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Psychiatric aftercare and suicide risk: a case-control study using blind rating

Psychiatric aftercare and suicide risk: a case-control study using blind rating
Psychiatric aftercare and suicide risk: a case-control study using blind rating
Blindly abstracted records of last episode of care together with aftercare records of 39 psychiatric patient suicides and their matched controls were rated blind for suicidal talk during aftercare, reduction of aftercare at last appointment and high-low suicide risk. Neither suicidal talk nor reduction of aftercare was confirmed as a predictor of suicide, although trends in the predicted directions were observed. Blind estimates of high-low risk correctly identified a significant minority (40%) of suicides but at the cost of misclassifying 60% as controls. Evidence is still lacking that clinicians blind to case identity may, from records, reliably distinguish a majority of suicides from their matched controls. Some implications for practice and research are discussed.
aftercare, blind rating, case-control, suicide risk
1381-1118
291-295
Conlon, Louise
4cd41184-c36c-4704-b5e9-e410b01f7800
Garland, Malcolm
3ed460e7-9d6c-4a7f-b318-69d6cc73e791
Prescott, Philip
cf0adfdd-989b-4f15-9e60-ef85eed817b2
Mannion, Laura
46ad8d3a-0321-4dde-ad55-b58019ea9565
leonard, Maeve
79e82a6c-1640-48c8-831f-d6f7b5006073
Fahy, Thomas J.
3ee187f4-be81-4b1f-b3b4-11a997efcb0b
Conlon, Louise
4cd41184-c36c-4704-b5e9-e410b01f7800
Garland, Malcolm
3ed460e7-9d6c-4a7f-b318-69d6cc73e791
Prescott, Philip
cf0adfdd-989b-4f15-9e60-ef85eed817b2
Mannion, Laura
46ad8d3a-0321-4dde-ad55-b58019ea9565
leonard, Maeve
79e82a6c-1640-48c8-831f-d6f7b5006073
Fahy, Thomas J.
3ee187f4-be81-4b1f-b3b4-11a997efcb0b

Conlon, Louise, Garland, Malcolm, Prescott, Philip, Mannion, Laura, leonard, Maeve and Fahy, Thomas J. (2007) Psychiatric aftercare and suicide risk: a case-control study using blind rating. Archives of Suicide Research, 11 (3), 291-295. (doi:10.1080/13811110701404021).

Record type: Article

Abstract

Blindly abstracted records of last episode of care together with aftercare records of 39 psychiatric patient suicides and their matched controls were rated blind for suicidal talk during aftercare, reduction of aftercare at last appointment and high-low suicide risk. Neither suicidal talk nor reduction of aftercare was confirmed as a predictor of suicide, although trends in the predicted directions were observed. Blind estimates of high-low risk correctly identified a significant minority (40%) of suicides but at the cost of misclassifying 60% as controls. Evidence is still lacking that clinicians blind to case identity may, from records, reliably distinguish a majority of suicides from their matched controls. Some implications for practice and research are discussed.

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More information

Published date: July 2007
Keywords: aftercare, blind rating, case-control, suicide risk
Organisations: Statistics

Identifiers

Local EPrints ID: 46708
URI: https://eprints.soton.ac.uk/id/eprint/46708
ISSN: 1381-1118
PURE UUID: f88ed54b-3365-4190-952e-a4308dfa82cb

Catalogue record

Date deposited: 13 Jul 2007
Last modified: 13 Mar 2019 21:02

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