A Scale for Predicting Subsequent Suicidal Behaviour

The British Journal of PsychiatryPublished 1 June 1974

Dorothy Buglass, John Horton

DOI10.1192/bjp.124.6.573

Source URL

Citations109

SJR quartileQ1

SJR score2.47

SNIP2.17

TL;DR

A scale predicting subsequent suicidal behaviour was constructed on 1968 data and it is concluded that the scale validates reasonably well, and its applications, especially in evaluative studies, are discussed.

Abstract

Between 1962 and 1970, the male parasuicide (attempted suicide) rate in Edinburgh has doubled, and the rate for women shows a 70 per cent increase (Kreitman, 1972). Of those who are admitted following a parasuicidal act a substantial proportion are readmitted—approximately 15 per cent within 12 months and 25 per cent within three years. Parasuicide is a sign of severe distress, and repetition indicates that the distress has not been adequately alleviated. A means of early identification of the potential repeaters would be valuable.

Keywords

PsychologySocial Sciences

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The Regional Poisoning Treatment Centre at the Royal Infirmary treats about 90 per cent of all cases of attempted suicide admitted to hospitals in the area, and the increase is unlikely to be accounted for by redirection of patients from other hospitals.

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The study was undertaken to assess the extent to which suicide is under-reported in Edinburgh, and the way in which this affects the suicide statistics, and suggested that unidentified suicides occur among `undetermined' deaths and not among accidental deaths.

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Comparison of outcome among treated and untreated patients demonstrated that psychiatric intervention was associated with a significant reduction in subsequent suicidal behaviour, and the correlation between psychiatric treatment and outcome remained significant.

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