Call to improve safety of home treatment for mental health patients
Deaths by suicide among mental health patients treated at home have reached 150 to 200 a year in England, latest national figures reveal but suicides among patients on mental health wards continue to fall.
The annual report by the University of Manchester's National Confidential Inquiry into Homicide and Suicide by People with Mental Illness (NCI) examined homicide and suicide figures for all four countries of the United Kingdom among mental health patients and found in-patient suicides have shown a sustained fall across all countries. In contrast, the number of suicides by patients receiving home treatment services (also known as crisis-resolution services) has increased. The report shows that in 2009 there were 195 suicides by patients treated at home in England, compared to 84 in-patient suicide deaths. Overall, the number of people under home treatment services has increased over recent years and the number of people admitted to in-patient care has decreased.
The NCI report, which was commissioned by the Healthcare Quality Improvement Partnership on behalf of the Department of Health, England, NHSSPS Northern Ireland, the Scottish Government, the Welsh Government and the Channel Islands, recommends mental health services make home-treatment teams a priority for suicide prevention.
Louis Appleby, Professor of Psychiatry at The University of Manchester and the government's health and criminal justice tsar, said: "Death by suicide among in-patients in mental health wards has fallen dramatically over the past decade but the provision of care has increasingly moved into the community, with over 100,000 patients per year treated by crisis resolution teams. The success in reducing suicide among in-patients now needs to be repeated in patients receiving treatment for acute mental illness at home.
"Suicide prevention measures on wards have been successful and should continue. As a result of removing ligature points and preventing patients going absent without leave, we now have over 100 fewer in-patient suicides per year than a decade ago.
"Doctors are also prescribing more safely, using less toxic drugs, and we are seeing a fall in suicides by overdose of tricyclic antidepressants."
Other main findings of the NCI 2012 annual report include:
- a decrease in the number of patient suicides by overdose of tricyclic antidepressants in England, Wales and Scotland
- a decrease in in-patient suicides following absconding in England
- higher figures for alcohol misuse and dependence in Northern Ireland and Scotland
- rising suicide rates in Northern Ireland, linked to alcohol misuse
- a recent decrease in the number of mental health patients convicted of homicide although it is too early to draw definitive conclusions
- a downward trend in homicides in the general population in Scotland since 2004.
Provided by University of Manchester
- UK suicide, homicide rates in mental health patients revealed Jul 19, 2011 | not rated yet | 0
- Alcohol blamed for high suicide rates in Northern Ireland Jun 29, 2011 | not rated yet | 0
- Better NHS services reduce suicide rates Feb 01, 2012 | not rated yet | 0
- Drink and drugs fuel Scottish suicide and homicide rates Jun 16, 2008 | not rated yet | 0
- Psychiatric units safer as in-patient suicide falls May 16, 2012 | not rated yet | 0
- Motion perception revisited: High Phi effect challenges established motion perception assumptions Apr 23, 2013 | 3 / 5 (2) | 2
- Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update) Apr 02, 2013 | 4.5 / 5 (11) | 5
- The visual system as economist: Neural resource allocation in visual adaptation Mar 30, 2013 | 5 / 5 (2) | 9
- Separate lives: Neuronal and organismal lifespans decoupled Mar 27, 2013 | 4.9 / 5 (8) | 0
- Sizing things up: The evolutionary neurobiology of scale invariance Feb 28, 2013 | 4.8 / 5 (10) | 14
Why is zone 1 in liver more prone to ischemic injury?
May 23, 2013 Hi, Is it because around central vein, there is only deoxygenated blood from the vein where as in the periphery there is hepatic artery. Also why...
How can there be villous adenoma in colon, if there are no villi there
May 22, 2013 As title suggest. Thanks :smile:
How can there be a term called "intestinal metaplasia" of stomach
May 21, 2013 Hello everyone, Ok Stomach's normal epithelium is simple columnar, now in intestinal type of adenocarcinoma of stomach it undergoes "intestinal...
Pressure-volume curve: Elastic Recoil Pressure don't make sense
May 18, 2013 From pressure-volume curve of the lung and chest wall (attached photo), I don't understand why would the elastic recoil pressure of the lung is...
If you became brain-dead, would you want them to pull the plug?
May 17, 2013 I'd want the rest of me to stay alive. Sure it's a lousy way to live but it beats being all-the-way dead. Maybe if I make it 20 years they'll...
MRI bill question
May 15, 2013 Dear PFers, The hospital gave us a $12k bill for one MRI (head with contrast). The people I talked to at the hospital tell me that they do not...
- More from Physics Forums - Medical Sciences
More news stories
(Medical Xpress)—Research by Stanford scholar Emma Seppala at the Center for Compassion and Altruism Research and Education found that post-traumatic stress disorder decreased in veterans who participated ...
Psychology & Psychiatry 4 minutes ago | not rated yet | 0
(Medical Xpress)—Patients with diabetes who are depressed are much more likely to develop episodes of dangerously low blood sugars, or hypoglycemia, than are those who are not depressed, a new study has ...
Psychology & Psychiatry 1 hour ago | not rated yet | 0 |
A brief visual task can predict IQ, according to a new study. This surprisingly simple exercise measures the brain's unconscious ability to filter out visual movement. The study shows that individuals whose ...
Psychology & Psychiatry 21 hours ago | 4.5 / 5 (10) | 1 |
Nervous about that upcoming job interview? You might want to take steps to reduce your jitters, especially if you are a man.
Psychology & Psychiatry 21 hours ago | 5 / 5 (1) | 0
(Medical Xpress)—Research by U of T Mississauga psychology professor Glenn Schellenberg reveals that two key personality traits – openness-to-experience and conscientiousness—predict better than IQ ...
Psychology & Psychiatry 23 hours ago | 3 / 5 (2) | 1 |
(Medical Xpress)—A new study by researchers in the US has shown that an ancient virus can be modified to help in the fight against the simian immunodeficiency virus SIV, which is the equivalent in monkeys ...
2 minutes ago | not rated yet | 0 |
(Medical Xpress)—UCD researchers led by Conway Fellow, Professor David Brayden in UCD School of Veterinary Medicine have successfully reduced inflammation in the swollen arthritic knees of a murine model using a novel nanoparticle.
24 minutes ago | not rated yet | 0
(Medical Xpress)—Curtin University researchers have found evidence that targeting specific cells in the body can reverse the effects of cancer on the immune system.
44 minutes ago | 5 / 5 (1) | 0
Transformative research from Western University has identified new hormones in the body which may suppress breast cancer and stimulate the regression of breast tumors.
34 minutes ago | not rated yet | 0
A new program for treating the emotional health of mothers of children with ADHD has shown significant benefits for the children themselves, finds a new study by University of Maryland researchers. The program combines treatment ...
44 minutes ago | not rated yet | 0
A new way of interpreting information from a low-tech, age-old method used in pregnancy care is expected to more accurately identify potential health issues for mothers and babies.
44 minutes ago | not rated yet | 0