completed suicide in children and adolescents. J Affect Disord 1988; 15: 227–33.CrossRefGoogle ScholarPubMed
Vijayakumar, LRajkumar, S.Are risk factors for suicide universal? A case-control study in India. Acta Psychiatr Scand 1999; 99: 407–11.CrossRefGoogle ScholarPubMed
Waern, MBeskow, JRuneson, BSkoog, I.High rate of antidepressant treatment in elderly people who commit suicide. BMJ 1996; 313: 1118.CrossRefGoogle ScholarPubMed
Waern, MBeskow, JRuneson, BSkoog, I.Suicidal feelings in the last year of life in elderly people who commit suicide. Lancet 1999; 354: 917–8.CrossRefGoogle ScholarPubMed
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