Patterns and predictors of help-seeking contacts with health services and general practitioner detection of suicidality prior to suicide: a cohort analysis of suicides occurring over a two-year period

Background: Contact with primary care and psychiatric services prior to suicide may be considerable, presenting
opportunities for intervention. However, there is scant knowledge on the frequency, nature and determinants of
contact.
Method: Retrospective cohort study-an analysis of deaths recorded as suicide by the Northern Ireland Coroner’s
Office linked with data from General Practice patient records over a 2 year period
Results: Eighty-seven per cent of suicides were in contact with General Practice services in the 12 months before
suicide. The frequency of contact with services was considerable, particularly among patients with a common
mental disorder or substance misuse problems. A diagnosis of psychiatric problems was absent in 40 % of suicides.
Excluding suicide attempts, the main predictors of a noted general practitioner concern for patient suicidality are
male gender, frequency of consultations, diagnosis of mental illness and substance misuse.
Conclusions: Despite widespread and frequent contact, a substantial proportion of suicidal people were
undiagnosed and untreated for mental health problems. General Practitioner alertness to suicidality may be too
narrowly focused.

Statue of Hon. John C. Calhoun erected in Statuary Hall of the Capitol at Washington ; proceedings in Statuary Hall and in the Senate and the House of Representatives on the occasion of the unveiling, reception, and acceptance of the statue from the State of South Carolina / compiled under the direction of the Joint Committee on printing

This publication is the proceedings of the unveiling ceremony for the statue of John C. Calhoun in the Statuary Hall in Washington D.C.

The tariff. Speech of Representative J. L. McLaurin, of South Carolina, in the House of Representatives, Tuesday, March 23, 1897

This document contains a speech of John L. McLaurin, representative of South Carolina, in the House of Representatives on Tuesday, March 23, 1897 about proposed tariffs.

Where the consumer is not a myth : letters from England describing economic and industrial conditions by Zach McGhee, Washington correspondent : speech of Hon. Wyatt Aiken in the House of Representatives, Tuesday, March 22, 1910

This document contains a speech of David Wyatt Aiken, representative of South Carolina, to the House of Representatives on Tuesday, March 22, 1910. Much of the speech is a letter from Zach McGhee, Washington correspondent of The State newspaper on industrial conditions in England and Europe.

Executive budget, state of South Carolina Fiscal Year 2016-17

Each year the Office of the Governor presents an Executive Budget to the General Assembly, consisting of a "complete and itemized plan of all proposed expenditures for each state department, bureau, division, officer, board, commission, institution, or other agency or undertaking."