Psychosocial, psychiatric and work-related risk factors associated with suicide in Ireland: Optimised methodological approach of a case-control psychological autopsy study

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dc.contributor.author Arensman, Ella
dc.contributor.author Larkin, C.
dc.contributor.author McCarthy, J.
dc.contributor.author Leitao, Sara
dc.contributor.author Corcoran, Paul
dc.contributor.author Williamson, Eileen
dc.contributor.author McAuliffe, C.
dc.contributor.author Perry, Ivan J.
dc.contributor.author Griffin, Eve
dc.contributor.author Cassidy, E. M.
dc.contributor.author Bradley, Colin
dc.contributor.author Kapur, N.
dc.contributor.author Kinahan, J.
dc.contributor.author Cleary, A.
dc.contributor.author Foster, T.
dc.contributor.author Gallagher, Jonathan
dc.contributor.author Malone, K.
dc.contributor.author Ramos Costa, Ana Paula
dc.contributor.author Greiner, Birgit A.
dc.date.accessioned 2019-10-23T03:54:49Z
dc.date.available 2019-10-23T03:54:49Z
dc.date.issued 2019-09-06
dc.identifier.citation Arensman, E., Larkin, C., McCarthy, J., Leitao, S., Corcoran, P., Williamson, E., McAuliffe, C., Perry, I. J., Griffin, E., Cassidy, E. M., Bradley, C., Kapur, N., Kinahan, J., Cleary, A., Foster, T., Gallagher, J., Malone, K., Ramos Costa, A. P. and Greiner, B. A. (2019) 'Psychosocial, psychiatric and work-related risk factors associated with suicide in Ireland: optimised methodological approach of a case-control psychological autopsy study', BMC Psychiatry, 19(1), 275. (11pp.) DOI: 10.1186/s12888-019-2249-6 en
dc.identifier.volume 19 en
dc.identifier.issued 1 en
dc.identifier.startpage 1 en
dc.identifier.endpage 11 en
dc.identifier.uri http://hdl.handle.net/10468/8817
dc.identifier.doi 10.1186/s12888-019-2249-6 en
dc.description.abstract Background: Suicide has profound effects on families and communities, but is a statistically rare event. Psychological autopsies using a case-control design allow researchers to examine risk factors for suicide, using a variety of sources to detail the psychological and social characteristics of decedents and to compare them to controls. The Suicide Support and Information System Case Control study (SSIS-ACE) aimed to compare psychosocial, psychiatric and work-related risk factors across three groups of subjects: suicide decedents, patients presenting to hospital with a high-risk self-harm episode, and general practice controls. Methods: The study design includes two inter-related studies; one main case-control study: comparing suicide cases to general practice (GP) controls, and one comparative study: comparing suicide cases to patients presenting with high-risk self-harm. Consecutive cases of suicide and probable suicide are identified through coroners’ registration of deaths in the defined region (Cork City and County, Ireland) and are frequency-matched for age group and gender with GP patient controls recruited from the same GP practice as the deceased. Data sources for suicide cases include coroners’ records, interviews with health care professionals and proxy informants; data sources for GP controls and for high-risk self-harm controls include interviews with control, with proxy informants and with health care professionals. Interviews are semi-structured and consist of quantitative and qualitative parts. The quantitative parts include a range of validated questionnaires addressing psychiatric, psychosocial and occupational factors. The study adopts several methodological innovations, including accessing multiple data sources for suicide cases and controls simultaneously, recruiting proxy informants to examine consistency across sources. Conclusions: The study allows for the investigation of consistency across different data sources and contributes to the methodological advancement of psychological autopsy research. The study will also inform clinical and public health practice. The comparison between suicide cases and controls will allow investigation of risk and protective factors for suicide more generally, while the comparison with high-risk self-harm patients will help to identify the factors associated specifically with a fatal outcome to a self-harm episode. A further enhancement is the particular focus on specific work-related risk factors for suicide en
dc.description.sponsorship Health Research Board (HRA-2013-PHR-438) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher BioMed Central Ltd. en
dc.relation.uri https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-019-2249-6
dc.rights © The Author(s) 2019. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. en
dc.rights.uri http://creativecommons.org/licenses/by/4.0/ en
dc.subject Suicide en
dc.subject Psychological autopsy en
dc.subject Case-control en
dc.subject Methodology en
dc.subject Psychosocial en
dc.subject Psychiatric en
dc.subject Occupational en
dc.subject High-risk self-harm en
dc.subject Family informants en
dc.title Psychosocial, psychiatric and work-related risk factors associated with suicide in Ireland: Optimised methodological approach of a case-control psychological autopsy study en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Ella Arensman, National Suicide Research Foundation, School of Public Health, College of Medicine and Health, University College Cork, Cork, Ireland. +353-21-490-3000 Email:ella.arensman@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.contributor.funder Health Research Board en
dc.contributor.funder National Office for Suicide Prevention en
dc.description.status Peer reviewed en
dc.identifier.journaltitle BMC Psychiatry en
dc.internal.IRISemailaddress ella.arensman@ucc.ie en
dc.identifier.articleid 275 en
dc.identifier.eissn 1471-244X


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© The Author(s) 2019. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Except where otherwise noted, this item's license is described as © The Author(s) 2019. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
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