Suicide and homicide in patients with personality disorder
Research type
Research Study
Full title
The management and risk of patients with personality disorder prior to suicide and homicide
IRAS ID
158177
Contact name
Thabiso Nyathi
Contact email
Sponsor organisation
University of Manchester
Clinicaltrials.gov Identifier
Z6787610, University of Manchester Data Protection; 8D594/ECC0020, NHS Information Governance Toolkit
Duration of Study in the UK
1 years, 2 months, 31 days
Research summary
A mixed methodology will be used to examine the care and risk management of patients with personality disorder (PD) who died by suicide in 2012/13 or were convicted of homicide in 2010-2013 in the UK. Cases will be identified from the existing National Confidential Inquiry into Suicide and Homicide by People with Mental Illness [NCISH] database. Additional information will be obtained through a number of data sources, such as a web based survey, medical records, focus groups with clinical teams across the UK, and interviews with support and representatives groups for patients with PD.
The study aims are to:
Describe the characteristics of patients with PD who died by suicide or committed homicide.
Examine the care pathway for patients with PD who died by suicide or committed homicide.
Examine the extent to which care received adhered to NICE guidelines for personality disorder.
Evaluate the quality of risk management intervention (assessment, planning and implementation of risk plans) in the 3 months prior to death or homicide.
The study will involve the following:
An open call to patients with personality disorder to share their views and experiences of using health services via a web based survey.
Collection of medical records of patients with personality disorder who died by suicide or were convicted of homicide. Patients will be identified through the NCISH dataset. Data will be extracted from medical records using a proforma developed using feedback from the web-based survey.
Focus groups with mental health clinical teams and interviews with patient representative groups for to discuss aspects of care of people with personality disorder.
This study will inform clinical policy and practice by recommending safety improvements which may reduce patient suicide and homicide by people with personality disorder. Recommendations will be highlighted in a report and will form part of the NCISH toolkit for use throughout the service.
REC name
North West - Greater Manchester West Research Ethics Committee
REC reference
15/NW/0766
Date of REC Opinion
9 Oct 2015
REC opinion
Favourable Opinion