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Completed suicide: an update for the general psychiatrist

Published online by Cambridge University Press:  13 June 2014

Brian O'Shea ,
Marjorie Stokes  and
Jane Falvey
Marjorie Stokes
Affiliation:
Newcastle Hospital, Greystones, Co Wicklow, Ireland
Jane Falvey
Affiliation:
St Sennan's Hospital, Enniscorthy, Co Wexford, Ireland
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Abstract

Objectives: To review the most recent information on completed suicide for the general adult psychiatrist.

Methods: Literature review.

Results: Suicide is the result of a complex interaction of multiple variables. Prediction is highly dependent on clinical evaluation. Predictive factors identify groups better than individuals. Prevention has both clinical and political implications.

Conclusions: Reduced access to lethal methods (historically, from barbiturates to modified vehicle exhaust systems and paracetamol), attention to social factors (such as alcohol availability and employment levels) and clinical vigilance, coupled with adequate treatment of psychiatric disorders and close follow-up, should help to reduce suicide rates. Wider cultural issues (eg. religion) are poorly understood and require further research.

Keywords

Completed suicideMethodsBiochemistryPsychiatryPredictionPrevention.
Type
Review
Information
Irish Journal of Psychological Medicine , Volume 17 , Issue 3 , September 2000 , pp. 100 - 105
Copyright
Copyright © Cambridge University Press 2000

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