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Comparative Study
. 2019 Jun 11:20:e80.
doi: 10.1017/S1463423619000057.

When health services are powerless to prevent suicide: results from a linkage study of suicide among men with no service contact in the year prior to death

Sharon Mallon  1 , Karen Galway  2 , Janeet Rondon-Sulbaran  3 , Lynette Hughes  3 , Gerry Leavey  3
Affiliations
Comparative Study

When health services are powerless to prevent suicide: results from a linkage study of suicide among men with no service contact in the year prior to death

Sharon Mallon et al. Prim Health Care Res Dev. .

Abstract

Aims: To investigate cases of suicide in which there was no healthcare contact, by looking at history of help-seeking and evidence of previous mental health vulnerability. To identify any life events associated with suicide for which individuals did not seek help.

Background: Previous research has suggested that non-consultation is the main barrier to suicide prevention among men. Estimates suggest approximately 22% of men who die by suicide have not consulted their GP in the year before their death. Little is known about the lifetime pattern of engagement with services among these individuals and whether or not this may influence their help-seeking behaviour before death.

Methods: Coroner records of suicide deaths in Northern Ireland over 2 years were linked to general practice (GP) records. This identified 63 individuals who had not attended health services in the 12 months before death. Coroner's data were used to categorise life events associated with the male deaths. Lifetime mental health help-seeking at the GP was assessed.

Findings: The vast majority of individuals who did not seek help were males (n=60, 15% of all suicide deaths). Lack of consultation in the year before suicide was consistent with behaviour over the lifespan; over two-thirds had no previous consultations for mental health. In Coroner's records, suicides with no prior consultation were primarily linked to relationship breakdown and job loss. These findings highlight the limitations of primary care in suicide prevention as most had never attended GP for mental health issues and there was a high rate of supported consultation among those who had previously sought help. Public health campaigns that promote service use among vulnerable groups at times of crisis might usefully be targeted at those likely to be experiencing financial and relationship issues.

Keywords: general practice; help-seeking; mental health; men’s health; suicide.

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Figures

Figure 1
Figure 1
Help-seeking pathways before the suicide across the male cohort
See this image and copyright information in PMC

References

    1. Aday LA Andersen R (1974) A framework for the study of access to medical care. Health Services Research 9, 208–220. - PMC - PubMed
    1. Authors (2016.
    1. Biddle L, Gunnell D, Sharp D Donovan JL (2004) Factors influencing help seeking in mentally distressed young adults: a cross-sectional survey. The British Journal of General Practice 54, 248–253. - PMC - PubMed
    1. British Medical Association (2016) Health in all policies: health, austerity and welfare reform. London: BMA House.
    1. Chandler A, King C, Burton C Platt S (2016) General practitioners’ accounts of patients who have self-harmed a qualitative, observational study. Crisis: The Journal of Crisis Intervention and Suicide Prevention 37, 42–50. - PMC - PubMed

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