Abstract
Having discussed suicide in the previous chapter, the present chapter addresses the related topic of parasuicide, which is being increasingly recognised as a major public health problem. Parasuicide is one of the strongest risk factors for both repetition and eventual suicide and, as such, the topic requires serious consideration. Given that the suicide attempt rate is at least ten to 15 times higher than the actual suicide rate (Böhme 1994), the scale of the problem has important implications for the provision of health services and thus needs to be addressed as a priority in its own right. Parasuicide has been identified as one of the Health For All targets by the World Health Organisation (WHO Regional Office for Europe 1985).
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References
Andrews JA, Lewinsohn PM (1992) Suicidal attempts among older adolescents: prevalence and co-occurrence with psychiatric disorders. J Am Acad Child Adolesc Psychiatry 31(4): 655–662
*Appleby L (1997) Assessment of suicidal risk. Psychiatr Bull 21: 193–194
Asberg M, Thoren P, Träskman-Bendz L, Bertilsson L, Ringberger V (1976) “Serotonin depression” — a biochemical subgroup within the affective disorders? Science 191: 478–480
Asberg M, Nordstrom P, Träskman-Bendz L (1986) Cerebrospinal fluid studies in suicide: an overview. Ann NY Acad Sci 487: 243–255
Bagshaw M (1988) Suicide prevention training: lessons from the Corrections Service of Canada. Prison Service J 70: 5–6
*Barraclough B, Bunch J, Nelson B, Sainsbury P (1974) A hundred cases of suicide: clinical aspects. Br J Psychiatry 125: 355–373
Beautrais AL, Joyce PR, Mulder RT (1996) Risk factors for serious suicide attempts among youths aged 13–24 years. J Am Acad Child Adolesc Psychiatry 35: 1174–1182
*Beck AT, Lester D (1976) Components of suicidal intent in completed and attempted suicides. J Psychol 92: 35–38
Beck AT, Schuyler D, Herman I (1974a) Development of suicide intent scales. In: Beck AT, Resnick HCP, Lettieri D (eds). The prediction of suicide. Charles, Maryland, pp 45–56
Beck AT, Weissman A, Lester D, Trexler L (1974b) The measurement of pessimism: the Hopelessness Scale. J Consult Clin Psychol 42: 861–865
Beck AT, Brown G, Berchick RJ, Stewart BL, Steer RA (1990) Relationship between hopelessness and ultimate suicide: a replication with psychiatric outpatients. Am J Psychiatry 147(2): 190–195
Befrienders International (1995) Study of suicide prevention within the European Community. European Commission, London
Beskow J, Kerkhof AJFM, Kokkola A, Uutela A (1999) Suicide prevention in Finland 1986–1996. External evaluation by an international peer group. Ministry of Social Affairs and Health, Helsinki
Bille-Brahe U, Andersen K, Wasserman D, Schmidtke A, Bjerke T, Crepet P, de Leo D, Haring C, Hawton K, Kerkhof AJFM, Lönnqvist J, Michel K, Phillippe A, Querejeta I, Salander-Renberg E, Temesváry B (1996) The WHO/EURO Multicentre Study: risk of parasuicide and the comparability of the areas under study. Crisis 17(1): 32–42
Böhme K (1994) Drug and alcohol induction of suicidal behaviour. In: Kelleher MJ (ed) Divergent perspectives on suicidal behaviour — proceedings of the 5th European Symposium on Suicide. DAOL, Cork, pp 128–139
Brent DA, Perper JA, Moritz G, Baugher M, Allman C (1993) Suicide in adolescents with no apparent psychopathology. J Am Acad Child Adolesc Psychiatry 32(3): 494–501
