Research Topics
| Louis ApplebySummaryAffiliation: University of Manchester Country: UK Publications
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Publications
Risk factors for suicide in Hungary: a case-control studyKitty Almasi
In and Outpatient Department of Psychiatry, No III, National Institute for Psychiatry and Neurology, Budapest, Hungary
BMC Psychiatry 9:45. 2009..We hypothesised that suicide in Hungary would be associated with both risk factors for suicide as identified in Western studies, and experiences related to social and economic restructuring...
Suicide within 12 months of mental health service contact in different age and diagnostic groups: National clinical surveyIsabelle M Hunt
Centre for Suicide Prevention, University of Manchester, Williamson Building, Oxford Road, Manchester M13 9PL, UK
Br J Psychiatry 188:135-42. 2006..Suicide prevention is a health service priority but the most effective approaches to prevention may differ between different patient groups...
Suicide amongst psychiatric in-patients who abscond from the ward: a national clinical surveyIsabelle M Hunt
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, Centre for Suicide Prevention, Jean McFarlane Building, University of Manchester, Manchester, M13 9PL, UK
BMC Psychiatry 10:14. 2010..The goal of this study was to describe the social and clinical characteristics of people who had absconded from an in-patient psychiatric ward prior to suicide, including aspects of the clinical care they received...
Rates of mental disorder in people convicted of homicide. National clinical surveyJenny Shaw
Centre for Suicide Prevention, University of Manchester, Williamson Building, Oxford ford Road, Manchester M13 9PL, UK
Br J Psychiatry 188:143-7. 2006..Most perpetrators with a history of mental disorder were not acutely ill or under mental healthcare at the time of the offence. Some perpetrators receive prison sentences despite having severe mental illness...
Perpetrators of homicide with schizophrenia: a national clinical survey in England and WalesJanet Meehan
Department of Psychiatry, University of Manchester, Williamson Building, Oxford Road, Manchester, Lancashire, United Kingdom M13 9PL
Psychiatr Serv 57:1648-51. 2006..CONCLUSIONS: Regular assessment of delusions may help to detect an increased risk of violence, including homicide. More intensive care should be available for patients with a history of schizophrenia and previous violence...
Suicide in schizophrenia: findings from a national clinical surveyIsabelle M Hunt
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, Centre for Suicide Prevention, University of Manchester, Manchester, UK
J Psychiatr Pract 12:139-47. 2006..A reduction in suicide among individuals with mental illness is an international public-health priority. Approximately 10% of patients with schizophrenia will die by suicide...
Suicide in mental health in-patients and within 3 months of discharge. National clinical surveyJanet Meehan
Centre for Suicide Prevention, University of Manchester, Williamson Building, Oxford Road, Manchester M13 9PL, UK
Br J Psychiatry 188:129-34. 2006..Prevention of suicide after discharge requires early community follow-up and closer supervision of high-risk patients...
Method of suicide in the mentally ill: a national clinical surveyIsabelle M Hunt
Centre for Suicide Prevention, University of Manchester, Manchester M13 9PL, Lancashire, United Kingdom
Suicide Life Threat Behav 40:22-34. 2010..We found that hanging, self-poisoning, and jumping (from a height or in front of a moving vehicle) were the most common methods of suicide, accounting for 79% of all deaths. The implications of these and other findings are discussed...
The role of alcohol and drugs in homicides in England and WalesJenny Shaw
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, Centre for Suicide Prevention, University of Manchester, Manchester, UK
Addiction 101:1117-24. 2006..The annual number of homicide convictions in England and Wales is increasing. Previous studies have highlighted the aetiological role of alcohol and drugs in homicide...
Suicide pacts in the mentally ill: a national clinical surveyIsabelle M Hunt
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, Centre for Suicide Prevention, University Place, University of Manchester, Manchester, M13 9PL, UK
Psychiatry Res 167:131-8. 2009..Awareness of the family environment may contribute to reduced risk...
Mortality risk among offspring of psychiatric inpatients: a population-based follow-up to early adulthoodRoger T Webb
Centre for Women s Mental Health Research, Biostatistics Group, University of Manchester, UK
Am J Psychiatry 163:2170-7. 2006....
Suicides in ethnic minorities within 12 months of contact with mental health services. National clinical surveyIsabelle M Hunt
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, Centre for Suicide Prevention, Manchester, UK
Br J Psychiatry 183:155-60. 2003..CONCLUSIONS: In order to reduce the number of suicides by ethnic minority patients, services should address the complex health and social needs of people with severe mental illness...
