Risk for suicidal behavior after psychiatric hospitalization among sexual and gender minority patients

Abstract Importance  The months following inpatient psychiatric hospitalization are a period of high risk for suicidal behavior. Sexual and gender minority (SGM) individuals have elevated risk for suicidal behavior, but no prior research has examined whether SGM inpatients have disproportionate risk for suicidal behavior following discharge from psychiatric hospitalization. Objectives  To evaluate whether SGM patients have elevated […]

How does active substance use at psychiatric admission impact suicide risk and hospital length of stay?

Background/Objective: Despite their high prevalence, little is known about the effects of substance use disorders (SUD) and active substance use on the suicide risk or length of stay (LOS) of psychiatric inpatients. This study examines the relationship between active substance use at the time of psychiatric hospitalization and changes in suicide risk measures and LOS. […]

Provision of a multidisciplinary post-suicidal, community-based aftercare program: A longitudinal study

Suicide is a global concern with rates in Australia continuing to increase. Effective post-suicidal care is critical for reducing persistent suicidal behaviour. One model of care is that adopted by Alfred Health, delivering a multidisciplinary, hybrid clinical and non-clinical (psycho-social support), assertive outreach approach. This study measured improvements in resilience and wellbeing, changes to distress […]

Correlation between the implementation of Psychosocial Care Centers and the rates of psychiatric hospitalizations and suicide in Porto Alegre-RS from 2008 to 2018

Introduction: The Brazilian psychiatric reform has revolutionized the way that mental health care is provided throughout the country, introducing the Psychosocial Care Centers (CAPS) and encouraging care in freedom. The CAPS have a lot of objectives, such as the prevention of hospitalizations and crisis or suicide intervention. This paper aims to describe the correlation between the […]

“When you’re in the hospital, you’re in a sort of bubble.” Understanding the high risk of self-harm and suicide following psychiatric discharge: A qualitative study

Background: Individuals are at a greatly increased risk of suicide and self-harm in the months following discharge from psychiatric hospital, yet little is known about the reasons for this. Aims: To investigate the lived experience of psychiatric discharge and explore service users’ experiences following discharge. Method: In-depth interviews were undertaken with recently discharged service users (n = 10) […]

Psychiatric patient disposition agreement between the emergency physician and the psychiatry consultant

Background: Mental illness is prevalent, disabling, and costly. Emergency department (ED) visits for mental health-related reasons are on the increase. Aims: Determine the level of agreement between emergency physicians and psychiatrists regarding psychiatric patient disposition. Method: We conducted a prospective, observational study at a private university hospital ED from October 2008-April 2009 using a convenience sample of patients […]

Can postdischarge follow-up contacts prevent suicide and suicidal behavior? A review of the evidence

Background: The time period following discharge from inpatient psychiatry and emergency department (ED) treatment is one of heightened risk for repeat suicide attempts for patients. Evidence reported in the literature shows that follow-up contacts might reduce suicide risk, although there has not been a comprehensive and critical review of the evidence to date. Aims: To evaluate evidence […]

Understanding the risks of recent discharge: The phenomenological experiences trying to survive while living under the proverbial “Sword of Damocles”

Background: Evidence indicates that people whose mental health problems lead them to require psychiatric hospitalization are at a significantly increased risk of suicide, and the period of time immediately following discharge after such hospitalizations appears to be a particularly high-risk time. Aims: This paper reports on phenomenological findings from a federally funded, mixed-methods study that sought to better […]

Understanding the risks of recent discharge: The phenomenological lived experiences – “Existential angst at the prospect of discharge”

Background: Evidence indicates that people whose mental health problems lead them to require psychiatric hospitalization are at a significantly increased risk of suicide, and that the time immediately following discharge after such hospitalizations is a particularly high-risk time. Aims: This paper reports on phenomenological findings from a federally funded, mixed-methods study that sought to better understand the observed […]

The role of suicide risk in the decision for psychiatric hospitalization after a suicide attempt

Background: Suicide prevention can be improved by knowing which variables physicians take into account when considering hospitalization or discharge of patients who have attempted suicide. Aims: To test whether suicide risk is an adequate explanatory variable for predicting admission to a psychiatric unit after a suicide attempt. Methods: Analyses of 840 clinical records of patients who had attempted […]

Caring transitions: A care coordination intervention to reduce suicide risk among youth discharged from inpatient psychiatric hospitalization

Background: Suicide risk following youth psychiatric hospitalization is of significant concern. This study evaluated Linking Individuals Needing Care (LINC), a theory-driven, comprehensive care coordination approach for youth discharged from crisis services. Aims: To pilot LINC’s potential effectiveness in increasing service utilization and decreasing suicide risk. Method: Participants were 460 youth patients who received LINC for approximately 90 days following discharge […]

Argyrophilic grain disease is common in older adults and may be a risk factor for suicide: A study of Japanese forensic autopsy cases