Brent DA, Bridge J, Johnson BA, Connolly J (1996) Suicidal behaviour runs in families: a controlled family study of adolescent suicide victims. Arch Gen Psychiatry 53: 1145–1152
Brent DA, Perper JA, Moritz G, Liotus L, Scheers J, Balach L, Roth C (1994) Familial risk factors for adolescent suicide: a case control study. Acta Psychiatr Scand 89: 52–58
Callahan J (1996) Negative effects of a school suicide postvention program — a case example. Crisis 17(3): 108–115
Canadian Task Force on Suicide (1994) Suicide in Canada: update of the Report of the Task Force on Suicide in Canada. Ministry of National Health and Welfare, Ottowa
Casey PR (1989) Personality disorder and suicide intent. Acta Psychiatr Scand 79: 290–295
Center for Disease Control (1994) Suicide contagion and the reporting of suicide: recommendations from a national workshop. Morbid Mortal Weekly Report 43(RR-6): 1–19
Corcoran P, Kelleher MJ, Keeley HS, Byrne S, Burke U, Williamson E (1997) A preliminary statistical model for identifying repeaters of parasuicide. Arch Suicide Res 3: 65–74
Crighton D, Towl G (1997) Self-inflicted deaths in prison in England and Wales: an analysis of the data for 1988–1990 and 1994–1995. In: Towl G (ed) Suicide and self-injury in prisons — research directions in the 1990’s. British Psychological Society, Leicester, pp 12–20
Crookall P, McLean T (1986) Evaluation of the suicide prevention training program in the Atlantic region. Correctional Service Canada, Ottawa
Daly M, Conway M, Kelleher MJ (1986) Social determinants of self-poisoning. Br J Psychiatry 148: 406–413
*De Moore GM, Robertson AR (1996) Suicide in the 18 years after deliberate self-harm: a prospective study. Br J Psychiatry 169: 489–494
Deykin EY, Buka SL (1994) Suicidal ideation and attempts among chemically dependent adolescents. Am J Public Health 84: 634–639
Dooley E (1990) Prison suicide in England and Wales 1972–1987. Br J Psychiatry 156: 40–45
Dooley E (1994) Prisons. In: Jenkins R, Griffiths S, Wylie I et al (eds) The prevention of suicide. HMSO, London, pp 104–108
Egeland JA, Sussex JN (1985) Suicide and family loading for affective disorders. JAMA 254: 915–918
Fitzsimons MM, Kelleher MJ, Keeley HS, Corcoran P, Byrne S, Williamson E, Burke U (1997) Parasuicide and general practice: a pilot study. Ir Med J 90(5): 190–192
Fombonne E (1998) Suicidal behaviours in vulnerable adolescents. Br J Psychiatry 173: 154–159
Foster T, Gillespie K, McClelland R (1997) Mental disorders and suicide in Northern Ireland. Br J Psychiatry 171: 447–452
Garrison CZ, McKeown RE, Valois RF (1993) Aggression, substance use and suicidal behaviours in high school students. Am J Public Health 83: 179–184
Gibbons JS, Butler P, Urwin P, Gibbons JL (1978) Evaluation of a social work service for self-poisoning patients. Br J Psychiatry 113: 111–118
**Goldacre M, Seagroatt V, Hawton K (1993) Suicide after discharge from psychiatric in-patient care. Lancet 342: 283–286
Gould MS, Wallenstein S, Kleinman MH, O’Carroll P, Mercy J (1990) Suicide clusters: an examination of age-specific effects. Am J Public Health 80: 211–212
Hakanen J, Upanne M (1996) Evaluation strategy for Finland’s suicide prevention project. Crisis 17(4): 167–174
Hawton K, Fagg J (1988) Suicide and other causes of death following attempted suicide. Br J Psychiatry 18: 405–418
Hawton K, Fagg J, Simkin S, Bale E, Bond A (1997) Trends in deliberate self-harm in Oxford, 1985–1995. Implications for clinical services and the prevention of suicide. Br J Psychiatry 171: 556–560
