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BMC Palliative Care
Published in: BMC Palliative Care 1/2016

Open Access 01-12-2016 | Research article

Physical compared to mental diseases as reasons for committing suicide: a retrospective study

Authors: Martin Fegg, Sybille Kraus, Matthias Graw, Claudia Bausewein

Published in: BMC Palliative Care | Issue 1/2016

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Abstract

Background

Several studies investigated the relationship between mental disorders and suicidal ideation. However, little is known about physical illnesses being the major trigger for committed suicides. It is necessary to understand these risk factors to be able to meet the needs of patients in a palliative care setting.

Methods

Suicide, medical and police notes were retrospectively analysed from all autopsies conducted in 2009–11 at the University of Munich, Germany. Documented reasons for suicide were classified into a “physical disease” (PD) or “mental disease” (MD) group and compared with respect to their sociodemographic characteristics and autopsy outcomes.

Results

Of all 1069 cases, 18.9 % gave a PD as reason for committing suicide (MD, 32.7 %). Those indicating PD were older than MD (68.8 vs. 48.7 years; p < 0.001) with more men being in this group (72.8 % vs. 59.1 %; p=0.002). In PD, 30.7 % suffered from cancer, 28.7 % from chronic pain and 12.4 % from lung disease. 38.8 % of MD and 12.4 % of PD had previous suicide attempts.

Conclusions

In palliative care, it is necessary to screen patients on a regular basis for suicidal ideation, especially those with previous suicide attempts.
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Metadata
Title
Physical compared to mental diseases as reasons for committing suicide: a retrospective study
Authors
Martin Fegg
Sybille Kraus
Matthias Graw
Claudia Bausewein
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Palliative Care / Issue 1/2016
Electronic ISSN: 1472-684X
DOI
https://doi.org/10.1186/s12904-016-0088-5

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