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It does, however, demonstrate the importance of restraint when behaviour was In addition to the strait waistcoat, medical superintendents had at their disposal leather straps, muffs, long leather or canvas sleeves and the traditional method of manacling patients.

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Andrews, ÔCase Notes, Care Histories, and the PatientÕs Experience of Insanity at Gartnavel Royal Asylum, Glasgow, in the Nineteenth CenturyÕ, Social History of Medicine, vol. Admission records and patient documents from the case studies used in this research reveal that threats and attempted suicide were the main precursors to committal. Because she was pregnant, she was transferred to the labor and delivery department.

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The approach adopted at Leicestershire and Worcestershire Asylums demonstrate the caution shown by medical superintendents when allowing suicidal patients to undertake employment. He also argues that assumptions about suicide and its relationship with insanity would be unnecessary if two distinct categories of suicide could be established.

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James was a threat to himself and potentially to his fellow patients and attendants, whom he may have tried to bite.

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Adjustments were made for year of birth, educational level, age at diagnosis, comorbidity and severity of personality disorder.

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Rates for this age group may not necessarily be comparable with previous years.