scholarly journals Long‐term suicide risk in no, one or more mental disorders: the Lundby Study 1947–1997

2015 ◽  
Vol 132 (6) ◽  
pp. 459-469 ◽  
Author(s):  
C. Holmstrand ◽  
M. Bogren ◽  
C. Mattisson ◽  
L. Brådvik
Keyword(s):  
Mental Disorders ◽  
Suicide Risk ◽  
The Lundby Study

Case register study of suicide risk in mental disorders

1999 ◽  
Vol 175 (4) ◽  
pp. 322-326 ◽  
Author(s):  
David Baxter ◽  
Louis Appleby
Keyword(s):  
High Risk ◽  
Personality Disorder ◽  
Mental Disorders ◽  
Suicide Risk ◽  
Large Scale ◽  
Psychiatric Patients ◽  
Young Patients ◽  
Initial Contact ◽  
Case Register

BackgroundThere have been few large-scale studies of long-term suicide risk in mental disorders in the UK.AimsTo estimate the long-term risk of suicide in psychiatric patients.MethodA sample of 7921 individuals was identified from the Salford Psychiatric Case Register. Mortality by suicide or undetermined external cause during a follow-up period of up to 18 years was determined using the NHS Central Register; suicide risks were estimated as rate ratios.ResultsSuicide risk was increased more than ten-fold in both genders: the rate ratio for males was 11.4; for females it was 13.7. The risk was highest in young patients, but high risk continued into late life. The diagnoses with the highest risk were schizophrenia, affective disorders, personality disorder and (in males) substance dependence. Risk was also associated with recent initial contact and number of admissions but not comorbidity.ConclusionsThe suicide risks estimated in this study are generally higher than those previously reported, notably in schizophrenia and personality disorder, and in previous in-patients. Patients with these high-risk diagnoses, an onset of illness within the previous 1–3 years, or more than one previous admission should be regarded as priority groups for suicide prevention by mental health services.

The Lundby Study - Background and Recent Findings in a 50-year Perspective

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
P. Nettelbladt ◽  
C. Mattisson ◽  
M. Bogren ◽  
L. Brådvik
Keyword(s):  
Suicide Risk ◽  
Psychotic Disorders ◽  
Bipolar Disorders ◽  
Total Sample ◽  
Sufficient Information ◽  
Structured Interviews ◽  
Alcohol Disorders ◽  
First Onset ◽  
The Lundby Study

Aims:To describe the Lundby Study and present recent data for the period 1947-1997.Methods:The Lundby population consisting of 3563 probands was investigated by semi-structured interviews in 1947, 1957, 1972 and 1997. Sufficient information was available for 94-99%. Best estimate consensus diagnoses have been used since 1957 together with DSM-IV and ICD-10 in 1997.Results:From 1947-1972 to 1972-1997 a decrease in almost all age- and sex-specific incidences of neurotic and organic disorders was observed, whereas psychotic disorders increased consistently in males, but decreased in most age intervals in females. Women had higher first incidence depression rates than men and the average annual rate was lower for women and tended to be lower for men 1972-1997 as compared with 1947-1972. Median age at first onset of depression was around 35 years for individuals followed up for 30-49 years. The recurrence rate was about 40% and varied from 17% to 76% depending on length of follow-up. Transition to diagnoses other than depression was registered in 21% of the total sample, alcohol disorders in 7% and bipolar disorders in 2%.The overall long-term suicide risk varied from 5,6% to 6.8%. The long term suicide risk was 3.1% for medium and 13.7% for severe MDD. Severity and male sex were risk factors. After the introduction of TCAs a fall in suicide rates among depressed individuals was observed. Certain clusters of personality traits may predict functional psychosis.Conclusions:Low attrition rates over 50 years and reasonable diagnostic uniformity make comparisons over time justifiable.

Long-Term Suicide Risk in Anxiety—The Lundby Study 1947–2011

2016 ◽  
Vol 20 (3) ◽  
pp. 463-475 ◽  
Author(s):  
Johan Anderberg ◽  
Mats Bogren ◽  
Cecilia Mattisson ◽  
Louise Brådvik
Keyword(s):  
Suicide Risk ◽  
The Lundby Study

scholarly journals Comorbid mental disorders during long‐term course in a nationwide cohort of patients with anorexia nervosa

2021 ◽  
Author(s):  
Hans‐Christoph Steinhausen ◽  
Martin Dalgaard Villumsen ◽  
Kirsten Hørder ◽  
Laura Al‐Dakhiel Winkler ◽  
Niels Bilenberg ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Mental Disorders ◽  
Comorbid Mental Disorders

Assessment of needs for care among patients with schizophrenic disorders 15 and 17 years after first onset of psychosis

1997 ◽  
Vol 6 (S1) ◽  
pp. 21-28 ◽  
Author(s):  
Durk Wiersma ◽  
Fokko J. Nienhuis ◽  
Cees J. Slooff ◽  
Robert Giel ◽  
Aant De Jong
Keyword(s):  
Mental Disorders ◽  
Empirical Studies ◽  
Signs And Symptoms ◽  
Expected Improvement ◽  
Chronic Patients ◽  
Cross Sectional ◽  
Wide Range ◽  
Social Disablement ◽  
First Onset

