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A Survey of Unexpected Deaths among Psychiatric In-Patients and Ex-Patients

Published online by Cambridge University Press:  29 January 2018

Susan Shaw  and
Andrew Sims
Susan Shaw
Affiliation:
Stanley Royd Hospital, Wakefield, W. Yorkshire
Andrew Sims
Affiliation:
St. James's University Hospital, Leeds LS9 7TF
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Extract

The foundation of charitable institutions for the care of the mentally ill began towards the end of the eighteenth century as a result of concern amongst the articulate for the disadvantaged in society. It was not long before this same concern was again aroused; this time at the high death rate within many of these asylums. In the case of the York Asylum, which was the subject of a Parliamentary Select Committee in 1815, this was found to be due to poor conditions (Digby, 1983). Recently the Royal College of Psychiatrists has focussed attention on the continuing problem of patients who kill themselves while receiving treatment in hospital (Crammer, 1983). Particular attention was drawn to the reluctance of psychiatrists and those around them to examine the events leading to death; this compares unfavourably with the attitudes of anaesthetists and obstetricians, who have an established procedure for confidential inquiries into unexpected deaths.

Information

Type
Symposium on Suicide in Hospital
Information
The British Journal of Psychiatry , Volume 145 , Issue 5 , November 1984 , pp. 473 - 476
Copyright
Copyright © 1984 The Royal College of Psychiatrists 

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References

Achte, K. A., Stenback, A. & Teravainen, H. (1969) On suicides committed during treatment in psychiatric hospitals. Acta Psychiatrica Scandinavica, 42, 272–284.CrossRefGoogle Scholar
Barraclough, B. M., Bunch, J., Nelson, B. & Sainsbury, P. (1974) A hundred cases of suicide: clinical aspects. British Journal of Psychiatry, 125.355–373.CrossRefGoogle ScholarPubMed
Barraclough, B. M. Holding, T. & Favers, P. (1976) Influence of coroners' officers and pathologists on suicide verdicts. British Journal of Psychiatry, 128, 471–474.CrossRefGoogle ScholarPubMed
Brugha, T. & Walsh, D. (1978) Suicide past and present: the temporal constancy of under-reporting. British Journal of Psychiatry, 132, 177–179.CrossRefGoogle ScholarPubMed
Crammer, J. L. (1983) In-patients sometimes kill themselves. Bulletin of the Royal College of Psychiatrists, January 1983, 7, 2–4.CrossRefGoogle Scholar
Digby, Anne (1983) Changes in the asylum: the case of York 1777–1815. The Economic History Review, Second Series, 36.Google ScholarPubMed
Flood, R. A. & Seager, C. P. (1968) A retrospective examination of psychiatric case records of patients who subsequently committed suicide. British Journal of Psychiatry, 114, 443–450.CrossRefGoogle ScholarPubMed
Hessö, R. (1977) Suicide in Norwegian, Finnish and Swedish psychiatric hospitals. Archiv für Psychiatrie und Nervenkrankheiten, 224, 119–127.CrossRefGoogle ScholarPubMed
Holding, T. A. & Barraclough, B. M. (1977) Psychiatric morbidity in a sample of accidents. British Journal of Psychiatry, 130, 244–252.CrossRefGoogle Scholar
Holding, T. A. & Barraclough, B. M. (1978) Undetermined deaths—suicide or accident? British Journal of Psychiatry, 133, 542–549.CrossRefGoogle ScholarPubMed
Innes, G. & Millar, W. M. (1970) Mortality among psychiatric patients. Scottish Medical Journal, 15, 143–148.CrossRefGoogle ScholarPubMed
Jennings, C. & Barraclough, B. M. (1980) Legal and administrative influences on the English suicide rate since 1900. Psychological Medicine, 10, 407–418.CrossRefGoogle ScholarPubMed
McCarthy, P. D. & Walsh, D. (1975) Suicide in Dublin. 1: The under-reporting of suicide and consequences for national statistics. British Journal of Psychiatry, 126, 301–308.CrossRefGoogle Scholar
Myers, D. H. & Neal, C. D. (1978) Suicide in psychiatric patients. British Journal of Psychiatry, 133, 38–44.CrossRefGoogle ScholarPubMed
Odegard, O. (1967) Mortality in Norwegian psychiatric hospitals 1950–62. Acta Genetica (Basel), 17/2, 137–153.Google Scholar
Perris, C., Beskow, J. & Jacobsson, L. (1980) Some remarks on the incidence of successful suicide in psychiatric care. Social Psychiatry, 15, 161–166.CrossRefGoogle Scholar
Rorsman, B., Hagnell, O. & Lauke, J. (1982) Violent death and mental disorder in the Lundby study: Accidents and suicides in a total population during a 25-year period. Neuropsychobiology, 8, 233–240.CrossRefGoogle Scholar
Schwartz, D. A., Fluin, D. E. & Slawson, P. (1975) Suicide in the psychiatric hospital. American Journal of Psychiatry, 132, 150–153.Google ScholarPubMed
Sims, A. C. P. (1973) The mortality in neurosis. Lancet, 2, 1072–1076.CrossRefGoogle ScholarPubMed
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