{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,13]],"date-time":"2026-11-13T03:46:10Z","timestamp":1794541570693,"version":"4.9.1"},"reference-count":64,"publisher":"Hogrefe Publishing Group","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Crisis"],"published-print":{"date-parts":[[2004,7]]},"abstract":"<jats:p>Abstract: Background: The key role of prevention and treatment of mental disorders in the prevention of suicide is widely acknowledged. Which specific disorders need to be targeted remains to be conclusively demonstrated. Aims: To re-examine the presence of psychiatric diagnosis in cases of completed suicide from a global perspective. Method: A review of studies reporting diagnoses of mental disorders in cases of completed suicide with or without history of admission to mental hospitals. Results: Most cases were from Europe and North America (82.2%). The majority (98%) of these had a diagnosis of at least one mental disorder. Among all diagnoses, mood disorders accounted for 30.2%, followed by substance-use related disorders (17.6%), schizophrenia (14.1%), and personality disorders (13.0%). Conclusions: The mental health paradigm in suicide prevention covers just a part of the problem. Antisuicide strategies focusing exclusively on the identification and treatment of depression need to be reconsidered. In addition to this, other mental disorders should be targeted, in particular alcohol-use disorders and schizophrenia. More emphasis should also be placed on psychosocial and environmental interventions diminishing and counteracting stress.<\/jats:p>","DOI":"10.1027\/0227-5910.25.4.147","type":"journal-article","created":{"date-parts":[[2004,11,2]],"date-time":"2004-11-02T22:55:21Z","timestamp":1099436121000},"page":"147-155","source":"Crossref","is-referenced-by-count":348,"title":["Psychiatric Diagnoses and Suicide: Revisiting the Evidence"],"prefix":"10.1027","volume":"25","author":[{"given":"Jos\u00e9 Manoel","family":"Bertolote","sequence":"first","affiliation":[{"name":"Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Fleischmann","sequence":"additional","affiliation":[{"name":"Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"De Leo","sequence":"additional","affiliation":[{"name":"Australian Institute for Suicide Research and Prevention, Griffith University, Brisbane, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danuta","family":"Wasserman","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, Karolinska Institute and Swedish National Institute of Psychosocial Medicine, and National Center for Suicide Research and Prevention of Mental Ill-Health, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1988.tb05150.x"},{"key":"c2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1990.tb01367.x"},{"key":"c3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1986.tb02710.x"},{"key":"c4","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.125.4.355"},{"key":"c5","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.183.5.382"},{"key":"c6","unstructured":"Bertolote, JM , Fleischmann, A Suicide and psychiatric diagnosis: A worldwide perspective.World Psychiatry, (2002).1, 181\u2013 185"},{"key":"c7","unstructured":"Beskow, J Suicide and mental disorder in Swedish men.Acta Psychiatrica Scandinavica, (1979).Suppl., 277\u2013"},{"key":"c8","doi-asserted-by":"crossref","unstructured":"Beskow, J , Runeson, B , Asgard, U Psychological autopsies: Methods and ethics.Suicide and Life-Threatening Behavior, (1990).20, 307\u2013 323","DOI":"10.1111\/j.1943-278X.1990.tb00219.x"},{"key":"c9","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1996.01830080018004"},{"key":"c10","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1985.01790240073007"},{"key":"c11","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291798007430"},{"key":"c12","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291799001294"},{"key":"c13","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.155.6.829"},{"key":"c14","doi-asserted-by":"publisher","DOI":"10.1126\/science.1083968"},{"key":"c15","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291799001038"},{"key":"c16","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1995.03950190076011"},{"key":"c17","doi-asserted-by":"publisher","DOI":"10.3109\/00048678009159352"},{"key":"c18","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.153.8.1001"},{"key":"c19","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.141.5.503"},{"key":"c20","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1614.2001.01013.x"},{"key":"c21","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.182.5.4547"},{"key":"c22","unstructured":"Department of HealthSafety first: Five-year report of the National Confidential Inquiry into suicide and homicide by people with mental illness. 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