A comparison of suicide attempt histories of pediatric and adult medical inpatients and implications for screening

Objective A suicide attempt is the most potent predictor of future suicidal behavior, yet little is known about how to manage and respond to reports of attempt histories in hospitalized medical patients. This study aims to describe the prevalence and characteristics of pediatric and adult medical inpatients who report a past suicide attempt. Method Participants […]

Inpatient suicides in late life: A retrospective analysis of a hospital group with nine psychiatric clinics

Objective Inpatient suicides are rare incidents; however, the impacts of such events on associated families and hospital staff are severe. Therefore, preventive strategies need to focus on risk factors. Clinical management in a hospital setting must integrate the home environment and social life of patients. Nevertheless, home leaves require careful preparation. Methods Suicides were reported […]

Does insomnia increase the risk of suicide in hospitalized patients with major depressive disorder? A nationwide inpatient analysis from 2006 to 2015

Introduction. Insomnia is an important symptom associated with major depressive disorder (MDD). In addition, it is one of the risk factors for suicide. Studies have shown the relationship be-tween insomnia and suicidal behavior in patients with MDD. However, this association has not been evaluated in a large sample of hospitalized patients. Objectives. To evaluate the suicidal be-havior in […]

Instability of suicidal ideation in patients hospitalized for depression: An exploratory study using smartphone ecological momentary assessment

This study used ecological momentary assessment (EMA) to explore the correlates of suicidal ideation (SI) instability in patients hospitalized for depression and SI. Thirty-nine adult inpatients were given smartphones with visual analogue scales to rate current depressed mood, anger/irritability, feeling socially connected, and SI three times a day throughout hospitalization. Affective Lability Scales (ALS) were […]

A controlled examination of acute warning signs for suicide attempts among hospitalized patients

Background. Near-term risk factors for suicidal behavior, referred to as ‘warning signs’ (WS), distinguish periods of acute heightened risk from periods of lower risk within an individual. No prior published study has examined, using a controlled study design, a broad set of hypothesized WS for suicide attempt. This study addressed this gap through examination of […]

Suicide risk among hospitalized versus discharged deliberate self-harm patients: Generalized random forest analysis using a large claims data set

Introduction: Suicide rates are extremely high among emergency department patients seen for deliberate self-harm. Inpatient hospitalization is often recommended for these patients, but evidence on the suicide prevention impacts of hospitalization is scarce. Confounding by indication and challenges to implementing randomized designs are barriers to advances in this field. Methods: Investigators used 2009-2012 statewide data on 57,312 […]

Hospital-based case management for suicide high-risk group using delphi survey

countries. To reduce suicide rates Emergency Department Based Post-Suicide Attempt Case Management carried out with government funding in South Korea, but it is insufficient to address the issue. Aim of this study is to prevent suicide attempts through continuous provision of mental health services even after discharge from acute care. Methods: We selected 15 mental health […]

Detect-S: An mHealth application to assist health professionals to identify suicide risk in hospitalized patients

Introduction Suicide is a serious public health problem that affects the whole world. This study describes development of the prototype for an mHealth application (app) intended to assist healthcare professionals to identify suicide risk in hospitalized patients and reports on testing of the app by some of these professionals, conducted to confirm its functionality. Method […]

Shorter and longer-term risk for non-fatal suicide attempts among male U.S. military veterans after discharge from psychiatric hospitalization

Although there are key differences in shorter-term (days 1–90) and longer-term (days 91–365) risk factors for suicide after discharge from inpatient psychiatry, there are no comparable data on non-fatal suicide attempts. Risk factors for non-fatal attempts in the first 90 days after discharge were compared with those over the remainder of the year to identify temporal changes in […]

Suicide in inpatient settings: Are our hospitals safe enough?

In the recognition that prevention of inpatient suicide should be a critical priority for systems of care, in 2007 The Joint Commission added Requirement 15A to its National Patient Safety Goals (NPSGs). 1. This requirement, now renumbered as NPSG.15.01.01,2 stipulates that general hospitals treating patients with a primary diagnosis or a primary complaint of an emotional […]

From pilot to practice: Implementation of a suicide risk screening program in hospitalized medical patients

Introduction Hospitals have become an important venue for identifying medical patients with occult suicidality. This article describes the implementation of a quality improvement project at the National Institutes of Health Clinical Center (NIHCC) to systematically screen medical/surgical inpatients for suicide risk. Methods Using the Plan-Do-Study-Act method, questions from the Ask Suicide-Screening Questions (ASQ) tool were […]

