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Review: risk for suicide is increased for most mental disorders where patients require treatment in a hospital setting

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Objective

To determine the risk for suicide among patients with common mental disorders.

Data sources

English language studies were identified by searching Index Medicus and Medline (1966 to 1993) using the terms mental disorders, mortality, follow up, brain injury, eating disorders, epilepsy, suicide attempt, and psychosurgery. Additional studies were identified by reviewing several journals up to mid 1995 and by scanning the reference lists of retrieved articles.

Study selection

Studies were selected if they reported the mortality of mental disorders, had ⩾2 years of follow up, had <10% loss to follow up, and compared observed numbers of suicides with those expected.

Data extraction

Data were extracted on the mental disorder studied, sample size, length of follow up, country where the investigation occurred, observed suicide rates, and expected suicide rates, if provided in the article. If the expected suicide rates were not provided, they …

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