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Hunt, I, Richards, N, Bhui, K, Ibrahim, S, Turnbull, P, Halvorsrud, K, Saini, P, Kitson, S, Shaw, J, Appleby, L and Kapur, N (2021) Suicide rates by ethnic group among patients in recent contact with mental health services: an observational study in England and Wales, 2007-2018. The Lancet Psychiatry, 8 (12). pp. 1083-1093. ISSN 2215-0366
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Suicide rates by ethnic group among patients in recent contact with mental health services an observational study in England and Wales, 2007-2018.pdf - Accepted Version Available under License Creative Commons Attribution Non-commercial No Derivatives. Download (867kB) | Preview |
Abstract
Background: Recent evidence on suicide rates among psychiatric patients from ethnic minority backgrounds is scarce. We aimed to examine suicide rates among ethnic minority psychiatric patients, and describe their social and clinical characteristics. Methods: We used a national case-series of patients in England and Wales who died by suicide within 12 months of contact with mental health services between 2007 and 2018. Rates and standardised mortality ratios (SMRs) were estimated for South Asian (Indian, Pakistani, and Bangladeshi), Black African, Black Caribbean, Chinese, and White patients. Findings: A total of 698 patients in the four minority ethnic groups were included (482 [69%] men; 216 [31%] women; mean age 41 years [SD 14.9, range 12–91] and compared to 13,567 White patients (9,030 [67%] men; 4,537 [33%] women; mean age 48 years [SD 15.8, range 10–100]. Rates and SMRs for suicide among ethnic minority patients were lower compared to White patients. Differences were found between ethnic groups with higher suicide rates in Black Caribbean patients and lower rates in South Asian patients. There was an increase in rates among White patients in 2007-2012 followed by a fall but no change among other ethnic groups. Schizophrenia was more common among Black African and Black Caribbean patients while affective disorder was more common among South Asian patients. Ethnic minority patients overall showed markers of social adversity and received higher intensity care, yet were viewed by clinicians as at lower risk than White patients. Interpretation: Effective approaches to prevention may differ between minority ethnic groups. Clinicians and the services in which they work should be aware of the common and distinct social and clinical needs of ethnic minority patients with mental illness. Funding: The Healthcare Quality Improvement Partnership.
| Item Type: | Article |
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| Uncontrolled Keywords: | 1103 Clinical Sciences, 1117 Public Health and Health Services, 1701 Psychology |
| Subjects: | B Philosophy. Psychology. Religion > BF Psychology R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Psychology (from Sep 2019) |
| Publisher: | Elsevier |
| Date Deposited: | 26 Nov 2021 09:21 |
| Last Modified: | 08 May 2022 00:50 |
| DOI or ID number: | 10.1016/S2215-0366(21)00354-0 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/15376 |
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