Suicide Trends in an Expanding Mental Health Service in Auckland
Objective: Suicide is a global health priority. It is important to analyse the effects of investment in mental health services on suicide rates. This paper presents and discusses recent changes in suicide rates and diagnostic mix among clients of the mental health service in Auckland during a time o...
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| Veröffentlicht in: | Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists 2010-10, Vol.18 (5), p.437-440 |
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| container_title | Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists |
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| creator | Argyle, Nick |
| description | Objective: Suicide is a global health priority. It is important to analyse the effects of investment in mental health services on suicide rates. This paper presents and discusses recent changes in suicide rates and diagnostic mix among clients of the mental health service in Auckland during a time of service growth.
Method: Details of suicides among current clients were analysed for the years 1993 to 2006, comparing the periods 1993–1999 and 2000–2006. These periods were compared with the local population and national figures.
Results: The local population suicide rate decreased significantly with the rate among clients increasing slightly so the proportion occurring among clients increased (up to 31%). There was an increase in non-psychotic diagnoses.
Conclusions: As access to services expands the proportion of suicides that occur in known clients will paradoxically increase. Service expansion may have contributed to the falling population suicide rate in Auckland. |
| doi_str_mv | 10.3109/10398562.2010.498050 |
| format | Article |
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Method: Details of suicides among current clients were analysed for the years 1993 to 2006, comparing the periods 1993–1999 and 2000–2006. These periods were compared with the local population and national figures.
Results: The local population suicide rate decreased significantly with the rate among clients increasing slightly so the proportion occurring among clients increased (up to 31%). There was an increase in non-psychotic diagnoses.
Conclusions: As access to services expands the proportion of suicides that occur in known clients will paradoxically increase. Service expansion may have contributed to the falling population suicide rate in Auckland.</description><identifier>ISSN: 1039-8562</identifier><identifier>EISSN: 1440-1665</identifier><identifier>DOI: 10.3109/10398562.2010.498050</identifier><identifier>PMID: 20863183</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adolescent ; Adult ; Aged ; Child ; Culture ; Diagnosis, Dual (Psychiatry) ; Female ; Humans ; Male ; Mental Disorders - epidemiology ; Mental Disorders - psychology ; Mental Health Services - trends ; Middle Aged ; New Zealand - epidemiology ; Personality Disorders - complications ; Personality Disorders - epidemiology ; Substance-Related Disorders - complications ; Substance-Related Disorders - epidemiology ; Suicide - statistics & numerical data ; Suicide - trends ; Unemployment ; Young Adult</subject><ispartof>Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists, 2010-10, Vol.18 (5), p.437-440</ispartof><rights>2010 The Royal Australian and New Zealand College of Psychiatrists</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c297t-d5eb92599f70deef2ea1ca066b11bf9d9695dff1bcc0ec3a15f3d514746293553</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.3109/10398562.2010.498050$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.3109/10398562.2010.498050$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20863183$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Argyle, Nick</creatorcontrib><title>Suicide Trends in an Expanding Mental Health Service in Auckland</title><title>Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists</title><addtitle>Australas Psychiatry</addtitle><description>Objective: Suicide is a global health priority. It is important to analyse the effects of investment in mental health services on suicide rates. This paper presents and discusses recent changes in suicide rates and diagnostic mix among clients of the mental health service in Auckland during a time of service growth.
Method: Details of suicides among current clients were analysed for the years 1993 to 2006, comparing the periods 1993–1999 and 2000–2006. These periods were compared with the local population and national figures.
Results: The local population suicide rate decreased significantly with the rate among clients increasing slightly so the proportion occurring among clients increased (up to 31%). There was an increase in non-psychotic diagnoses.
