Suicidal high falls

Wyatt, Jonathan; Beale, J. P.; Graham, Colin A.; Beard, D.; Busuttil, A.

doi:10.1054/jcfm.2000.0357

Cited by 14 publications

(10 citation statements)

References 23 publications

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“…19 Data from previous research suggests that the mode of suicide reflects the underlying condition and in particular, that more violent modes of suicide are associated with psychotic illness. 20 It is possible that the patient in our report was suffering from a psychotic episode, which may (or may not) have been related to chronic carbon monoxide exposure. Unfortunately, there is no way to verify this.…”

Section: Discussionmentioning

confidence: 84%

Circular saw suicide

Judd

Wyatt

2007

Journal of Forensic and Legal Medicine

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Section: Discussionmentioning

confidence: 84%

Circular saw suicide

Judd

Wyatt

2007

Journal of Forensic and Legal Medicine

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“…Although jumping from a height is a relatively uncommon means of suicide, 5 a number of studies report the nature of physical injuries associated with such an event. The overall fatality rate from selfharm by jumping from a height is approximately 75% 4,21 with most deaths occurring at the scene of injury. Falling from a height equivalent to six stories or more (B18 m) to hard ground carries a near-inevitable fatality rate.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] Figures from the Australian Bureau of Statistics indicate that jumping accounted for only 4% of suicides in Australia in 1998. 5 However, during the 1980s there was an increase in suicide by jumping in Australia, the UK, Switzerland and Finland.…”

Section: Introductionmentioning

confidence: 99%

Spinal cord and related injuries after attempted suicide: psychiatric diagnosis and long-term follow-up

et al. 2007

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Study Design: Retrospective analysis of acute spinal cord injuries (ASCI). Objectives: Determine incidence of ASCI due to suicide attempt from 1970 to 2000. Describe demographics, injuries, mental illness, functional outcomes and nature of subsequent deaths. Setting: State spinal cord injury services, New South Wales, Australia. Methods: Retrospective record review and follow-up interview. Results: Of 2752 ASCI admissions, 56 were because of attempted suicide (55 falls, one gunshot wound). Thirty-six males and 20 females. Median age 30 years (15-74). Most common levels of vertebral injury were C5 and L1. Twenty-three had complete spinal cord injury. Thirtytwo had an Injury Severity Score of 415. Forty had more than one major injury. There was a significant rise in the incidence of ASCI following self-harm over time (Poisson regression, P ¼ 0.004). There was a significant change in scene of injury away from hospitals over time (w 2 test, df ¼ 1, P ¼ 0.0001). Psychiatric diagnoses were personality disorder 27; schizophrenia 16; depression 14; chronic alcohol abuse 10; mood disorder 10; chronic substance abuse 10; other four. Follow-up was available in 47 cases (84%) at an average of 8 years. Four subsequent deaths were by suicide. Domiciliary arrangements were: home 28; hospital five; nursing home three; group home/hostel four. Conclusions: Community placement outcomes for survivors were good. Subsequent death by suicide was high. There was a significant rise in cases and a change in injury scene away from hospitals over time.

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“…Shaw et al 28 reported that intentional pushing as a method was found among young male perpetrators, who kill stranger victims. Wyatt et al 29 emphasised there is little potential to reduce the death rate from suicidal falls by improving hospital treatment, it is worth considering whether some of the falls might have been prevented. Legal and health care professionals should be aware that women are vulnerable to both intimate partner violence and homicide from partners.…”

Section: Discussionmentioning

confidence: 99%