title: Population-attributable risk of suicide conferred by axis I psychiatric diagnoses in a Hong Kong Chinese population.
abstract: OBJECTIVE
  This study was conducted to determine the population-attributable risk (PAR) of completed suicide among Hong Kong Chinese with axis I psychiatric diagnoses.
  
  
  METHODS
  With a case-control psychological autopsy method, 150 suicide decedents aged 15-59 were compared for axis I psychiatric diagnoses and psychosocial variables with 150 randomly selected age- and gender-matched persons living in the community.
  
  
  RESULTS
  In the presence of other, non-disease-related social risk factors (unemployment and unmanageable debt), past suicide attempt independently accounted for 44% of the PAR of suicide, followed by current major depressive disorder (27%), schizophrenia spectrum disorders (22%), and substance use disorder or pathological gambling (16%). Other diagnoses (such as anxiety and phobic disorders, dysthymia, adjustment disorders, and past major depressive episode) accounted for 24% of PAR.
  
  
  CONCLUSIONS
  Psychiatric morbidity remains the major risk factor for suicide in Hong Kong despite well-developed psychiatric services. Mental health policy should be refined to target clinical groups at high risk of suicide.
authors: Department of Psychiatry, Chinese University of Hong Kong, Ground Floor, Multicentre, Tai Po Hospital, 9 Chuen On Rd., Tai Po, N.T., Hong Kong. schan@cuhk.edu.hk
authors: Sandra Sau Man
authors: SS
authors: Chan
authors: Helen Fung Kum
authors: HF
authors: Chiu
authors: Eric Y H
authors: EY
authors: Chen
authors: Wincy S C
authors: WS
authors: Chan
authors: Paul W C
authors: PW
authors: Wong
authors: Cecilia L W
authors: CL
authors: Chan
authors: Y W
authors: YW
authors: Law
authors: Paul S F
authors: PS
authors: Yip
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D005260:Female; D006723:Hong Kong / Q000453:epidemiology; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D008875:Middle Aged; D018570:Risk Assessment; D013405:Suicide / Q000523:psychology*; D055815:Young Adult