Contacts to the health care system prior to suicide: a comprehensive analysis using registers for general and psychiatric hospital admissions, contacts to general practitioners and practising specialists and drug prescriptions

Acta Psychiatr Scand. 2000 Aug;102(2):126-34. doi: 10.1034/j.1600-0447.2000.102002126.x.

Abstract

Objective: The purpose of this study was to describe suicides' contacts with various parts of the health-care system.

Method: Data on 472 people who committed suicide in a Danish County (Funen) in the period of April 1 1991 to December 31 1995 were searched in the Danish Psychiatric Central Register, the National Patient Register, the National Health Insurance and Odense Pharmacoepidemiologic Database.

Results: In total, 97.5% of the suicides were recaptured in at least one of these registers. Forty-two per cent had been hospitalized in psychiatric departments. Within the last month before death, 66% consulted a general practitioner, 13% and 7%, respectively, were discharged from a psychiatric hospital and general hospital.

Conclusion: The registers used provided a comprehensive registry-based description of suicides' contacts with the health-care system. The most prominent features were the high prevalence of psychiatric morbidity and the high rate of contacts with GPs close to suicide.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Denmark / epidemiology
  • Drug Prescriptions / statistics & numerical data*
  • Family Practice / statistics & numerical data*
  • Female
  • Health Services / statistics & numerical data*
  • Hospitalization / statistics & numerical data*
  • Hospitals, General / statistics & numerical data
  • Hospitals, Psychiatric / statistics & numerical data
  • Humans
  • Male
  • Mental Disorders / epidemiology*
  • Mental Disorders / therapy
  • Middle Aged
  • Office Visits / statistics & numerical data
  • Practice Patterns, Physicians'
  • Prevalence
  • Psychiatric Department, Hospital / statistics & numerical data
  • Psychiatry / statistics & numerical data*
  • Registries / statistics & numerical data
  • Suicide / psychology
  • Suicide / statistics & numerical data*