*Hawton K, Arensman E, Townsend E, Bremner S, Feldman E, Goldney R, Gunnell D, Hazell P, van Heeringen K, House A, Owens D, Sakinofsky I, Träskman-Bendz L (1998) Deliberate self harm: systematic review of efficacy of psychosocial and pharmacological treatments in preventing repetition. Br Med J 317: 441–447
Hazell P, Lewin T (1993) An evaluation of postvention following adolescent suicide. Suicide Life Threat Behav 23: 101–109
Isaacson G, Rich CL (1997) Depression, antidepressants and suicide: pharmacoepidemiological evidence for suicide prevention. In: Maris RW, Silverman MM, Cannetto SS (eds) Review of suicidology. Guildford, New York, pp 168–202
Keeley HS, Corcoran P, Hennessy AM, Lawlor M (1999) Background stressors in Irish parasuicides. Poster presented at Conference of the American Association of Suicidology, 14–18 April 1999, Houston, Texas
Keeley HS, Kelleher MJ (1998) Youth attitudes to services in Ireland. Psychiatr Bull 22(4): 257
Kelleher MJ (1998a) Youth suicide trends in the Republic of Ireland. Br J Psychiatry 173: 196–197
Kelleher MJ (1998b) Suicide in schools. In: Farrell B (ed) Issues in education: changing education, changing society. ASTI, Dublin
Kelleher MJ, Kelleher MJA, Corcoran P, Daly M, Daly F, Crowley MJ, Keeley HS (1996) Deliberate self-poisoning, unemployment, and public health. Suicide Life Threat Behav 26(4): 365–373
Kelleher MJ, Keohane B, Daly C, Keeley HS, Corcoran P, Chambers D, Williamson E (1999) Individual characteristics and long-term outcome for deliberate self-poisoners. J Ir Coll Phys Surg 28(1): 5–8
Kennedy P, Kreitman N (1973) An epidemiological survey of parasuicide (‘attempted suicide’) in general practice. Br J Psychiatry 123: 23–34
Kerkhof AJFM, Schmidtke A, Bille-Brahe U, de Leo D, Lönnqvist J (eds) (1994) Attempted suicide in Europe: findings from the Multicentre Study on Parasuicide by the WHO Regional Office for Europe. DSWO, Leiden, pp 289–291
Kessel N, Grossman G (1965) Suicide in alcoholics. Br Med J 2: 1671–1672
Kreitman N, Philip AE (1969) Parasuicide. Br Med J 115: 746–747
Lawlor M, Corcoran P, Chambers D (2000) Suicide attempts v. deliberate self-harm: a response. Br J Psychiatry 176: 91–96
Linehan MM, Camper P, Chiles JA, Strosahl K, Shearin E (1987) Interpersonal problem solving and parasuicide. Cogn Ther Res 11(1): 1–12
Mann JJ, Stanley M, McBride A, McEwen BS (1986) Increased serotonin and β-adrenergic receptor binding in the frontal cortices of suicide victims. Arch Gen Psychiatry 43: 954–959
*Maris RW, Berman AL, Maltsberger JT, Yufit RI (eds) (1992) Assessment and prediction of suicide. Guildford, New York
McAuliffe C (1998) Student attitudes to suicidal behaviours and coping skills. Paper presented at the 7th European Symposium on Suicide and Suicidal Behaviour, 9–12 September 1998, Gent, Belgium
McKey PW, Jones RW, Barbe RH (1993) Suicide and the school: a practical guide to suicide prevention. LRP, Pennsylvania
McLeavey BC, Daly RJ, Murray CM, O’Riordan J, Taylor M (1987) Interpersonal problem-solving deficits in self-poisoning patients. Suicide Life Threat Behav 17: 33–49
Mishara BL, Baker H, Mishara TT (1976) The frequency of suicide attempts: a retrospective approach applied to college students. Am J Psychiatry 133(7): 841–844
Morgan HG, Jones EM, Owen JH (1993) Secondary prevention of non-fatal deliberate self-harm. The green card study. Br J Psychiatry 163: 111–112