Nonresident suicides in England: a national studyKirsten Windfuhr
Centre for Suicide Prevention, University of Manchester, Manchester M13 9PL, UK
Suicide Life Threat Behav 40:151-8. 2010..In conclusion, both individual- and area-based factors are likely to contribute to suicide away from home...
Death by unnatural causes during childhood and early adulthood in offspring of psychiatric inpatientsRoger T Webb
Centre for Women s Mental Health Research and Biostatistics Group, University of Manchester, Oxford Road, Manchester, England
Arch Gen Psychiatry 64:345-52. 2007..Offspring of psychiatric inpatients are at higher risk of death from all causes, but their cause-specific risks have not been quantified...
Suicide in juveniles and adolescents in the United KingdomKirsten Windfuhr
Centre for Suicide Prevention, National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, University of Manchester, Manchester M139PL, UK
J Child Psychol Psychiatry 49:1155-65. 2008..Suicide is a leading cause of death among youths. Comparatively few studies have studied recent trends over time, or examined rates and characteristics of service contact in well-defined national samples...
The repetition of suicidal behavior: a multicenter cohort studyNavneet Kapur
Centre for Suicide Prevention, Department of Psychiatry and Behavioural Sciences, University of Manchester, Manchester, United Kingdom
J Clin Psychiatry 67:1599-609. 2006....
Influence of environmental factors in higher risk of sudden infant death syndrome linked with parental mental illnessRoger T Webb
Centre for Women s Mental Health and Health Methodology Research Group, University of Manchester, Room 2 311, University Place, Oxford Road, Manchester M13 9PL, England
Arch Gen Psychiatry 67:69-77. 2010..However, causal mechanisms specific to this group are poorly understood...
Suicide in current psychiatric in-patients: a case-control study The National Confidential Inquiry into Suicide and HomicideIsabelle M Hunt
Centre for Suicide Prevention, Department of Psychiatry and Behavioural Sciences, University of Manchester, Manchester, UK
Psychol Med 37:831-7. 2007..Few controlled studies have investigated factors associated with suicide in current in-patients. We aimed to identify psychosocial, behavioural and clinical risk factors, including variations in care, for in-patient suicide...
Suicide risk among violent and sexual criminal offendersRoger T Webb
Centre for Suicide Prevention, University of Manchester, Oxford Road, Manchester, England
J Interpers Violence 27:3405-24. 2012..They also indicate a clear need for developing effective multiagency interventions that effectively tackle both forms of destructive behavior...
A clinical tool for assessing risk after self-harmJayne Cooper
Centre for Suicide Prevention, University of Manchester, Manchester, England
Ann Emerg Med 48:459-66. 2006..Our aim is to develop a risk-stratification model for use by emergency department (ED) clinical staff in the assessment of patients attending with self-harm...
Suicide in the homeless within 12 months of contact with mental health services : a national clinical survey in the UKHarriet Bickley
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, Centre for Suicide Prevention, University of Manchester, Oxford Road, Williamson Building, Manchester, M13 9PL, UK
Soc Psychiatry Psychiatr Epidemiol 41:686-91. 2006..Suicide prevention is a health service priority. Homeless mental health patients present a challenge to services because of their complex health and social needs...
A population-based study of juvenile perpetrators of homicide in England and WalesCathryn Rodway
The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, Centre for Suicide Prevention, Floor 2, Jean McFarlane Building, University of Manchester, Oxford Road, Manchester M13 9PL, UK
J Adolesc 34:19-28. 2011..Strengthening engagement with young offenders and increasing resources to prevent recidivism may also be beneficial...
Suicide after deliberate self-harm: a 4-year cohort studyJayne Cooper
Centre for Suicide Prevention, University of Manchester, 7th Floor, Williamson Building, Oxford Road, Manchester M13 9PL, UK
Am J Psychiatry 162:297-303. 2005....
Birthday blues: examining the association between birthday and suicide in a national sampleAlyson Williams
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, Centre for Suicide Prevention, University of Manchester, UK
Crisis 32:134-42. 2011..Socioculturally meaningful events have been shown to influence the timing of suicide, but the influence of psychiatric disorder on these associations has seldom been studied...
Suicide in psychiatric in-patients in England, 1997 to 2003Navneet Kapur
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, Centre for Suicide Prevention, Williamson Building, University of Manchester, Manchester, UK
Psychol Med 36:1485-92. 2006..Psychiatric in-patients are at particularly high risk of suicide but few studies have investigated trends in in-patient suicide over time...
