RESUMO
Age-specific suicide rates are presented, based on 207 white patients of the Missouri Department of Mental Health who were identified as having committed suicide during 1972-74. Results, divided by age, sex, diagnosis and patient status, are compared with other studies. Male inpatients are about five times more likely to commit suicide compared to the general population, while female inpatients are about 10 times more likely to do so. In both sexes, the rate is greatest for the diagnosis of major affective disorder. A history of psychiatric treatment increases the suicide risk more for women than for men, although male patients are still about twice as likely to commit suicide than are female patients. A quantitative model is presented which describes the relative influence of age, sex and diagnosis on suicide rates.
Assuntos
Transtornos Mentais/complicações , Suicídio/epidemiologia , Adolescente , Adulto , Fatores Etários , Idoso , Assistência Ambulatorial , Análise de Variância , Feminino , Hospitais Psiquiátricos , Humanos , Masculino , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Missouri , Fatores Sexuais , Suicídio/psicologiaRESUMO
Twelve per cent of suicides in Missouri during a 3-year period were identified as having been patients of the state mental health care system by computer matching of death certificate tapes and a statewide case registry file. The percentage of Missouri suicides who had been patients varied markedly among age groups. Compared to nonpatient suicides, the patient suicides had a more equal male/female ratio and were younger. Diagnostically, schizophrenia, alcoholism (among males), and affective disorder (among females) were prominent. Nonwhites had a low incidence of suicide. The significance of the patient status at the time of death is discussed.
Assuntos
Hospitais Psiquiátricos , Hospitais Públicos , Hospitais Estaduais , Suicídio/psicologia , Adolescente , Adulto , Idoso , Criança , Feminino , Humanos , Masculino , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Missouri , Suicídio/epidemiologiaRESUMO
Those people who had previously been patients of the Department of Mental Health of Missouri who died in the three year period 1972 through 1974 and whose deaths were designated as suicide or "undetermined whether purposely or accidentally inflicted," were identified by matching statewide death tapes against the DMH data base. The demographic characteristics of the two groups are compared to ascertain if the members of the undetermined group are essentially similar to the suicides, as has frequently been hypothesized. It is found that, in general, the similarities are in areas which would not have had a direct influence on the medical examiner/coroner's verdict, whereas, the differences do highlight areas which could cause an indecisive verdict. The significance of the undetermined deaths is discussed.
Assuntos
Transtornos Mentais/mortalidade , Suicídio/epidemiologia , Adolescente , Adulto , Idoso , Alcoolismo/psicologia , Criança , Computadores , Feminino , Humanos , Masculino , Matemática , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Missouri , Psicologia do Esquizofrênico , Fatores de TempoRESUMO
Six patients with moderate or severe tardive dyskinesia participated in a 14-day double-blind crossover comparison of placebo with 50 g/day of lecithin. There were no side effects, and Abnormal Involuntary Movement Scale (AIMS) ratings of videotaped examinations indicated significant improvement in the dyskinesias of all subjects during the lecithin trial, even with concomitant administration of a constant dose of neuroleptic medication to five patients.
