Characteristics of deaths by suicide in Northern Ireland from 2005 to 2011 and use of health services prior to death

Siobhan O'Neill, Colette Corry, SD Murphy, Sharon E. Brady, B Bunting

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Background
Service presentation may offer an opportunity for intervention prior to suicide. The study aimed to examine the characteristics, disorders and service use profiles of those who had died by suicide in Northern Ireland (NI) from 2005 to 2011.

Methods
An analysis of a database of deaths by suicide and undetermined intent based on data in the NI Coronial files from 2005 to 2011 (N=1667).

Results
Males are three times as likely to die by suicide as females and suicide rates similar among those aged 20–60 years. Females have increased service use prior to suicide; males tend to disengage with services prior to death. Females are more likely to have recorded prior attempts, service use, diagnosis and referral. The most common health service used was primary care.

Limitations
Despite the inclusion of undetermined deaths (probable suicides) a proportion of deaths by suicide remain unrecorded as such. Data on marital status and mental and physical disorders were based on information recorded by police officers from relatives, other informants and medical records. The reliability of this data may therefore be questioned.

Conclusions
Primary care has an important role in suicide prevention. Gendered patterns in service use prior to death should be considered in suicide prevention programmes. It is important to strengthen clinicians׳ knowledge of the manifestations of suicidal ideation in males and ways of encouraging service use in males. The NI population who were exposed to the height of the violence of the conflict appear to be at increased risk of suicide as they age.
LanguageEnglish
Pages466-471
JournalJournal of Affective Disorders
Volume168
Early online date29 Jul 2014
DOIs
Publication statusPublished - 15 Oct 2014

Fingerprint

Northern Ireland
Suicide
Health Services
Suicidal Ideation
Marital Status
Police
Violence
Mental Disorders
Medical Records
Primary Health Care
Referral and Consultation
Databases

Keywords

  • Suicide
  • Service Use
  • conflict
  • Mental Health

Cite this

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title = "Characteristics of deaths by suicide in Northern Ireland from 2005 to 2011 and use of health services prior to death",
abstract = "BackgroundService presentation may offer an opportunity for intervention prior to suicide. The study aimed to examine the characteristics, disorders and service use profiles of those who had died by suicide in Northern Ireland (NI) from 2005 to 2011.MethodsAn analysis of a database of deaths by suicide and undetermined intent based on data in the NI Coronial files from 2005 to 2011 (N=1667).ResultsMales are three times as likely to die by suicide as females and suicide rates similar among those aged 20–60 years. Females have increased service use prior to suicide; males tend to disengage with services prior to death. Females are more likely to have recorded prior attempts, service use, diagnosis and referral. The most common health service used was primary care.LimitationsDespite the inclusion of undetermined deaths (probable suicides) a proportion of deaths by suicide remain unrecorded as such. Data on marital status and mental and physical disorders were based on information recorded by police officers from relatives, other informants and medical records. The reliability of this data may therefore be questioned.ConclusionsPrimary care has an important role in suicide prevention. Gendered patterns in service use prior to death should be considered in suicide prevention programmes. It is important to strengthen clinicians׳ knowledge of the manifestations of suicidal ideation in males and ways of encouraging service use in males. The NI population who were exposed to the height of the violence of the conflict appear to be at increased risk of suicide as they age.",
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Characteristics of deaths by suicide in Northern Ireland from 2005 to 2011 and use of health services prior to death. / O'Neill, Siobhan; Corry, Colette; Murphy, SD; Brady, Sharon E.; Bunting, B.

In: Journal of Affective Disorders, Vol. 168, 15.10.2014, p. 466-471.

Research output: Contribution to journalArticle

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T1 - Characteristics of deaths by suicide in Northern Ireland from 2005 to 2011 and use of health services prior to death

AU - O'Neill, Siobhan

AU - Corry, Colette

AU - Murphy, SD

AU - Brady, Sharon E.

AU - Bunting, B

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N2 - BackgroundService presentation may offer an opportunity for intervention prior to suicide. The study aimed to examine the characteristics, disorders and service use profiles of those who had died by suicide in Northern Ireland (NI) from 2005 to 2011.MethodsAn analysis of a database of deaths by suicide and undetermined intent based on data in the NI Coronial files from 2005 to 2011 (N=1667).ResultsMales are three times as likely to die by suicide as females and suicide rates similar among those aged 20–60 years. Females have increased service use prior to suicide; males tend to disengage with services prior to death. Females are more likely to have recorded prior attempts, service use, diagnosis and referral. The most common health service used was primary care.LimitationsDespite the inclusion of undetermined deaths (probable suicides) a proportion of deaths by suicide remain unrecorded as such. Data on marital status and mental and physical disorders were based on information recorded by police officers from relatives, other informants and medical records. The reliability of this data may therefore be questioned.ConclusionsPrimary care has an important role in suicide prevention. Gendered patterns in service use prior to death should be considered in suicide prevention programmes. It is important to strengthen clinicians׳ knowledge of the manifestations of suicidal ideation in males and ways of encouraging service use in males. The NI population who were exposed to the height of the violence of the conflict appear to be at increased risk of suicide as they age.

AB - BackgroundService presentation may offer an opportunity for intervention prior to suicide. The study aimed to examine the characteristics, disorders and service use profiles of those who had died by suicide in Northern Ireland (NI) from 2005 to 2011.MethodsAn analysis of a database of deaths by suicide and undetermined intent based on data in the NI Coronial files from 2005 to 2011 (N=1667).ResultsMales are three times as likely to die by suicide as females and suicide rates similar among those aged 20–60 years. Females have increased service use prior to suicide; males tend to disengage with services prior to death. Females are more likely to have recorded prior attempts, service use, diagnosis and referral. The most common health service used was primary care.LimitationsDespite the inclusion of undetermined deaths (probable suicides) a proportion of deaths by suicide remain unrecorded as such. Data on marital status and mental and physical disorders were based on information recorded by police officers from relatives, other informants and medical records. The reliability of this data may therefore be questioned.ConclusionsPrimary care has an important role in suicide prevention. Gendered patterns in service use prior to death should be considered in suicide prevention programmes. It is important to strengthen clinicians׳ knowledge of the manifestations of suicidal ideation in males and ways of encouraging service use in males. The NI population who were exposed to the height of the violence of the conflict appear to be at increased risk of suicide as they age.

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