{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T23:30:41Z","timestamp":1792366241039,"version":"4.4.0"},"reference-count":0,"publisher":"SMW Supporting Association","issue":"1314","license":[{"start":{"date-parts":[[2013,3,24]],"date-time":"2013-03-24T00:00:00Z","timestamp":1364083200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Swiss Med Wkly"],"abstract":"<jats:p>BACKGROUND:  The majority of suicides had never had contact with the mental health  care system. The aim of this study is to investigate the specific  characteristics of this particular group.\n        METHODS: Coroners\u2019  files were examined for all 256 suicide victims in the Canton of Lucerne between  2002 and 2006, together with the data from the files of the public psychiatric  institutions for individuals who had been registered as patients. The  sociodemographic, suicidological and clinical variables of suicides who had  been psychiatric patients were compared with those of other suicides. Within the  latter group, suicides with remarks on their mental state in the coroner\u2019s  files (\u201cpolice diagnosis\u201d) were compared with suicides without such remarks.\n        RESULTS: Assisted  suicides (24\/256 [9.4%]) were excluded from the comparative analysis. 151  (65.1%) of the remaining 232 suicides had never been registered by a public  psychiatric service; 40 (26.5%) of these had a \u201cpolice diagnosis\u201d. In the  regression analysis intoxication as a suicide method, announcement of suicide  and impaired health characterised suicides with an established psychiatric  diagnosis, whereas suicides without a psychiatric diagnosis were more likely to  be retired. Among the latter, those without a \u201cpolice diagnosis\u201d were more  likely to have left a suicide note.\n        CONCLUSIONS:  Unexpectedly, the only difference between suicide methods with and without former  contact with the mental health system was poisoning. Within the latter group,  the subgroup without \u201cpolice diagnosis\u201d left more suicide notes. Further  qualitative analyses of suicide notes might be useful in improving understanding  of the motives of suicides without a manifest psychiatric history.<\/jats:p>","DOI":"10.4414\/smw.2013.13779","type":"journal-article","created":{"date-parts":[[2013,4,17]],"date-time":"2013-04-17T06:29:02Z","timestamp":1366180142000},"page":"w13779","source":"Crossref","is-referenced-by-count":7,"title":["Suicides in the Canton of Lucerne over 5 years:  subjects with and without psychiatric history and diagnosis"],"prefix":"10.57187","volume":"143","author":[{"given":"Andreas","family":"Frei","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toralf","family":"Bucher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Walter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vladeta","family":"Ajdacic-Gross","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"36756","published-online":{"date-parts":[[2013,3,24]]},"container-title":["Swiss Medical Weekly"],"original-title":[],"link":[{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1668\/2214","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1668\/2215","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1668\/2214","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T04:25:09Z","timestamp":1755231909000},"score":1,"resource":{"primary":{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/view\/1668"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,3,24]]},"references-count":0,"journal-issue":{"issue":"1314","published-online":{"date-parts":[[2013,3,25]]}},"URL":"https:\/\/doi.org\/10.4414\/smw.2013.13779","relation":{},"ISSN":["1424-3997"],"issn-type":[{"value":"1424-3997","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,3,24]]}}}