Mother and baby unit admissions: feasibility study examining child outcomes 4-6 years onMing Wai Wan
Centre for Women s Mental Health Research, Division of Psychiatry, Williamson Building, University of Manchester, Oxford Road, Manchester M13 9PL, UK
Aust N Z J Psychiatry 41:150-6. 2007....
Trends in national suicide rates for Scotland and for England & Wales, 1960-2008Pearl L H Mok
Centre for Suicide Prevention, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK
Br J Psychiatry 200:245-51. 2012..Suicide rates in Scotland have increased markedly relative to those in England in recent decades...
The incidence and associated risk factors for sudden unexplained death in psychiatric in-patients in England and WalesKirsten Windfuhr
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, Centre for Suicide Prevention, University of Manchester, Manchester, UK
J Psychopharmacol 25:1533-42. 2011..The contribution of restraint or seclusion to SUD in individual cases is unclear. A uniform definition of SUD may help to identify contributing factors...
Suicide prevention in primary care: General practitioners' views on service availabilityPooja Saini
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, Centre for Suicide Prevention, Jean McFarlane Building, University of Manchester, M13 9PL, UK
BMC Res Notes 3:246. 2010..We carried out a questionnaire and interview study in the North West of England. We collected data on GPs views of suicide prevention generally as well as local mental health service provision...
Suicide in recently released prisoners: a population-based cohort studyDaniel Pratt
Centre for Suicide Prevention, University of Manchester, Manchester M13 9PL, UK
Lancet 368:119-23. 2006..A shared responsibility lies with the prison, probation, health, and social services to develop more collaborative practices in providing services for this high-risk group...
Electroconvulsive therapy and suicide among the mentally ill in England: a national clinical surveyIsabelle M Hunt
School of Community Based Medicine, University of Manchester, Manchester, UK
Psychiatry Res 187:145-9. 2011..Services appear to acknowledge the high risk of suicide in those receiving ECT. Improvements in care of these severely ill patients may include careful discharge planning and improved observation of in-patients in receipt of ECT...
Implementation of mental health service recommendations in England and Wales and suicide rates, 1997-2006: a cross-sectional and before-and-after observational studyDavid While
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, Centre for Suicide Prevention, Manchester Academic Health Sciences Centre, University of Manchester, UK
Lancet 379:1005-12. 2012..We aimed to examine the uptake of key mental health service recommendations over time and to investigate the association between their implementation and suicide rates...
Trends in rates of mental illness in homicide perpetratorsNicola Swinson
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, Centre for Suicide Prevention, University of Manchester, UK
Br J Psychiatry 198:485-9. 2011..The rise in homicides by those with serious mental illness is of concern, although this increase may not be continuing...
National study of suicide in all people with a criminal justice historyRoger T Webb
Centre for Suicide Prevention, University of Manchester, Manchester, England
Arch Gen Psychiatry 68:591-9. 2011..Previous research has focused on suicide among male prisoners and ex-prisoners, but little is known about risk in the wider offender population...
Mental illness in people who kill strangers: longitudinal study and national clinical surveyJenny Shaw
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, Centre for Suicide Prevention, School of Psychiatry and Behavioural Sciences, University of Manchester, Manchester M13 9PL
BMJ 328:734-7. 2004..To establish changes over time in the frequency of homicides committed by strangers, and to describe the personal and clinical characteristics of perpetrators of stranger homicides...
Primary care contact prior to suicide in individuals with mental illnessAnna Pearson
University of Manchester, Centre for Suicide Prevention, Manchester
Br J Gen Pract 59:825-32. 2009..Previous studies have reported differing rates of consultation with GPs prior to suicide. Patients with a psychiatric history have higher rates of consultation and consult closer to the time of their death...
Deaths from natural causes in people with mental illness: a cohort studyUrara Hiroeh
Centre for Suicide Prevention, Division of Psychiatry, University of Manchester, Manchester, United Kingdom
J Psychosom Res 64:275-83. 2008..To investigate natural-cause mortality risk in people with psychiatric admission histories in a national population-based cohort. To estimate risks in relation to psychiatric diagnostic categories and for specific causes of death...
Self-harm in the UK: differences between South Asians and Whites in rates, characteristics, provision of service and repetitionJayne Cooper
Centre for Suicide Prevention, Division of Psychiatry, 7th Floor Williamson Building, University of Manchester, Oxford Road, Manchester M13 9PL, UK
Soc Psychiatry Psychiatr Epidemiol 41:782-8. 2006..Data on treatment and outcomes for South Asians are lacking. This study compared rates of self-harm, socio-demographic and clinical characteristics, provision of services and risk of repetition by ethnicity...
