title: Determination of precipitating events in the suicide of psychiatric patients.
abstract: Data from therapists who were treating patients when they killed themselves were used to provide information about precipitating events that was missing from accounts obtained from suicide victims' relatives and friends. Among 26 patient suicides studied, the therapists identified a precipitating event in 25 cases; in 19 of these, supporting evidence linked the identified event to the suicide. A schema was developed that identifies nine types of evidence provided by therapists in determining that an event precipitated the suicide. Use of the schema is likely to improve accurate identification of events that precipitate patient suicides, and distinguish them from unrelated coterminous events or suicide risk factors.
authors.affiliation: American Foundation for Suicide Prevention , New York, NY 10028, USA.
authors.forename: John T
authors.initials: JT
authors.lastname: Maltsberger
authors.forename: Herbert
authors.initials: H
authors.lastname: Hendin
authors.forename: Ann Pollinger
authors.initials: AP
authors.lastname: Haas
authors.forename: Alan
authors.initials: A
authors.lastname: Lipschitz
mesh_terms: D000293:Adolescent; D000328:Adult; D015897:Comorbidity; D004493:Education; D005260:Female; D006801:Humans; D008016:Life Change Events; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D008875:Middle Aged; D011613:Psychotherapy; D012307:Risk Factors; D013405:Suicide / Q000523:psychology*; D000092864:Suicide Prevention