Suicidal behaviour in psychodermatology patients: Identifying characteristics and a new model for referral

Abstract It is well known that skin disease is associated with significant psychosocial morbidity, and that patients with skin disease can present with higher rates of suicidality than the general population. Clinicians often report numerous barriers to detecting and managing suicidality in busy out...

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Main Authors: Katie Lockwood, Kirsty Smith, Ruth Taylor, Alia Ahmed
Format: Article
Language:English
Published: Wiley 2023-08-01
Series:Skin Health and Disease
Online Access:https://doi.org/10.1002/ski2.207
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author Katie Lockwood
Kirsty Smith
Ruth Taylor
Alia Ahmed
author_facet Katie Lockwood
Kirsty Smith
Ruth Taylor
Alia Ahmed
author_sort Katie Lockwood
collection DOAJ
description Abstract It is well known that skin disease is associated with significant psychosocial morbidity, and that patients with skin disease can present with higher rates of suicidality than the general population. Clinicians often report numerous barriers to detecting and managing suicidality in busy outpatient settings. We aimed to establish the degree of suicidality within our psychodermatology patients and establish key characteristics that may serve as additional risk factors for suicidality. We conducted a retrospective review of clinical letters, patient notes, and a clinical database, for all 69 patients that attended our psychodermatology clinic since it was founded. Two practitioners independently recorded patient baseline demographics, presenting dermatological condition, comorbidities, Dermatology Life Quality Index scores and self‐reported suicidal behaviour for each patient. From this we calculated how many patients displayed signs of active suicidality, and identified common themes and characteristics within this patient group. We went onto develop a flow diagram to guide professionals when faced with an actively suicidal patient in clinic.
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spelling doaj.art-238975e92acb430885e7dc5873fd55352023-08-02T15:25:34ZengWileySkin Health and Disease2690-442X2023-08-0134n/an/a10.1002/ski2.207Suicidal behaviour in psychodermatology patients: Identifying characteristics and a new model for referralKatie Lockwood0Kirsty Smith1Ruth Taylor2Alia Ahmed3Department of Dermatology Swansea Bay University Health Board Swansea UKKing Edward VII Hospital, Windsor London UKCentre for Psychiatry Wolfson Institute Queen Mary University London London UKKing Edward VII Hospital, Windsor London UKAbstract It is well known that skin disease is associated with significant psychosocial morbidity, and that patients with skin disease can present with higher rates of suicidality than the general population. Clinicians often report numerous barriers to detecting and managing suicidality in busy outpatient settings. We aimed to establish the degree of suicidality within our psychodermatology patients and establish key characteristics that may serve as additional risk factors for suicidality. We conducted a retrospective review of clinical letters, patient notes, and a clinical database, for all 69 patients that attended our psychodermatology clinic since it was founded. Two practitioners independently recorded patient baseline demographics, presenting dermatological condition, comorbidities, Dermatology Life Quality Index scores and self‐reported suicidal behaviour for each patient. From this we calculated how many patients displayed signs of active suicidality, and identified common themes and characteristics within this patient group. We went onto develop a flow diagram to guide professionals when faced with an actively suicidal patient in clinic.https://doi.org/10.1002/ski2.207
spellingShingle Katie Lockwood
Kirsty Smith
Ruth Taylor
Alia Ahmed
Suicidal behaviour in psychodermatology patients: Identifying characteristics and a new model for referral
Skin Health and Disease
title Suicidal behaviour in psychodermatology patients: Identifying characteristics and a new model for referral
title_full Suicidal behaviour in psychodermatology patients: Identifying characteristics and a new model for referral
title_fullStr Suicidal behaviour in psychodermatology patients: Identifying characteristics and a new model for referral
title_full_unstemmed Suicidal behaviour in psychodermatology patients: Identifying characteristics and a new model for referral
title_short Suicidal behaviour in psychodermatology patients: Identifying characteristics and a new model for referral
title_sort suicidal behaviour in psychodermatology patients identifying characteristics and a new model for referral
url https://doi.org/10.1002/ski2.207
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