Morgan HG, Pocock H, Pottle S (1975) The urban distribution of non-fatal deliberate self-harm. Br J Psychiatry 126: 315–328
Murphy GE, Wetzel RD (1992) Multiple risk factors predict suicide in alcoholism. Arch Gen Psychiatry 49(6): 459–463
Neeleman J, Farrell M (1997) Suicide and substance misuse. Br J Psychiatry 171: 303–304
Nielsen DA, Goldman D, Virkkunen M, Tokola R, Rawlings R, Linnoila M (1994) Suicidality and 5-hyrdoxyindoleacetic acid concentration associated with a tryptophan hydroxylase polymorphism. Arch Gen Psychiatry 51: 34–38
O’Donoghue JM, Panchal JL, O’Sullivan ST, O’Shaughnessy M, O’Connor TPF, Keeley HS, Kelleher MJ (1998) A study of suicide and attempted suicide by self-immolation in an Irish psychiatric population: an increasing problem. Burns 24: 144–146
Perret-Catipovic M (1999) Suicide prevention in adolescents and young adults: the Geneva University Hospital’s Program. Crisis 20: 36–40
Phillips DP (1974) The influence of suggestion on suicide: substantive and theoretical implications of the Werther effect. Am Sociol Rev 39: 340–354
**Platt S (1984) Unemployment and suicidal behaviour: a review of the literature. Soc Sci Med 19(2): 93–115
Piatt S, Bille-Brahe U, Kerkhof AJFM, Schmidtke A, Bjerke T, Crepet P, de Leo D, Haring C, Lönnqvist J, Michel K, Phillippe A, Pommereau X, Querejeta I, Salander-Renberg E, Temesváry B, Wasserman D, Sampaio Faria J (1992) Parasuicide in Europe: the WHO/EURO Multicentre Study on Parasuicide I: introduction and preliminary analysis for 1989. Acta Psychiatr Scand 85(2): 97–104
**Pokorney AD (1983) Prediction of suicide in psychiatric patients — report of a prospective study. Arch Gen Psychiatry 40: 249–257
Proudfoot J, Guest D, Carson J, Dunn G, Gray J (1997) Effect of cognitive-behavioural training on job-finding among long-term unemployed people. Lancet 350: 96–100
Reid S (1998) Butterflies, fractals and psychiatry. Psychiatr Bull 22: 568–570
Ringel E (1976) The presuicidal syndrome. Suicide Life Threat Behav 6(3): 131–149
Roy A, Mazonson A, Pickar D (1984) Attempted suicide in chronic schizophrenia. Br J Psychiatry 144: 303–306
Roy A, Segal NL, Sarchiapone M (1995) Attempted suicide among living co-twins of twin suicide victims. Am J Psychiatry 152(7): 1075–1076
Royal College of Psychiatrists (1996) Confidential inquiry into homicides and suicides by mentally ill people. RCPsych, London
Schmidtke A, Bille-Brahe U, de Leo D, Kerkhof AJFM, Bjerke T, Crepet P, Haring C, Deisenhammer E, Hawton K, Lönnqvist J, Michel K, Pommereau X, Querejeta I, Phillippe A, Salander-Renberg E, Temesváry B, Wasserman D, Sampaio Faria J, Weinacker B (1994a) Rates and trends of attempted suicide in Europe, 1989–1992. In: Kerkhof AJFM, Schmidtke A, Bille-Brahe U, de Leo D, Lönnqvist J (eds) Attempted suicide in Europe: findings from the Multicentre Study on Parasuicide by the WHO Regional Office for Europe. DSWO, Leiden, pp 209–229
Schmidtke A, Bille-Brahe U, de Leo D, Kerkhof AJFM, Bjerke T, Crepet P, Haring C, Hawton K, Lönnqvist J, Michel K, Pommereau X, Querejeta I, Phillippe A, Salander-Renberg E, Temesváry B, Wasserman D, Fricke S, Weinacker B, Sampaio Faria J (1994b) Sociodemographic characteristics of suicide attempters in Europe. In: Kerkhof AJFM, Schmidtke A, Bille-Brahe U, de Leo D, Lönnqvist J (eds) Attempted suicide in Europe: findings from the Multicentre Study on Parasuicide by the WHO Regional Office for Europe. DSWO, Leiden, pp 231–241
