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Suicide attempts by jumping

Institute of Psychiatry, University of London, De Crespigny Park, Camberwell SE5 8AF

Simon Fleminger, Senior Lecturer in Psychiatry

St Bartholomew's and Royal London Hospital, London

Those who attempt suicide by jumping often have a history of major psychiatric disorder, are left with a high level of physical and psychological morbidity and have a poor outcome. Services are failing this group in that national statistics may underestimate its size, and even when patients are in contact and are symptomatic and expressing suicidal intent before the incident many go on to jump. Care in hospital and preparation for follow up is uncoordinated.