Background Neuropathological diagnosis of argyrophilic grain disease (AGD) is currently based primarily on the combination of argyrophilic grain (AG) visualized using Gallyas–Braak silver staining, phosphorylated tau-positive pretangles, coiled bodies, and ballooned neuron detection. Although AGD is common in patients with dementia and/or prominent psychiatric symptoms, whether it is a distinct neurological disease entity or a […]

Time of self‑harm presentations to hospital emergency departments: A scoping review

Background The time at which a self-harm presentation occurs has been shown to be a significant factor as to whether a patient receives a psychiatric assessment or not, which may benefit the patient’s future care. This scoping review sought to identify studies that report on the peak time of day for self-harm presentations to hospital […]

Post-discharge suicide among high-risk psychiatric inpatients: Risk factors and warnings signs

Background The present study explored the predictive value of a novel suicide risk assessment with regard to suicide deaths within three years of discharge from an acute inpatient unit. The contributions of the different components of the assessment to overall determination of suicide risk were also explored. Methods A total of 380 acute psychiatric inpatients […]

Perceived coercion during admission into psychiatric hospitalization increases risk of suicide attempts after discharge

Objective There is an elevated risk for suicide in the year following psychiatric hospitalization. The present study examined whether perceived coercion during admission into psychiatric hospitalization increases risk for postdischarge suicide attempts. Methods Participants were 905 psychiatric inpatients from the MacArthur Violence Risk Assessment Study that were assessed every 10 weeks during the year following discharge. […]

Brief cognitive-based psychosocial intervention and case management for suicide attempters discharged from the emergency department in Taipei, Taiwan: A randomized controlled study

Objective We examined the effectiveness of brief cognitive-based psychotherapy plus standard case management in the prevention of further suicide attempts, clinical severity, and treatment adherence in a randomized clinical trial compared with standard case management. Method Among five hundred and ninety-seven patients presenting with suicide attempts, 147 participants were included. They were randomized into two […]

Substance use-related suicide after release from correctional, behavioral health, and healthcare facilities using national violent death reporting system data

Introduction Suicide and substance use are prevalent problems among persons discharged from facilities. This study (1) articulated rates of substance-related suicide deaths among those discharged correctional, behavioral health, and healthcare facilities, and (2) identified factors associated with substance-related suicide deaths unique to, or generalizing across, facility discharge. Methods We used data from the National Violent […]

Opioid use as a proximal risk factor for suicidal behavior in young adults

Introduction There is a concomitant rise in suicide rates with the prevalence of opioids involved in overdose deaths, especially among adolescents and young adults. However, there are limited studies on whether opioid use prospectively predicts suicidal behavior in youth. Methods Our sample included 183 psychiatric patients (18–30 years) admitted for a suicide attempt (SA), have current suicidal […]

Brief contact interventions to reduce suicide among discharged patients with mental health disordeArs: meta-analysis of RCTs

Background Worldwide, about 1 million died from suicide in 2000. People with mental health disorders are at greater risk of suicide, and they are especially susceptible during 1-week period after discharge from the hospital. Objective This meta-analysis paper aims to evaluate the effectiveness of brief contact interventions in preventing (1) suicidal deaths, (2) suicidal attempts, and […]

Suicidal thoughts and behaviors in psychiatrically hospitalized adolescents pre- and post- COVID-19: A historical chart review and examination of contextual correlates

Background: Psychiatrically vulnerable adolescents may be at heightened risk for suicide during the COVID-19 pandemic. This study characterizes suicidal ideation (SI) and suicide attempts (SA) in a sample of adolescents psychiatrically hospitalized during COVID-19. Rates of SI and SA are compared to a historical hospital sample from a matched period in the year prior. Associations between […]

Persistent suicidal ideation in a large intensive outpatient adolescent population sample: A preliminary report on the role of sleep disturbance

Sleep disturbance is a unique, yet understudied, risk factor for suicidal thoughts and behaviors (STBs). The present study sought to explore the relationship between suicidal ideation (SI) and self-reported sleep disturbance in a sample of adolescents in an intensive outpatient program targeting suicidality (N = 691). Analyses conducted include paired samples t tests, multiple linear […]

Multiple adverse outcomes following first discharge from inpatient psychiatric care: A national cohort study

Background Discharged psychiatric inpatients are at elevated risk of serious adverse outcomes, but no previous study has comprehensively examined an array of multiple risks in a single cohort. Methods We used data from the Danish Civil Registration System to delineate a cohort of all individuals born in Denmark in 1967–2000, who were alive and residing […]

Family involvement in psychiatric hospitalizations: Associations with discharge planning and prompt follow-up care

Objective: Involving family in the care of inpatients with serious mental illness is known to be beneficial. This study examined frequencies of involvement by family in the care and discharge planning for 179 psychiatric inpatients. Methods: Involvement by family in care and discharge planning was assessed from randomly selected medical records of inpatients with Medicaid and severe […]