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Br J Psychiatry. 2000 Oct;177:360-5.

Psychosocial and psychiatric risk factors for suicide. Case-control psychological autopsy study.

Author information

  • 1Division of Epidemiology, Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan. bmandrew@ccvax.sinica.edu.tw

Abstract

BACKGROUND:

Few studies of suicide have simultaneously examined the individual and combined effects of psychosocial and psychiatric risk factors.

AIMS:

To do so in a representative sample of suicides.

METHOD:

A case-control psychological autopsy was conducted among 113 consecutive suicides and 226 living controls matched for age, gender, ethnicity and area of residence in Taiwan.

RESULTS:

Five major risk factors (loss event, suicidal behaviour in first-degree relatives, ICD-10 major depressive episode, emotionally unstable personality disorder and substance dependence) were found to have independent effects on suicide from multivariate conditional logistic regression analysis.

CONCLUSIONS:

Effective intervention and management for loss event and major depressive episode among emotionally unstable subjects with a family tendency of suicidal behaviour, frequently also comorbid with alcohol or other substance dependence, may prove to be most effective for suicide prevention in different populations.

PMID:
11116779
[PubMed - indexed for MEDLINE]
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