Why does Scotland have a higher suicide rate than England? An area-level investigation of health and social factorsPearl L H Mok
Centre for Suicide Prevention, Centre for Mental Health and Risk, University of Manchester, Manchester M13 9PL, UK
J Epidemiol Community Health 67:63-70. 2013..Up until the mid-late 2000s, the national suicide rate in Scotland was the highest among all the UK countries, but the reasons for this phenomenon are poorly understood...
The production and interpretation of disease mapsA methodological case-studyMohsen Rezaeian
Biostatistics Group, School of Epidemiology and Health Sciences, Stopford Building, Oxford Road, Manchester M13 9PT, UK
Soc Psychiatry Psychiatr Epidemiol 39:947-54. 2004....
"Near-fatal" deliberate self-harm: characteristics, prevention and implications for the prevention of suicideJulie Douglas
Centre for Suicide Prevention, University of Manchester, Manchester M13 9PL, UK
J Affect Disord 79:263-8. 2004..Further studies of NFDSH could contribute to what is known about suicide prevention but the reluctance of NFDSH subjects to be interviewed may be a difficulty for future research...
Suicide by prisoners. National clinical surveyJenny Shaw
Centre for Suicide Prevention, University of Manchester, Manchester, UK
Br J Psychiatry 184:263-7. 2004..The number of suicides in prison has increased over recent years. This is the first study to describe the clinical care of a national sample of prison suicides...
Ecological association between suicide rates and indices of deprivation in the north west region of England: the importance of the size of the administrative unitMohsen Rezaeian
Biostatistics Group, Division of Epidemiology and Health Sciences, University of Manchester, Manchester, UK
J Epidemiol Community Health 60:956-61. 2006..These ecological associations have been studied at both the local authority and the electoral ward level...
The ecological association between suicide rates and indices of deprivation in English local authoritiesMohsen Rezaeian
Biostatistics Group, Division of Epidemiology and Health Sciences, Stopford Building, Oxford Road, Manchester, M13 9PT, UK
Soc Psychiatry Psychiatr Epidemiol 40:785-91. 2005..However, more studies using multilevel modelling are needed to shed more light on the ecological associations between suicide rates and socio-economic and social cohesion status...
Combined influence of serious mental illness and criminal offending on suicide risk in younger adultsRoger T Webb
Centre for Suicide Prevention, Centre for Mental Health and Risk, University of Manchester, Oxford Road, Manchester, M13 9PL, UK
Soc Psychiatry Psychiatr Epidemiol 48:49-57. 2013..We conducted a national epidemiological study to determine how mental illness and criminal offending combine to influence suicide risk in younger adults...
Suicide in recently admitted psychiatric in-patients: a case-control studyIsabelle M Hunt
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, Centre for Mental Health and Risk, University of Manchester, Manchester M13 9PL, UK
J Affect Disord 144:123-8. 2013..Little is known on the factors associated with suicide during this critical time. We aimed to identify risk factors for suicide among in-patients within the first week of admission...
Ligature points and ligature types used by psychiatric inpatients who die by hanging: a national studyIsabelle M Hunt
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, Centre for Mental Health and Risk, University of Manchester, Manchester, UK
Crisis 33:87-94. 2012..Approximately three-quarters of patients who die by suicide on psychiatric wards do so by hanging/strangulation. Increased awareness of the methods used by these patients may benefit prevention strategies in mental health services...
Mortality in offspring of parents with psychotic disorders: a critical review and meta-analysisRoger Webb
Centre for Women s Mental Health Research, University of Manchester, Williamson Bldg, Oxford Rd, Manchester M13 9PL, UK
Am J Psychiatry 162:1045-56. 2005..The authors synthesized evidence for mortality risk among offspring of parents with psychotic disorders and examined potential modifiers of risk such as offspring age and parental diagnosis...
What predicts poor mother-infant interaction in schizophrenia?Ming Wai Wan
Centre for Women s Mental Health Research, Division of Psychiatry, Williamson Building, University of Manchester, Manchester, UK
Psychol Med 37:537-46. 2007..However, little is known about whether interaction deficits are accounted for by severity of illness or adverse social circumstances typically experienced by these mothers...
Evaluating STORM skills training for managing people at risk of suicideLinda Gask
Division of Psychiatry, University of Manchester, Manchester, UK
J Adv Nurs 54:739-50. 2006..This paper reports a study evaluating the Skills Training On Risk Management (STORM) training initiative in three mental health services in the North-West of England, UK...