How health care systems let our patients down: A systematic review into suicide deaths

Purpose To synthesize the literature in relation to findings of system errors through reviews of suicide deaths in the public mental health system. Data sources A systematic narrative meta-synthesis using the PRISMA methodology was conducted. Study selection All English language articles published between 2000 and 2017 that reported on system errors identified through reviews of […]

Contact and communication with patients experiencing suicidal ideation: A qualitative study of nurses’ perspectives

Aim To uncover and understand the core elements of how nurses in psychiatric hospitals make contact with patients experiencing suicidal ideation. Design A qualitative study based on the principles of grounded theory was performed. Methods Nineteen nurses on wards of four psychiatric hospitals were interviewed between May 2017 – February 2018. The Qualitative Analysis Guide […]

Are non-psychiatric hospitalisations before self-harm associated with an increased risk for suicide among young people?

Objective This study aimed to investigate any increased risk for suicide in young people with admission for self-harm and if the risk is further increased due to somatic inpatient admissions before a first act of self-harm. Methods This register study included 16,235 cases in the ages 16–24, with a first admission for self-harm, and 32,465 […]

Pilot randomized clinical trial of the Teachable Moment Brief Intervention for hospitalized suicide attempt survivors

Objective The aim of this study was to further evaluate the acceptability and feasibility of the Teachable Moment Brief Intervention (TMBI). Method A single blind, pilot randomized controlled trial of the TMBI + care as usual (CAU) compared to CAU was conducted for patients who survived a recent suicide attempt that required medical inpatient hospitalization. The intervention was delivered […]

Recommended next care following hospital-treated self-harm: Patterns and trends over time.

Objective The specific objectives of this study were to examine variation in the care of self-harm patients in hospital settings and to identify the factors that predict recommended next care following self-harm. Methods Data on consecutive presentations to Irish emergency departments (EDs) involving self-harm from the National Self-Harm Registry Ireland from 2004 to 2012 were […]

Managing suicidal patients in the emergency department.

Caring for ED patients with suicidal thoughts and behaviors is challenging, given time pressures, boarding of patients waiting for psychiatric beds, and the inherent difficulty in predicting imminent self-harm. However, providers—like patients—should not lose hope: most suicidal crises are short-lived and repeated attempts are not inevitable.1 Not every ED patient with suicidal thoughts needs inpatient admission or […]

Suicide assessment in hospital emergency departments: Implications for patient satisfaction and compliance.

Suicide is a complex, multidimensional event with a host of contributing factors. Suicidal emergencies are among other behavioral and psychiatric emergencies that provide the basis for emergency department visits. Therefore, emergency departments are ideal clinical environments for the assessment of suicidal patients. A case example from an emergency department visit is provided as a basis […]

Practical management of the suicidal patient in the emergency department.

Many of us have known someone, a relative, a colleague perhaps, who has attempted or died by suicide. Most of the time these tragedies come as a surprise. There are often few indicators that the person was contemplating taking his or her life. It is often difficult to determine which patients are suicidal, especially if […]

Determinants of mental and physical health-related quality of life among patients hospitalized for suicidal behavior.

Highlights • Suicidal patients have lower health-related quality of life than the general population. Hopelessness was associated with lower mental health-related quality of life in suicidal patients. The number of previous suicide attempted together with age and medical disease were associated with lower physical health-related quality of life among these patients.

Deaths by suicide and their relationship with general and psychiatric hospital discharge: 30-year record linkage study.

BACKGROUND: Studies have rarely explored suicides completed following discharge from both general and psychiatric hospital settings. Such research might identify additional opportunities for intervention. AIMS: To identify and summarise Scottish psychiatric and general hospital records for individuals who have died by suicide. METHOD: A linked data study of deaths by suicide, aged ≥15 years from […]

The development and implementation of a brief intervention for medically admitted suicide attempt survivors.

The current study endeavored to establish the feasibility and acceptability of a brief intervention for medically admitted suicide attempt survivors. Method Fifty patients admitted to a Level 1 trauma center were recruited following a suicide attempt. The first 10 patients provided information on what constituted usual care, which in turn informed the creation of the […]

Rehospitalization of suicidal adolescents in relation to course of suicidal ideation and future suicide attempts.

Psychiatric hospitalization is essential in the clinical management of suicidal adolescents, and a considerable number of hospitalized adolescents are rehospitalized, yet little is known about how this experience may influence postdischarge outcomes. This study examined the association between rehospitalization within three months of index hospitalization and subsequent suicide attempts and suicidal ideation among adolescents. Rehospitalization […]