Psychiatric services utilization in completed suicides of a youth centres population

Renaud, Johanne; Chagnon, François; Balan, Bogdan; Turecki, Gustavo; McGirr, Alexander; Marquette, Claude
January 2006
BMC Psychiatry;2006, Vol. 6, p36
Academic Journal
Background: From a retrospective study of youth centres (YCs) and coroner's files, we investigated youths' history of medical service utilization who died by suicide. This is the second of two papers on YCs population, the first paper having shown that the rate of psychopathology was higher in the YCs population compared to the general adolescent population. Methods: From 1995 to 2000, 422 youths, aged 18 years and younger, died as a result of suicide in Quebec. More than one-third received services from YCs at some point. Using the provincial physician payment and hospitalization database, we examined physical and psychiatric service utilization according to time intervals, as well as hospitalization for psychiatric reasons in the individuals' lifetime and in the year preceding suicide. Suicides were matched to living YCs youths for age, sex, and geographic area. YCs controls were then subdivided into two groups based on file information pertaining to the presence or absence of suicidal behavior or ideation. Results: Compared to living YCs youths, suicides had a higher rate of psychiatric service utilization in the week, month, 90 days, and year preceding suicide, as well as higher levels of lifetime hospitalization for psychiatric reasons than controls with or without a history of suicidal behavior or ideation. We found that 28.3% YCs suicides made use of psychiatric services in the year preceding suicide. Conclusion: The rate of psychiatric service utilization by YCs youth suicides is substantially inferior to the needs of this population. Our study underscores the need for appropriate recognition of psychiatric and suicidal problems among YCs population by social and psychoeducational professionals. At the same time, it highlights the issues of general practitioners' risk identification, psychiatric referral and treatment. Our findings suggest the need for improved organization and coordination of psychiatric services to ameliorate treatment delivery.


Related Articles

  • COMMON SEXUAL DISORDERS: A CLINICAL REVIEW. Kar, Nilamadhab // Journal of Pakistan Psychiatric Society;2009, Vol. 6 Issue 2, p56 

    Sexual disorders are highly prevalent in community. They are multifactorial conditions with anatomical, physiological, medical, psychological, social and even cultural components contributing to their presentations. The intervention methods for most of these conditions include psychoeducation,...

  • Restructuring mental health: a South American survey. Larrobla, C.; Botega, N. J. // Social Psychiatry & Psychiatric Epidemiology;2001, Vol. 36 Issue 5, p256 

    Background: There is little information available on the changes in mental health services in South American countries following the social and political upheavals of recent decades. Methods: A postal survey was conducted of all South American countries (health ministries, national psychiatric...

  • How To Present a 'Patient' Instead of a 'Case' McKinley, Hedi // Social Work;Jan70, Vol. 15 Issue 1, p121 

    "At Ellis a live patient" is presented to staff every Thursday from 10:00 to 12:00." This simple statement describes a routine occurrence in Ellis Psychiatric Clinic, a community mental health clinic in Schenectady, New York. To the uninitiated it must seem to be a splendid plan to have a client...

  • General Practice Psychiatric Clinic. Tyrer, Peter; Seivewright, Nicholas; Wollerton, Stanley // British Journal of Psychiatry;Jul84, Vol. 145, p15 

    The impact of devolving out-patient care to general practice (GP) psychiatric clinics over a two-year period is examined by comparing the frequency of contact with different psychiatric services in practices with and without psychiatric clinics. The clinics led to an increase in the number of...

  • Psychiatric clinics in general practice. An extension of community care. Tyrer, Peter; Tyrer, P // British Journal of Psychiatry;Jul84, Vol. 145, p9 

    The patients seen at five psychiatric clinics in general practice (GP) serving an urban population of 78,200 are described, and their attitudes to the clinic compared with those for conventional out-patient clinics. The GP psychiatric clinics were strongly preferred, mainly because of their ease...

  • Application of Core Strategies: Reducing Seclusion & Restraint Use. Riemer, Donna // On the Edge;Fall2007, Vol. 13 Issue 3, p7 

    The article focuses on how the Intensive Treatment Unit (ITU) at Mendota Mental Health Institute (MMHI) experienced a significant reduction in violence and made the institutions safe for patients and staff in Madison, Wisconsin. MMHI developed a Seclusion and Restraint (S/R) Policy that removed...

  • San Juan Capestrano System makes important contribution to mental-health patients. Ruaño, Lida Estela // Caribbean Business;10/14/2004, Vol. 32 Issue 43, p50 

    Reports that San Juan Capestrano System in Puerto Rico has made an important contribution to the country's mental-health patients by offering accessible outpatient psychiatric clinics in some of the towns in Puerto Rico. Importance of allowing the patients to start at different levels of...

  • Mepsi Center's Therapeutic Programs. Ruano, Lisa Estela // Caribbean Business;10/14/2004, Vol. 32 Issue 43, p52 

    Focuses on the therapeutic programs of the Medical Psychiatric Center, known as Mepsi Center, in Puerto Rico. Medical care offered in the gero-psychiatric unit of the center; List of mental conditions in women who will be admitted in the women's unit of the center; Admission of patients with...

  • Lecture Ten: Accountable Actions.  // Human Studies;Dec89, Vol. 12 Issue 3/4, p321 

    The article focuses on accountable actions involved in a telephonic conversation to psychiatric clinics. Accountable action with regard to phone call is by and large on the first opportunity to talk after greetings, the person who is called gives an account of how they happened to make the call....


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics