{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T21:53:45Z","timestamp":1767650025270},"reference-count":9,"publisher":"Royal College of Psychiatrists","issue":"3","license":[{"start":{"date-parts":[[2018,1,3]],"date-time":"2018-01-03T00:00:00Z","timestamp":1514937600000},"content-version":"unspecified","delay-in-days":7429,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[1997,9]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The study aimed to define the characteristics and assess the clinical predictability and possible prevention of psychiatric in-patient suicides.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The coroner's files on all suicides in the Greater Montreal Region from 1 April 1986 to 31 March 1991 were examined. The medical records of each case of suspected in-patient suicide were then reviewed and rated for predictability and preventive measures taken.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 3079 suicides were recorded over this five-year period (mean annual rate of 16.4 per 100 000 inhabitants). Of these, 104 (3.4%) involved hospital in-patients. Nearly half (48%) of these in-patient suicides occurred outside the hospital setting. The methods most frequently employed were hanging (36%) and jumping from high places (24%). Patients suffering from an affective disorder (45%) or schizophrenia (35%) comprised the majority of the sample. Suicides were significantly more predictable in general hospital psychiatric wards. Suicide prevention measures did not differ significantly across settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The majority of in-patient suicides were not highly predictable. For highly predictable suicides, the results underline the importance of actively treating and protecting these patients.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.171.3.247","type":"journal-article","created":{"date-parts":[[2008,10,15]],"date-time":"2008-10-15T01:36:56Z","timestamp":1224034616000},"page":"247-250","source":"Crossref","is-referenced-by-count":59,"title":["One hundred in-patient suicides"],"prefix":"10.1192","volume":"171","author":[{"given":"France","family":"Proulx","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alain D.","family":"Lesage","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Grunberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2018,1,3]]},"reference":[{"key":"S0007125000147750_ref9","doi-asserted-by":"publisher","DOI":"10.1007\/BF01787819"},{"key":"S0007125000147750_ref2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.145.5.460"},{"key":"S0007125000147750_ref1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.141.5.503"},{"key":"S0007125000147750_ref3","first-page":"99","article-title":"Suicide prevention in the hospital","volume":"32","author":"Farberow","year":"1981","journal-title":"Hospital and Community Psychiatry"},{"key":"S0007125000147750_ref5","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.158.3.368"},{"key":"S0007125000147750_ref4","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.154.2.247"},{"key":"S0007125000147750_ref7","first-page":"209","article-title":"Suicide litigation and risk management: a review of 32 cases","volume":"13","author":"Perr","year":"1985","journal-title":"Bulletin of the American Academy of Psychiatry and Law"},{"key":"S0007125000147750_ref6","first-page":"215","article-title":"Suicide in the psychiatric hospital: international trends and medico legal aspects","volume":"38","author":"Oehmichen","year":"1988","journal-title":"Acta Medicinae et Socialis"},{"key":"S0007125000147750_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/0163-8343(80)90025-0"}],"container-title":["British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125000147750","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,11]],"date-time":"2019-05-11T16:24:39Z","timestamp":1557591879000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125000147750\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1997,9]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1997,9]]}},"alternative-id":["S0007125000147750"],"URL":"https:\/\/doi.org\/10.1192\/bjp.171.3.247","relation":{},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[1997,9]]}}}