Identifying a probable suicide cluster in an acute care psychiatric hospital in the Eastern Cape, South Africa.

Journal: The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa

Volume: 27

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Emergency Medical Care, Faculty of Health Sciences, Nelson Mandela University, Port Elizabeth, South Africa. Department of School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa. Department of Nursing, Faculty of Health Sciences, Nelson Mandela University, Port Elizabeth, South Africa.

Abstract summary 

Two young male patients who were diagnosed with drug-induced psychosis committed suicide in a psychiatric hospital in South Africa within a month of each other. The psychiatric nurses working in the hospital had never before had to deal with a similar trauma of suicide cluster.To assess the psychiatric nurses' experiences of suicide cluster in an inpatient psychiatric setting.A psychiatric hospital in the Eastern Cape, South Africa.A qualitative design was used. The research population consisted of psychiatric nurses who were purposively selected. Data were gathered using in-depth interviews where the participants narrated their experiences of the incidents. The interviews were transcribed verbatim and the data was coded using descriptive and explanatory codes. Trustworthiness was ensured. Ethical principles of justice, autonomy, beneficence and non-maleficence were ensured.An attempt was made to compare the suicides of two patients with the characteristics of cluster suicide to determine if clustering took place. Two young males committed suicide in an institutional setting within a month of each other. Other characteristics present included using the same method, in the same venue and in the same unit. They had similar educational and social backgrounds. The second victim knew the first victim and was aware of what happened.When the two events are analysed together it would seem as if clustering did occur. The suicide victims knew each other and victim number 2 was aware of the facts of the first suicide. They were in their early 20's, were mentally ill and committed suicide in the same site, using the same method and were both institutionalised at the time. Members of the mental healthcare team should be made aware of the characteristics of clustering so that when a suicide attempt occurs in a place where mentally-ill individuals are cared for, measures can be put in place to prevent another patient from copying such an event.

Authors & Co-authors:  Jacobs Ruwayda R Grobler Christoffel C Strumpher Johanita J

Study Outcome 

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Statistics
Citations :  Hawton K, Lascells K, Husband D, John A, Percy A. Identifying and responding to suicide clusters: A practical resource. 2019. [cited 2020 Oct 18]. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/839621/PHE_Suicide_Cluster_Guide.pdf
Authors :  3
Identifiers
Doi : 1646
SSN : 1608-9685
Study Population
Male,Males
Mesh Terms
Other Terms
mental health team;patient suicide;psychiatric hospital;psychiatric nurses;suicide clustering
Study Design
Descriptive Study,Cross Sectional Study
Study Approach
Qualitative
Country of Study
South Africa
Publication Country
South Africa