A sample of 265 adolescents hospitalized between 1971 and 1980 in a ps
ychiatric unit following a suicide attempt was studied to evaluate out
come. After an average of 11.5 years, 48% of the original sample, or 1
27 subjects, could be traced. Thirty-nine per cent of these subjects s
howed signs of improvement, 22% appeared to be unchanged and 33% were
worse. Substantial dropout rates were found in postdischarge care, onl
y 32% of the patients having been followed up for a sufficient amount
of time. Fifteen subjects had died, only one of whom from a natural ca
use. Of the remaining 14, 5 had committed suicide and 9 had died from
unnatural or violent causes other than suicide, the cause of death app
earing in all cases to be closely linked to the subject's adolescent d
isorders. The implications of these findings for suicide prevention ar
e discussed.