Emergency department management and outcome for self-poisoning: a cohort studyNavneet Kapur
Centre for Suicide Prevention, Department of Psychiatry and Behavioural Sciences, 7th Floor Williamson Building, University of Manchester, Oxford Road, M13 9PL, Manchester, UK
Gen Hosp Psychiatry 26:36-41. 2004..The implications of this finding are discussed. Further studies using both cohort and randomized controlled study designs will help inform management strategies for patients who poison themselves...
Prevalence and predictors of parenting outcomes in a cohort of mothers with schizophrenia admitted for joint mother and baby psychiatric care in EnglandKathryn M Abel
Centre for Women s Mental Health Research, Manchester University, UK
J Clin Psychiatry 66:781-9; quiz 808-9. 2005..We aimed to describe the characteristics of these women postnatally and to estimate the prevalence of, and identify independent predictors of, parenting outcomes...
Clinical and parenting skills outcomes following joint mother-baby psychiatric admissionMargaret Salmon
Centre for Women's Mental Health Research, School of Psychiatry and Behavioural Sciences, University of Manchester, UK
Aust N Z J Psychiatry 37:556-62. 2003..Women with schizophrenia may need particular measures to improve their parenting. A marital approach to treatment, directed at the woman's relationship with her partner or the latter's own mental health may improve outcome...
Factors that influence emergency department doctors' assessment of suicide risk in deliberate self-harm patientsJayne B Cooper
Centre for Suicide Prevention, University of Manchester, Manchester, UK
Eur J Emerg Med 10:283-7. 2003..To determine the patient factors influencing UK Emergency Department doctors' assessment of suicide risk. To establish whether immediate clinical management is consistent with perceived risk...
The psychosocial outcome of pregnancy in women with psychotic disordersLouise Michele Howard
PO29, Section of Community Psychiatry, Health Services Research Department, Institute of Psychiatry, London SE5 8AF, UK
Schizophr Res 71:49-60. 2004....
Predictors of social services supervision of babies of mothers with mental illness after admission to a psychiatric mother and baby unitLouise Howard
Health Services Research Dept, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK
Soc Psychiatry Psychiatr Epidemiol 38:450-5. 2003..Preventative interventions should be targeted at socio-economic difficulties, early detection of psychiatric disorders postpartum and treatment of perinatal mental illness in the context of the whole family...
The effects on suicide rates of an educational intervention for front-line health professionals with suicidal patients (the STORM Project)Richard Morriss
University of Liverpool, Division of Psychiatry, Royal Liverpool University Hospital, Prescot Street, Liverpool L69 3GA, UK
Psychol Med 35:957-60. 2005....
Clustering of suicides among people with mental illnessNigel McKenzie
Camden and Islington Mental Health and Social Care Trust and Department of Psychiatry and Behavioural Sciences, Royal Free and University College London Medical Schools, UK
Br J Psychiatry 187:476-80. 2005..Most previous investigations of imitative suicide have reported suicide clustering in the general population, either temporal clustering following media reporting of suicide or case studies of geographically localised clusters...
A prospective study of noncompliance with medication, suicidal ideation, and suicidal behavior in recently discharged psychiatric inpatientsIntikhab Qurashi
Guild Lodge Unit, Guild Lodge Services, Preston, U K
Arch Suicide Res 10:61-7. 2006..We conclude that noncompliance with medication is associated with suicidal ideation...
Risk of sudden infant death syndrome with parental mental illnessSarah A King Hele
Centre for Women s Mental Health Research, The University of Manchester, Manchester, England
Arch Gen Psychiatry 64:1323-30. 2007..Little is known about risks linked with parental mental illness per se or how such risks are modified by specific psychiatric conditions and by maternal vs paternal psychopathological abnormalities...
Mind the gapLouis Appleby
Emerg Nurse 12:13-6. 2004
Bill aims to protect people at times of high riskLouis Appleby
BMJ 334:761. 2007
Do hot spots of deprivation predict the rates of suicide within London boroughs?Mohsen Rezaeian
Biostatistics Group, Division of Epidemiology and Health Sciences, The University of Manchester, UK
Health Place 13:886-93. 2007....
Geographical epidemiology, spatial analysis and geographical information systems: a multidisciplinary glossaryMohsen Rezaeian
Biostatistics Group, Division of Epidemiology and Health Sciences, The University of Manchester, Manchester, UK
J Epidemiol Community Health 61:98-102. 2007..We also discuss the rationale for geographical epidemiology and specific techniques such as disease clustering, disease mapping, ecological analyses, geographical information systems and global positioning systems...
The HSJ interview: Professor Louis Appleby. Interview by Paul SmithLouis Appleby
Health Serv J 113:22-3. 2003
