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The British Journal of Psychiatry (1974) 125: 168-174. doi: 10.1192/bjp.125.2.168
© 1974 The Royal College of Psychiatrists
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The Repetition of Parasuicide: A Comparison of Three Cohorts

DOROTHY BUGLASS B.A., M.Phil.1 and JOHN HORTON B.A., M.D.2

1 Medical Research Council Unit for Epidemiological Studies in Psychiatry, University Department of Psychiatry, Morningside Park, Edinburgh, EH10 5HF
2 University of Washington School of Medicine.

1. Three annual cohorts of persons admitted to the Edinburgh Regional Poisoning Centre were surveyed. Persons repeating suicidal behaviour within one year of their key admission were identified and compared with the remainder of the cohort.

2. Items which distinguished repeaters from non-repeaters in each cohort were identified. The items which consistently discriminated repeaters were:sociopathy, problems in the use of alcohol, previous in-patient psychiatric treatment, previous out-patient psychiatric treatment, previous parasuicide, Social Class V, dependence on drugs, unemployment and a history of criminal behaviour.

3. There was a considerable degree of similarity between male and female repeaters.

4. The proportion of repeaters under 25 has increased.

5. The characteristics of people discharged to in-patient care were shown to differ from those of repeaters. In-patient treatment is associated with a diagnosis of depression and the absence of socially deviant behaviour. There is no evidence that in-patient care prevents subsequent repetition.

Submitted on September 24, 1973




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Copyright © 1974 The Royal College of Psychiatrists.