Non-suicidal self-injury and suicide risk among adult medical inpatients

Background Non-suicidal self-injury (NSSI) is a potent risk factor for suicide among youth. There is limited research, however, on the association between NSSI and suicide risk among adults, particularly among adult medical patients, who are a population at increased risk for suicide. To address this research gap, the current analysis aimed to describe the association […]

Harnessing innovative technologies to train nurses in suicide safety planning with hospitalized patients: Protocol for formative and pilot feasibility research

Background: Suicide is the 10th leading cause of death in the United States, with >47,000 deaths in 2019. Most people who died by suicide had contact with the health care system in the year before their death. Health care provider  training is a top research priority identified by the National Action Alliance for Suicide Prevention; […]

Sociodemographic characteristics associated with hospital contact in the year prior to suicide: A data linkage cohort study in Victoria, Australia

Aims The aims of this study were to examine the prevalence of hospital contact in the year prior to suicide in Victoria, Australia, and to compare characteristics among those who did and did not have contact in the year prior to suicide. Methods The study was a data linkage cohort study of 4348 Victorians who […]

The psychological status of 8817 hospital workers during COVID-19 epidemic: A cross-sectional study in Chongqing

Background There was an outbreak of COVID-19 towards the end of 2019 in China, which spread all over the world rapidly. The Chinese healthcare system is facing a big challenge where hospital workers are experiencing enormous psychological pressure. This study aimed to (1) investigate the psychological status of hospital workers and (2) provide references for […]

Clinical trajectories of suicide attempts and self-harm in patients admitted to acute-care hospitals in Japan: A nationwide inpatient database study

Background: For patients with suicide attempts or self-harm, acute-care hospitals often function as the primary or sole point of contact with the healthcare system. However, little is known about patient characteristics or clinical trajectories of suicide attempts and self-harm episodes among those admitted to acute-care hospitals. This study aimed to describe the characteristics of suicide attempts […]

Incidence and method of suicide in hospitals in the United States

BACKGROUND: There are no reliable estimates of hospital inpatient suicides in the United States. Understanding the rate and the methods used in suicides is important to guide prevention efforts. This study analyzed two national data sets to establish an evidence-based estimate of hospital inpatient suicides and the methods used. METHODS: The study is designed as […]

Literature-based recommendations for suicide assessment in the emergency department: A review

BACKGROUND: Suicidal ideation and attempted suicide are important presenting complaints in the Emergency Department (ED). The Joint Commission established a National Patient Safety Goal that requires screening for suicidal ideation to identify patients at risk for suicide. OBJECTIVES: Given the emphasis on screening for suicidal ideation in the general hospital and ED, it is important […]

Strengthening suicide prevention in Ontario hospitals: A report from the OHA Task Force on Suicide Prevention

In 2015, the Ministry of Health and Long-Term Care asked the Ontario Hospital Association (OHA) to create a Task Force to recommend safe medical practices for patients atrisk of suicide. The OHA Task Force on Suicide Prevention (Task Force) met regularly throughout the 2015-16 year, examined current hospital policies and protocols for suicide prevention and assessment, […]

Universal suicide risk screening in the hospital setting: Still a Pandora’s box?

Roaten et al. report that the screening initiative at PHHS began with overcoming roadblocks such as concerns from hospital administrators “that it would be an overwhelming undertaking.”7(p. 5) With support, vision, and commendable commitment from senior leadership, PHHS convened a leadership committee to gather information and develop plans to educate staff. Following a standard quality improvement (QI) […]

Development and implementation of a universal suicide risk screening program in a safety-net hospital system.

Background Many individuals who die by suicide present for nonbehavioral health care prior to death. The risk is often undetected. Universal suicide screening in health care may improve risk recognition. A quality improvement project involving a universal suicide screening program was designed and developed in a large safety-net health care system. Methods The steps in […]

Critical review on suicide among nurses: What about work-related factors?

See also copy of journal in CSP library.

Hospital management of self-harm patients and risk of repetition: Systematic review and meta-analysis.

A systematic review to investigate whether between study differences in reported clinical management of self-harm patients were associated with the risk of repeat self-harm and suicide. There is little clear evidence to suggest routine aspects of self-harm patient care, including psychosocial assessment, reduce the risk of subsequent suicide and repeat self-harm.

Field noteÑdeveloping suicide risk assessment training for hospital social workers: An academic-community partnership.

This article describes 1 large urban pediatric hospital’s partnership with a university to provide suicide assessment and management training within its social work department. Social work administrators conducted a department-wide needs assessment and implemented a 2-session suicide assessment training program and evaluation. Respondents (97.8%) indicated that the training was either helpful or very helpful in […]

Predictors of psychiatric aftercare among formerly hospitalized adolescents.

OBJECTIVE: Timely aftercare can be viewed as a patient safety imperative. In the context of decreasing inpatient length of stay (LOS) and known child psychiatry human resource challenges, we investigated time to aftercare for adolescents following psychiatric hospitalization. METHOD: We conducted a population-based cohort study of adolescents aged 15 to 19 years with psychiatric discharge […]

A record-linkage study of drug-related death and suicide after hospital discharge among drug-treatment clients in Scotland, 1996-2006.


The association between bankruptcy and hospital-presenting suicide: A record linkage study.


Predictors of suicide-related hospitalization among U.S. veterans receiving treatment for comorbid depression and substance dependence: Who is the riskiest of the risky?

This study examined whether widely accepted suicide risk factors are useful in predicting suicide-related hospitalization, beyond history of a suicide attempt, in high-risk treatment-seeking veterans with depression and substance dependence. Negative mood regulation expectancies were the only significant predictor of hospitalization during 6-months of outpatient treatment. History of a suicide attempt was the only significant […]

The impact of inpatient suicide on psychiatric nurses and their need for support

The nurses working in psychiatric hospitals and wards are prone to encounter completed suicides. The research was conducted to examine post-suicide stress in nurses and the availability of suicide-related mental health care services and education. These results indicated that nurses exposed to inpatient suicide suffer significant mental distress. However, the low availability of systematic post-suicide […]

All Along the Watchtower: Suicide Risk Screening, a Pilot Study

This article describes one hospital’s inpatient admission screening process. Through an interdisciplinary team of nurses, social workers, nursing care coordination, computer clinical analyst, staff education, & management, a prescreening tool/process was developed that identified medical patients with emotional or behavioural disorders & at risk for suicide. A 4-item suicide risk tool was piloted & revised. […]

Self-Poisoning Suicide Deaths in England: Could Improved Medical Management Contribute to Suicide Prevention?

This study described the characteristics & management of a national sample of individuals who died by intentional self-poisoning in hospital & assessed the quality of the care they received. Adults who had died by self-poisoning in English hospitals in 2005 were included; information was obtained on 121 cases. Expert assessors rated 41/104 as having received […]

People at Risk of Suicide Project: Identifying Activities and Opportunities in General Hospital Psychiatric Services. Report on Phases 1 and 2

This report is on the activities & outcomes from Phase I & II of the People at Risk of Suicide Project. Phase I presents highlights from a one-day conference, highlights from a literature review, presentation of a draft report, & implications for general hospital psychiatric services. Phase 2 discusses the development of a provincial fast […]

Military veteran mortality following a survived suicide attempt.


Suicide attempts and related factors in patients admitted to a general hospital: a ten-year cross-sectional study (1997-2007)