Acta psychiatrica Scandinavica
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Acta Psychiatr Scand · Dec 1993
Comparative StudyRisk factors for completed suicide among adolescents with a lifetime history of substance abuse: a case-control study.
The risk factors for suicide in adolescents with substance abuse were assessed by comparing 23 adolescent suicide victims and 12 community controls with a lifetime history of definite or probable DSM-III substance abuse. Suicide victims were more likely than controls to show the following risk factors: active substance abuse, comorbid major depression, suicidal ideation within the past week, family history of depression and substance abuse, legal problems and presence of a handgun in the home. Recommendations for the identification and prevention of suicide among substance-abusing youth on the basis of these findings are presented.
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Acta Psychiatr Scand · Dec 1993
Medical and social paternalism. Regulation of and attitudes towards compulsory psychiatric care.
In Sweden, recommendations and reforms in psychiatric care have increasingly stressed respect for patient autonomy and justice with less emphasis on medical and social paternalism. This is the official policy. ⋯ Strong support for medical and social paternalism was reported, and according to most of the people asked, doctors, not legal authorities, should decide about commitment. These attitudes are discordant with the recent legislative changes in Sweden.