Suicide in a community based case management service.
Over a 9 year period, 532 people with a long term mental illness received the services of a community based case management program. Of the 532 clients, 13 committed suicide (2%). This group was compared to a control group matched for age, sex and length of stay in the program. No differences were found with regard to most socio-demographic and clinical variables investigated. However, statistically significant differences were found with regard to chronicity and number of post-admittance hospitalizations. Difficulties in establishing a working relationship were noted more often for clients who committed suicide. Some of the implications for case management programs are discussed.
Pyke
J
J
Case Management Services, Community Resources Consultants of Toronto (CRCT), Ontario, Canada.
Steers
M J
MJ
D000328:Adult; D000368:Aged; D005260:Female; D006760:Hospitalization; D006778:Hospitals, Psychiatric; D006801:Humans; D007902:Length of Stay; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000534:rehabilitation*; D008875:Middle Aged; D010343:Patient Admission; D010349:Patient Compliance; D013405:Suicide; D013406:Suicide, Attempted / Q000517:prevention & control*