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Incidence of suicidality in people with depression over a 10-year period treated by a large UK mental health service provider

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Emma R. Francis, Daniela Fonseca De Freitas, Craig Colling, Megan Pritchard, Giouliana Kadra-Scalzo, Natalia Viani, Jaya Chaturvedi, Tom R. Denee, Cicely Kerr, Mitesh Desai, Gemma Scott, Hitesh Shetty, Mathew Broadbent, David Chandran, Johnny Downs, Sumithra Velupillai, Mizanur Khondoker, Robert Stewart, Rina Dutta, Richard D. Hayes

Original languageEnglish
Article numbere223
JournalBJPsych Open
Volume7
Issue number6
DOIs
Published24 Nov 2021

Bibliographical note

Funding Information: R.S. has received research support in the past 36 months from Janssen, GSK and Takeda. R.D.H. has received research funding from Roche, Pfizer, Lundbeck and Janssen. R.D. and S.V. have received research funding from Janssen. T.R.D., C.K. and G.S. are employees of Janssen. M.D. is a former employee of Janssen. G.K.S. has received funding from Janssen and Lundbeck. E.R.F. and D.F.F have received salary support from Janssen and H. Lundbeck. Funding Information: This report represents independent research funded by Janssen-Cilag Limited carried out at the National Institute for Health Research (NIHR) Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London. This research used the Clinical Record Interactive Search (CRIS) platform funded and developed by the NIHR Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London and a joint infrastructure grant from Guy's and St Thomas' Charity and the Maudsley Charity (grant BRC-2011-10035). D.F.F., G.K.S., H.S., R.D.H. and R.S. have received receive salary support from the NIHR Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London. R.S. is additionally funded by: a Medical Research Council Mental Health Data Pathfinder Award to King's College London; an NIHR Senior Investigator Award; the NIHR Applied Research Collaboration South London at King's College Hospital NHS Foundation Trust. R.D. is funded by a Clinician Scientist Fellowship (research project e-HOST-IT) from the Health Foundation in partnership with the Academy of Medical Sciences. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR, the Department of Health and Social Care or Janssen-Cilag Limited. This article was made open access with the financial support of King's College London. Funding Information: This report represents independent research funded by Janssen-Cilag Limited carried out at the National Institute for Health Research (NIHR) Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London. This research used the Clinical Record Interactive Search (CRIS) platform funded and developed by the NIHR Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London and a joint infrastructure grant from Guy's and St Thomas’ Charity and the Maudsley Charity (grant BRC-2011-10035). D.F.F., G.K.S., H.S., R.D.H. and R.S. have received receive salary support from the NIHR Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London. R.S. is additionally funded by: a Medical Research Council Mental Health Data Pathfinder Award to King's College London; an NIHR Senior Investigator Award; the NIHR Applied Research Collaboration South London at King's College Hospital NHS Foundation Trust. R.D. is funded by a Clinician Scientist Fellowship (research project e-HOST-IT) from the Health Foundation in partnership with the Academy of Medical Sciences. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR, the Department of Health and Social Care or Janssen-Cilag Limited. This article was made open access with the financial support of King’s College London. Publisher Copyright: Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists.

King's Authors

Abstract

We describe the incidence of suicidality (2007-2017) in people with depression treated by secondary mental healthcare services at South London and Maudsley NHS Trust (n = 26 412). We estimated yearly incidence of 'suicidal ideation' and 'high risk of suicide' from structured and free-text fields of the Clinical Record Interactive Search system. The incidence of suicidal ideation increased from 0.6 (2007) to 1 cases (2017) per 1000 population. The incidence of high risk of suicide, based on risk forms, varied between 0.06 and 0.50 cases per 1000 adult population (2008-2017). Electronic health records provide the opportunity to examine suicidality on a large scale, but the impact of service-related changes in the use of structured risk assessment should be considered.

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