Schmidtke A, Bille-Brahe U, de Leo D, Kerkhof AJFM, Bjerke T, Crepet P, Haring C, Hawton K, Lönnqvist J, Michel K, Pommereau X, Querejeta I, Phillippe A, Salander-Renberg E, Temesváry B, Wasserman D, Fricke S, Weinacker B, Sampaio Faria J (1996) Attempted suicide in Europe: rates, trends and sociodemographic characteristics of suicide attempters during the period 1989–1992. Results of the WHO/EURO Multicentre Study on Parasuicide. Acta Psychiatr Scand 93: 327–328
Schulsinger F, Kety SS, Rosenthal D, Wender PH (1979) A family study of suicide. In: Schou M, Stromgren E (eds) Origin, prevention and treatment of affective disorders. Academic, London, pp 277–287
Schweitzer R, Klayich M, McLean J (1995) Suicidal ideation and behaviours among university students in Australia. Aust NZ J Psychiatry 29(3): 473–479
Sellers EM, Higgins GA, Sobell MB (1992) 5-HT and alcohol abuse. Trends Pharmacol Sci 13: 69–75
Shaffer D, Gould MS, Fisher P, Trautman P, Moreau D, Kleinman M, Flory M (1996) Psychiatric diagnosis in child and adolescent suicide. Arch Gen Psychiatry 142: 1061–1064
**Shneidman ES (1996) The suicidal mind. Oxford University Press, New York, pp 3–26
Steele TD, McCann TD, Ricaurte GA (1994) 3,4-Methylenedioxy-methamphetamine (MDMA): pharmacology and toxicology in animals and humans. Addiction 89: 539–551
Stengel E (1952) Enquiries into attempted suicide. Proc R Soc Med 45: 613–620
Stengel E, Cook NG (1958) Attempted suicide: its social significance and effects. Chapman and Hall, London (Maudsley monograph no 4)
Taiminen TJ, Helenius H (1994) Suicide clustering in a psychiatric hospital with a history of a suicide epidemic: a quantitative study. Am J Psychiatry 151(7): 1087–1088
Tierney J (1988) Comprehensive evaluation for suicide intervention training. Unpublished doctoral dissertation. University of Calgary, Calgary
Tuipale V (1993) Suicide can be prevented: fundamentals of a target and action strategy. National Research and Development Centre for Welfare and Health, Helsinki
Wasserman D, Värnik A (1998) Suicide prevention effects of perestroika in the former USSR: the role of alcohol restriction. Acta Psychiatr Scand 98[Suppl 394]: 1–4
Wender PH, Kety SS, Rosenthal D, Schulsinger F, Ortmann J, Lunde I (1986) Psychiatric disorders in the biological and adoptive families of adopted individuals with affective disorders. Arch Gen Psychiatry 43: 923–929
Whelan C (1993) The role of social support in mediating the psychological consequences of economic stress. Sociol Health Illness 15(1): 86–101
Wilkinson G, Bacon NA (1984) A clinical and epidemiological survey of parasuicide and suicide in Edinburgh schizophrenics. Psychol Med 14: 899–912
World Health Organisation (1992) The tenth revision of the International Classification of Diseases — chapter XX: external causes of morbidity and mortality. WHO, Geneva
World Health Organisation Regional Office for Europe (1985) Targets for health for all. WHO Regional Office for Europe, Copenhagen (European health for all series no 1)
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Kelleher, M.J., Keeley, H.S., Lawlor, M., Chambers, D., McAuliffe, C., Corcoran, P. (2001). Parasuicide. In: Henn, F., Sartorius, N., Helmchen, H., Lauter, H. (eds) Contemporary Psychiatry. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59519-6_126
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