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Mental illness and accidental death: case-control psychological autopsy study
- Authors:
- GAU Susan S. F., CHENG Andrew T.A.
- Journal article citation:
- British Journal of Psychiatry, 185(11), November 2004, pp.422-428.
- Publisher:
- Cambridge University Press
Few studies have systematically investigated the psychiatric antecedents of accidental death. The aim was to examine the patterns of psychiatric morbidities contributing to accidental death in three ethnic groups (Han, Ami and Atayal) in Taiwan. A case–control psychological autopsy was conducted among 90 accidental deaths (randomly selected from a total of 413) and 180 living controls matched for age, gender, ethnicity and area of residence in Taiwan. The risk of accidental death was significantly associated with alcohol use disorder and with other common mental disorders. When jointly considered, it was greatest when these two types of disorders co-existed, followed by common mental disorders alone. The risk of accidental death increased with the number of comorbid conditions. The prevention of accidental death should be incorporated into preventive psychiatry, not just for alcohol use disorder, but also for all other common mental disorders.
Psychosocial and psychiatric risk factors for suicide: case-control psychological autopsy study
- Authors:
- CHENG Andrew T.A., et al
- Journal article citation:
- British Journal of Psychiatry, 177, October 2000, pp.360-365.
- Publisher:
- Cambridge University Press
Examines the individual and combined effects of psychosocial and psychiatric risk factors. Five major risk factors (loss event, suicidal behaviour in first-degree relatives, ICD-10 major depressive episode, emotionally unstable personality disorder and substance dependence) were found to have independent effects on suicide from multivariate conditional logistic regression analysis. Concludes that effective intervention and management for loss event and major depressive episode among emotionally unstable subjects with a family tendency of suicidal behaviour, frequently also comorbid with alcohol or other substance dependence, may prove to be most effective for suicide prevention in different populations.