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[…]

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[…]

Five-year mortality after hospitalisation for suicide attempt with a violent method

Objective
This study aimed to estimate the 5-year mortality among people admitted into a transdisciplinary unit providing combined psychiatric and somatic rehabilitation treatment.
Methods
In this retrospective study, we analyzed the clinical records of all individuals admitted into the transdisciplinary unit from 01/01/2011 to 12/31/2017 after a suicide attempt using violent means.[…]

Spreading a strategy to prevent suicide after psychiatric hospitalization: Results of a quality improvement spread initiative

Background
Suicide after psychiatric hospitalization is a major concern. Poor treatment engagement may contribute to risk. The World Health Organization Brief Intervention and Contact (BIC) Program is an evidence-based practice shown to prevent suicide after psychiatric discharge in international trials. There have been no efforts to implement BIC into routine practice in US populations.

Meta-analysis of suicide rates in the first week and the first month after psychiatric hospitalisation

Objective
To assess the magnitude of suicide rates in the first week and first month postdischarge following psychiatric hospitalisation.
Design
Meta-analysis of relevant English-language, peer-reviewed papers published in MEDLINE, PsycINFO or Embase between 01 January 1945 and 31 March 2017 and supplemented by hand searching and personal communication. A generalised linear effects[…]

A pilot randomized trial of a brief intervention to prevent suicide after inpatient psychiatric discharge

Objective:
Risk for suicide is high after psychiatric hospitalization. The World Health Organization’s Brief Intervention and Contact (BIC) program has shown efficacy in preventing suicide. A version adapted for the U.S. Department of Veterans Affairs (VA) was studied to determine preliminary effects. Methods:
Patients receiving psychiatric hospitalization because of acute risk for self-harm[…]

Best practices in care transitions for individuals with suicide risk: Inpatient care to outpatient care

This report presents feasible, evidence-based practices that health systems can take to improve patient engagement and safety during the transition from inpatient to outpatient care.

Cost-effectiveness of a contact intervention and a psychotherapeutic program for post-discharge suicide prevention

Objective: To determine the cost-effectiveness of 2 strategies for post-discharge suicide prevention, an Enhanced Contact intervention based on repeated in-person and telephone contacts, and an individual 2-month long problem-solving Psychotherapy program, in comparison to facilitated access to outpatient care following a suicide attempt. Methods: We conducted a cost-effectiveness analysis based on a decision tree between January and[…]

Discharge of the emergency patient with risk factors for suicide: Psychiatric and legal perspectives. In: Zun L.S., Nordstrom K., Wilson M.P. (eds) Behavioral Emergencies for Healthcare Providers

Over the last 30 years, the psychiatric approach to individuals in the emergency setting with suicidal ideation and risk factors for suicide has undergone a paradigm shift, from one favoring triage and hospitalization to one favoring treatment and hospital diversion. In the best hands, the goal has always been to collaborate with the patient in[…]

Risk of suicide after discharge from inpatient psychiatric care: A systematic review

The period following discharge from inpatient psychiatric care is recognised as an especially high-risk time for patient suicide. Astonishingly, there is a dearth of comprehensive studies examining risk and protective factors in this specific population. The aim of this study was to establish the protective and risk factors for suicide in the first year post-discharge[…]