Conclusions: As access to services expands the proportion of suicides that occur in known clients will paradoxically increase. Service expansion may have contributed to the falling population suicide rate in Auckland.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Child</subject><subject>Culture</subject><subject>Diagnosis, Dual (Psychiatry)</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - psychology</subject><subject>Mental Health Services - trends</subject><subject>Middle Aged</subject><subject>New Zealand - epidemiology</subject><subject>Personality Disorders - complications</subject><subject>Personality Disorders - epidemiology</subject><subject>Substance-Related Disorders - complications</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Suicide - statistics & numerical data</subject><subject>Suicide - trends</subject><subject>Unemployment</subject><subject>Young Adult</subject><issn>1039-8562</issn><issn>1440-1665</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kDtPwzAQgC0EoqXwDxDKxpTiR-zEGxUqFKmIoWW2HPtcUtKkxAmCf4-jtIxMdzp99_oQuiZ4ygiWdwQzmXFBpxSHUiIzzPEJGpMkwTERgp-GPCBxz4zQhfdbjHHGqThHI4ozwUjGxuh-1RWmsBCtG6isj4oq0lU0_97ryhbVJnqBqtVltABdtu_RCpqvwkBPzTrzUQboEp05XXq4OsQJenucrx8W8fL16flhtowNlWkbWw65pFxKl2IL4ChoYjQWIickd9JKIbl1juTGYDBME-6Y5SRJE0El45xN0O0wd9_Unx34Vu0Kb6AMN0DdeZVyTlKRChHIZCBNU3vfgFP7ptjp5kcRrHp16qhO9erUoC603RwWdPkO7F_T0VUAyAB4vQG1rbumCg__P_QX1PZ2dA</recordid><startdate>201010</startdate><enddate>201010</enddate><creator>Argyle, Nick</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201010</creationdate><title>Suicide Trends in an Expanding Mental Health Service in Auckland</title><author>Argyle, Nick</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c297t-d5eb92599f70deef2ea1ca066b11bf9d9695dff1bcc0ec3a15f3d514746293553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Child</topic><topic>Culture</topic><topic>Diagnosis, Dual (Psychiatry)</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Mental Disorders - epidemiology</topic><topic>Mental Disorders - psychology</topic><topic>Mental Health Services - trends</topic><topic>Middle Aged</topic><topic>New Zealand - epidemiology</topic><topic>Personality Disorders - complications</topic><topic>Personality Disorders - epidemiology</topic><topic>Substance-Related Disorders - complications</topic><topic>Substance-Related Disorders - epidemiology</topic><topic>Suicide - statistics & numerical data</topic><topic>Suicide - trends</topic><topic>Unemployment</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Argyle, Nick</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Argyle, Nick</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Suicide Trends in an Expanding Mental Health Service in Auckland</atitle><jtitle>Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists</jtitle><addtitle>Australas Psychiatry</addtitle><date>2010-10</date><risdate>2010</risdate><volume>18</volume><issue>5</issue><spage>437</spage><epage>440</epage><pages>437-440</pages><issn>1039-8562</issn><eissn>1440-1665</eissn><abstract>Objective: Suicide is a global health priority. It is important to analyse the effects of investment in mental health services on suicide rates. This paper presents and discusses recent changes in suicide rates and diagnostic mix among clients of the mental health service in Auckland during a time of service growth.
Method: Details of suicides among current clients were analysed for the years 1993 to 2006, comparing the periods 1993–1999 and 2000–2006. These periods were compared with the local population and national figures.
Results: The local population suicide rate decreased significantly with the rate among clients increasing slightly so the proportion occurring among clients increased (up to 31%). There was an increase in non-psychotic diagnoses.
Conclusions: As access to services expands the proportion of suicides that occur in known clients will paradoxically increase. Service expansion may have contributed to the falling population suicide rate in Auckland.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>20863183</pmid><doi>10.3109/10398562.2010.498050</doi><tpages>4</tpages></addata></record> |
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| ispartof | Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists, 2010-10, Vol.18 (5), p.437-440 |
| issn | 1039-8562 1440-1665 |
| language | eng |
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| source | MEDLINE; Sage Journals |
| subjects | Adolescent Adult Aged Child Culture Diagnosis, Dual (Psychiatry) Female Humans Male Mental Disorders - epidemiology Mental Disorders - psychology Mental Health Services - trends Middle Aged New Zealand - epidemiology Personality Disorders - complications Personality Disorders - epidemiology Substance-Related Disorders - complications Substance-Related Disorders - epidemiology Suicide - statistics & numerical data Suicide - trends Unemployment Young Adult |
| title | Suicide Trends in an Expanding Mental Health Service in Auckland |
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