Resource Tag: HOSPITAL PATIENTS

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 […]

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 […]

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.

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 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 […]

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 […]

As part of a larger instrument validation study, 200 pediatric medical inpatients (ages 10-21 years) were screened for suicide risk. Participants completed demographic self-report forms and were asked their opinions about suicide risk screening. Patient responses were recorded verbatim by trained research social workers. Qualitative data was analyzed using thematic analysis. The majority of youth […]

Over 2001-2011, the national incidence of firearm-related hospitalizations has closely tracked the national stock market performance, suggesting that economic perturbations and resultant insecurities might underlie the perpetuation of firearm-related injuries. Although the case-fatality rates have remained stable, the length of stay and hospitalization costs have increased imposing additional burden on existing healthcare resources. Contact us […]

Suicide is common among patients with psychiatric illnesses.Executive-functioning variables among ideators and attempters are examined. Contact us for a copy of this article, or view online at http://neuro.psychiatryonline.org/doi/full/10.1176/jnp.23.2.jnp173#

The objective of this study was to identify factors associated with hospital admission after suicide spectrum behaviors. PatientsÕ characteristics, the nature of the suicidal behavior, admission rates between centers, and factors associated with admission have been examined in suicide spectrum presentations to emergency departments in 3 Spanish cities. The intent of the suicidal behavior had […]

This is the first analysis of the absolute risk of suicide in a total national cohort of individuals followed up from the first psychiatric contact, and it represents, to our knowledge, the hitherto largest sample with the longest and most complete follow-up. Our estimates are lower than those most often cited, but they are still […]

Journal held in CSP Library.

To describe the intent and process of reviews undertaken following the death by suicide of an inpatient and suggest possible improvements. While Root Cause Analysis remains a useful methodology, review of inpatient suicides should go beyond examination of systems issues only, and include consideration of the care and treatment provided: whether it met accepted clinical […]

Inpatient suicide comprises a proportionately small but clinically important fraction of suicide. This study is intended as a qualitative analysis of the comprehensive English literature, highlighting what is known and what can be done to prevent inpatient suicide. The bulk of inpatient suicides actually occur not on the ward but off premises, when the patient […]

his paper describes the “Ask Suicide-Screening Questions to Everyone in Medical Settings (asQ’em)” Quality Improvement Project. We aimed to pilot a suicide screening tool and determine feasibility of screening in terms of prevalence, impact on unit workflow, impact on mental health resources, and patient/nurse acceptance. Nurses can feasibly screen hospitalized medical/surgical patients for suicide risk […]

Most research on suicide is quantitative, and qualitative research is needed to reveal how individuals subjectively experience and account for suicidal behaviors. Government-subsidized funding for outpatient mental health care should be sustained or increased during economic recessions to protect the most vulnerable from suicidal behavior when it is the only viable path toward immediate psychiatric […]

Little is known about the longitudinal relationship of hopelessness to attempted suicide in psychotic disorders. This study addresses this gap by assessing hopelessness and attempted suicide at multiple time-points over 10 years in a first-admission cohort with psychosis (n = 414). Approximately one in five participants attempted suicide during the 10-year follow-up, and those who […]

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In 1976, Ben Martini was diagnosed with schizophrenia. A decade later, his brother Olivier was told he had the same disease. For the past thirty years the Martini family has struggled to comprehend and cope with a devastating illness, frustrated by a health care system lacking in resources and empathy, the imperfect science of medication, […]

The suicide mortality rate and risk factors for suicide completion of patients who presented to an emergency room (ER) for suicide attempt and were discharged without psychiatric admission, patients who presented to an ER for psychiatric problems other than suicide attempt and were discharged without psychiatric admission, psychiatric inpatients admitted for suicide attempt, and psychiatric […]

Oregon Violent Death Reporting System data were linked with Veterans Affairs (VA) administrative data to identify and describe veterans who completed suicide in Oregon from 2000 to 2005 (n = 968), and to describe their VA health care utilization in the year prior to death. Twenty-two percent had received health care in the VA system. […]

This study examined whether religious beliefs, coping skills, & responsibility to family serve as factors protecting against deliberate self-harm in Sabah, Malaysia. A cross-sectional comparative study assessed deliberate self-harm hospital patients admitted during December 2006-April 2007. 42 patients were matched with 42 controls. There were significant differences in religious beliefs & responsibility to family between […]

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