Severe and long term mental disorders, like schizophrenia, show in general a wide range of psychiatric signs and symptoms, psychological and physiological impairments and social disablement (Shepherd, 1994; Wing, 1982) reflecting a variety of mental health needs. Many studies provide only a cross-sectional view of the clinical and social problems of the patient population, for example at intake or admission to a mental hospital. Longitudinal studies following patients after discharge for some period of months or years show in general the expected improvement of functioning (e.g. Nienhuis et al., 1994), but as far as only chronic patients are concerned such a positive change is much less noted. The concept of chronicity of mental disorders would presume that after some time needs are fairly predictable and stable and do not change much over time. Our investigation on the long-term course of schizophrenia (Wiersma et al., 1996; 1997) enables us to study over a period of two years, from 15 to 17 years since first onset of psychosis, the stability or variability of needs in schizophrenic disorder. We are not aware of empirical studies on changes in needs among patients with long-term disorders.

scholarly journals Repetition of deliberate self-harm and subsequent suicide risk: Long-term follow-up study of 11 583 patients

2004 ◽  
Vol 185 (1) ◽  
pp. 70-75 ◽  
Author(s):  
Daniel Louis Zahl ◽  
Keith Hawton
Keyword(s):  
Relative Risk ◽  
Suicide Risk ◽  
Single Episode ◽  
Deliberate Self Harm ◽  
Young Females ◽  
Follow Up Study ◽  
Increased Risk ◽  
Self Harm

BackgroundRepetition of deliberate self-harm (DSH) is a risk factor for suicide. Little information is available on the risk for specific groups of people who deliberately harm themselves repeatedly.AimsTo investigate the long-term risk of suicide associated with repetition of DSH by gender, age and frequency of repetition.MethodA mortality follow-up study to the year 2000 was conducted on 11583 people who presented to the general hospital in Oxford between 1978 and 1997. Repetition of DSH was determined from reported episodes prior to the index episode and episodes presenting to the same hospital during the follow-up period. Deaths were identified through national registers.ResultsThirty-nine percent of patients repeated the DSH. They were at greater relative risk of suicide than the single-episode DSH group (2.24; 95% CI 1.77–2.84). The relative risk of suicide in the repeated DSH group compared with the single-episode DSH group was greater in females (3.5; 95% C11.3–2.4) than males (1.8; 95% C1 2.3–5.3) and was inversely related to age (up to 54 years). Suicide risk increased further with multiple repeat episodes of DSH in females.ConclusionsRepetition of DSH is associated with an increased risk of suicide in males and females. Repetition may be a better indicator of risk in females, especially young females.

scholarly journals Claims for sickness and disability benefits owing to mental disorders in the UK: trends from 1995 to 2014

BJPsych Open ◽  
2016 ◽  
Vol 2 (1) ◽  
pp. 18-24 ◽  
Author(s):  
Sebastião Viola ◽  
Joanna Moncrieff
Keyword(s):  
Anxiety Disorder ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Common Mental Disorders ◽  
Disability Benefits ◽  
Common Cause ◽  
Individual Support ◽  
Government Data ◽  
The Uk

BackgroundThere is international concern about the levels of sickness and disability benefits, with mental disorders known to account for a large proportion of claims.AimsTo examine trends in sickness and disability benefits awarded for mental disorders in the UK.MethodThe researchers analysed UK Government data from 1995 to 2014.ResultsMental disorders have become the most common cause of receiving benefits, with the number of claimants rising by 103% from 1995 to 1.1 million in 2014. Claimants with other conditions fell by 35%. In 2014, 47% of claims were attributed to a mental disorder. The number of long-term claimants (claiming over 5 years) with mental disorders increased by 87% from 2000 to 2011. Two-thirds of mental disorder claimants were classified as having a depressive or anxiety disorder.ConclusionsCommon mental disorders may involve greater morbidity and social costs than usually recognised. Availability of suitable employment, as well as individual support, may be necessary to reduce benefit levels.

scholarly journals Face to face with the suicidal

1998 ◽  
Vol 4 (4) ◽  
pp. 188-196 ◽  
Author(s):  
Gethin Morgan ◽  
Carole Buckley ◽  
Mike Nowers
Keyword(s):  
Clinical Assessment ◽  
Suicide Risk ◽  
Clinical Intervention ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Face To Face ◽  
The Individual ◽  
Near Future

The clinical assessment and management of suicide risk depends primarily on face to face contact with the individual who presents the risk, and aims to predict behaviour in the very near future. Whether or not clinical intervention prevents suicide depends a great deal on the clinician's skill in reaching out to the individual patient. This poses a dilemma, because much of what has been written about predicting suicide has been based on averaged data concerning long-term outcome in large cohorts of patients.

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