ArticleThe British journal of psychiatry : the journal of mental science2020
Contacts with primary and secondary healthcare prior to suicide: case-control whole-population-based study using person-level linked routine data in Wales, UK, 2000-2017.
Article in The British journal of psychiatry : the journal of mental science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Raising Suicide in Medical Appointments-Barriers and Facilitators Experienced by Young Adults and GPs: A Mixed-Methods Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Antecedents and outcomes of a later attention-deficit hyperactivity disorder (ADHD) diagnosis in females.The British journal of psychiatry : the journal of mental science · 2026Article
- A retrospective cohort study of clinical characteristics and healthcare contacts in Sweden prior to suicide in individuals with heart disease.BMC primary care · 2026Article
- "Hopeless but supported in that hopelessness": a qualitative study of how people experience talking to a GP about suicide.Frontiers in psychiatry · 2026Article
- The experiences of 'Suicide Prevention Champions' in the UK National Health Service (NHS): A qualitative investigation.PLOS mental health · 2026Article
- 'I did not think they could help me': Autistic adults' reasons for not seeking public healthcare when they last experienced suicidality.Autism : the international journal of research and practice · 2025Article
- Gambling, suicide and mental health treatment utilisation in Wales: case-control, whole-population-based study.BJPsych open · 2025Article
- Patterns and characteristics of 'calls of despair': a service evaluation using Yorkshire Ambulance Service data.British paramedic journal · 2025Article
- Use of childhood adversity and mental health admission patterns to predict suicide in young people.BJPsych open · 2025Article
- Review
- Help-Seeking Needs Related to Suicide Prevention for Individuals in Contact With Mental Health Services: A Rapid Scoping Review.Journal of psychiatric and mental health nursing · 2025Article
- Primary care contact, clinical management, and suicide risk following discharge from inpatient mental health care: a case-control study.BJGP open · 2024Article
- Recognising and Responding to Suicide-Risk Factors in Primary Care: A Scoping Review.Journal of prevention (2022) · 2024Article
- Last general practitioner consultation during the final month of life: a national medical record review of suicides in Sweden.BMC primary care · 2024Article
- Childhood adversity and mental health admission patterns prior to young person suicide (CHASE): a case-control 36 year linked hospital data study, Scotland UK 1981-2017.BJPsych open · 2024Article
- Article
- Cross-sectoral primary care-based approaches to reducing suicides in England.Journal of the Royal Society of Medicine · 2024Article
- The interplay between suicidal experiences, psychotic experiences and interpersonal relationships: a qualitative study.BMC psychiatry · 2023Article
- Review
- Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLongitudinal studies of patterns of healthcare contacts in those who die by suicide to identify those at risk are scarce.
aimsTo examine type and timing of healthcare contacts in those who die by suicide.
methodA population-based electronic case-control study of all who died by suicide in Wales, 2001-2017, linking individuals' electronic healthcare records from general practices, emergency departments and hospitals. We used conditional logistic regression to calculate odds ratios, adjusted for deprivation. We performed a retrospective continuous longitudinal analysis comparing cases' and controls' contacts with health services.
resultsWe matched 5130 cases with 25 650 controls (5 per case). A representative cohort of 1721 cases (8605 controls) were eligible for the fully linked analysis. In the week before their death, 31.4% of cases and 15.6% of controls contacted health services. The last point of contact was most commonly associated with mental health and most often occurred in general practices. In the month before their death, 16.6 and 13.0% of cases had an emergency department contact and a hospital admission respectively, compared with 5.5 and 4.2% of controls. At any week in the year before their death, cases were more likely to contact healthcare services than controls. Self-harm, mental health and substance misuse contacts were strongly linked with suicide risk, more so when they occurred in emergency departments or as emergency admissions.
conclusionsHelp-seeking occurs in those at risk of suicide and escalates in the weeks before their death. There is an opportunity to identify and intervene through these contacts.
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