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.

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

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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 […]

Collaboration Between General Hospitals and Community Health Services in the Care of Suicide Attempters in Norway: a Longitudinal Study

Collaboration between emergency departments in general hospitals & community health services in Norway when providing psychosocial care & aftercare to suicide attempt patients treated in emergency departments was studied. Data were collected through structured interviews with informants from 95% of all general hospitals in 1999 & 2006, & informants from a stratified sample of municipalities […]

Parasuicidality and Patient Careerism: Treatment Recidivism and the Dialectics of Failure

The author interprets parasuicidal behaviour as a means certain individuals use to sustain patient careers. Contrary to the current trend to identify this behaviour solely as the defining symptoms of borderline personality disorder, the author argues that parasuicidality often emerges from the symbiotic relationship between individuals with particular existential needs & the medicalized institutions that […]

A Follow-Up Report on Preventing Suicide: Focus on Medical/Surgical Units and the Emergency Department

In 1998, The Joint Commission published a Sentinel Event Alert on preventing inpatient suicides. This Alert updates the prevention strategies presented in that Alert with a focus on general hospitals & the prevention of suicide in medical/surgical units & the emergency department. The goal of this publication is to assure that patients outside of psychiatric […]

Specific Characteristics of Suicide Attempts in Patients With Schizophrenia in Turkey

300 Turkish patients with a diagnosis of schizophrenia were studied. The sample was divided into 2 groups on the presence or absence of lifetime suicide attempts. Subjects who had & had not attempted suicide did not differ with respect to demographic variables. The suicide attempters tended to be younger at the age of onset, had […]

Provision and Evaluation of a Suicide Prevention and Management Programme by Frontline Nurses in Hong Kong

This study evaluated an education programme for frontline nurses on patient suicide prevention & management. The study was done in 2 general hospitals from December 2004-June 2006. A total of 54 registered nurses were assigned to the study group & 56 to the control group. A purposive sample was recruited for focus group interviews. Participants […]

A Checklist to Identify Inpatient Suicide Hazards in Veterans Affairs Hospitals

This study examines the implementation & effectiveness of using a standardized checklist for mental health units to improve patient safety in a large health care system. In 2006 a Department of Veteran Affairs committee developed both general guidelines to be applied to all areas of the psychiatric unit & detailed guidelines for specific rooms. Some […]

Comparison of Injury-Related Hospitalised Morbidity and Mortality in Urban and Rural Areas in Australia

This article identified & compared the pattern of injury mortality & hospitalized injury morbidity for urban & rural residents in New South Wales, Australia. Hospitalization data for July 2000-June 2005 & mortality data for January 2000-December 2004 were obtained. Rural residents experienced higher standardized mortality ratios for many types of injuries, including self-harm. (37 refs.)

Inpatient Suicide in a General Hospital

This study compared the characteristics of psychiatric & nonpsychiatric suicidal inpatients in a Taiwanese general hospital. Predictors of completed suicide were examined. 110 cases were identified through adverse event reports, 1995-2004. Psychiatric inpatients with suicidal acts were mainly younger females with psychiatric diagnoses & previous suicide attempts. Nonpsychiatric suicidal inpatients had less suicide communication, performed […]

Ending it All

This article describes a new toxicology service specifically tailored to help patients who have taken drug overdoses. This service is located in St. Thomas Hospital in south London.

Characteristics and Effects of Suicide Prevention Programs: Comparison Between Workplace and Other Settings

The study reviewed the literature on suicide prevention programs in the workplace, schools, community, medical facilities, jail, & the army by conducting a search of all articles published between 1967-November 2007. From a total of 256 articles, contents of suicide prevention programs & were determined. In 34 studies, the effect of programs was evaluated. Findings […]

Continuity of Care in the Treatment of Suicide Attempters – Current Challenges

Suicide attempters presenting for hospital treatment are a major public health challenge in most countries. Their tendency to drop out of treatments & their high risk of repeat suicidal behaviour call for systematic assessments, in-hospital management, treatment engagement, & follow-up treatments after discharge from hospital. However, hospital services provided for suicide attempters & follow-up care […]

Quality of Psychosocial Care of Suicide Attempters at General Hospitals in Norway – a Longitudinal Nationwide Study

This study identified predictors of a high level of quality of care for suicide attempters at general hospital emergency departments in Norway. Structured interviews with key informants covering the quality of care of patients admitted following attempted suicide were conducted in 1999 & 2006 at 87% of all general hospitals. Hospitals having implemented a chain […]

Is Organizational Change Associated With Increased Rates of Readmission to General Hospital in Suicide Attempters? A 10-Year Prospective Catchment Area Study

This study examined predictors for readmission in patients admitted to a general hospital emergency ward for suicide attempts before & after organizational changes potentially affecting the chain of care. Data from periods before & after 2004 – when the hospital changed its catchment area – were compared. A substantial increase in readmission rates in the […]

Admissions for Attempted Suicide to General Hospitals in The Netherlands: 1970-1976

In this presentation, data on general hospital admission rates for attempted suicide in The Netherlands for 1970, 1973, & 1976 were examined. Over the study period, the admission rate rose 70% & was mainly explained by the doubling of admissions for self-poisoning. Women had higher absolute rates than men but the relative increase was less […]

Statistical Evaluation of 621 Patients Treated in the Crisis Intervention Center of the Free University at the Klinikum Steglitz (Steglitz Medical Center) Berlin

In October 1976, a psychiatric crisis intervention center was set up in the Steglitz Medical Center, Berlin. Over a 2-year period, 621 patients were registered with indications for clinical psychiatric crisis intervention. Data was collected on age, gender, diagnoses, proposed treatment, & length of hospitalization. A hypothesis was tested of whether there is a correlation […]

Situation de crise: a quoi repondent les interventions psycho-therapiques en milieu hospitalier

In this French-language presentation, the author discussed crisis situations & psychotherapeutic interventions in the hospital.

A Short-Stay Intensive Care Multi-Disciplinary Unit for Parasuicides

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Development of a Suicide Prevention Centre From a State Hospital Base

This presentation explained the development of a suicide prevention centre in a state hospital in 1973. The selection process & training provided for staff & volunteers before they started to provide telephone services were described. The organizational & clinical problems that confronted the program were discussed. Other issues that were examined included the strengths & […]