Suicides in Psychiatric Inpatients in Tyrol/Austria, 1987-1994

Published in “The Suicidal Process: Challenges for Treatment and Prevention”

Bipolar Affective Disorders and Suicide During Psychiatric In-patient Treatment

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Inpatient Suicides: Recommendations for Prevention

Bridging the Gaps: the Interaction of Community and Hospital Care Among Trauma Survivors

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Suicide Mortality in NSW: Clients of Mental Health Services

Correction is attached to file copy.

Do Suicidal Ideation and Behaviour Influence Duration of Psychiatric Hospitalization?

The present study examined the length of hospitalization of those who had attempted suicide or had suicidal ideation compared to non-suicidal patients, as measured by the Health of the Nation Outcome Scales in 2 private psychiatric hospitals. Suicidal patients had a significantly shorter length of hospitalization, despite their significantly greater degree of psychiatric morbidity. Results […]

Political Asylums

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Long-Term Consequences of the Reformation of Psychiatric Care: a 15-year Follow-up Study

This study is a retrospective cohort study of the total number of patients receiving inpatient care at a psychiatric rehabilitation clinic during 1984. The follow-up period is 15 years, 1984-1998. The group had a considerable amount of inpatient care, but this decreased dramatically during the time of investigation. Positive findings were that there were no […]

Deinstitutionalization and Suicide

This article analyzes the apparent relationship between increased suicide rates & decreased institutionalization rates in Australia. The author argues that perhaps the move to deinstitutionalization of people with mental illness may deny them a safe refuge from suicide. Research supporting his argument is presented. (14 refs) (SC)

Situational Determinants of Self-Harm

The current study focuses on the situational antecedents of self-harming behavior & outawardly directed aggression of psychiatric inpatients. Auto-aggression was found to be significantly more prevalent during the evening & reached its highest level between 8 & 9pm. The majority of self-harming acts took place in patients’ bedrooms. Outwardly directed aggression was particularly common in […]

Lessons From a Comprehensive Clinical Audit of Users of Psychiatric Services who Committed Suicide

A total of 629 psychiatric patients who had committed suicide in the state of Victoria, Australia between July 1989-June 1994 were identified. 72% of the patients were male, 62% were under 40 years old, & 51% were unmarried. 67% had previously attempted suicide. 311 had received care within 4 weeks of death. 20% of the […]

U.S. Involuntary Mental Health Commitment Statutes: Requirements for Persons Perceived to be a Potential Harm to Self

The civil commitment statutes of all 50 states & the District of Columbia were reviewed to determine: 1) what is required for a person who is believed to be at serious & imminent risk of self-harm to be eligible for involuntary hospitalization? 2) whether an attempt to involuntarily hospitalize was required or was merely an […]

Early Suicide Following Discharge From a Psychiatric Hospital

Social & clinical risk factors for completed suicide occurring shortly after discharge from a psychiatric hospital were examined in this case-control study. 77 individuals who received “suicide” or “undetermined death” verdicts at inquest, & who had been previously discharged from psychiatric hospitals in Bradford, UK, were compared with a control group. A history of deliberate […]

The Staying Alive Project

This presentation discussed the Staying Alive Project initiated by the Maroondah Hospital Psychiatric Services. A major component of the project was to address the protocols & procedures for addressing the needs of young people who presented to the hospital after attempting suicide. As part of a broader project, young people who had made at least […]

Suicide: a European Perspective

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Contacts to the Health Care System Prior to Suicide: a Comprehensive Analysis Using Registers for General and Psychiatric Hospital Admissions, Contacts to General Practitioners and Practising Specialists and Drug Prescriptions

This study investigated suicides’ contacts with various parts of the health care system. Data on 472 people who completed suicide in a Danish country in the period April 1991-December 1995 were searched in the Danish Psychiatric Central Register, the National Patient Register, the National Health Insurance, & Odense Pharmacoepidemiologic Database. 97.5% of the subjects were […]

The Clarke Institute Experience With Completed Suicide: 1966 to 1997

This article describes the caseload of completed suicides at a single psychiatric facility & reviews the perceived deficiencies in the care of those patients. There were 276 completed suicides over the study period, yielding suicide rates of 206 per 100,000 registered patients & 123.5 per 100,000 inpatient discharges. The male to female ratio was 2:1 […]

What to do When a Patient Commits Suicide

The suicide of a patient has many far-reaching effects. In this paper, the authors provide a procedural framework following a patient suicide, based on the available literature & their personal experiences. Included is a checklist of actions following in-patient suicide and the components of a hospital suicide review conference. (8 refs.)

Efficacy of Crisis Intervention

Gender Differences in Psychiatric Disorder for Deliberate Self Poisoning Patients With Multiple Inpatient Service Utilisation (IN: Suicide Prevention: The Global Context…, ed. by R J Kosky et al)

This paper reports on a 3 year cohort of deliberate self poisoning patients reffered from New South Wales, Australia, & serviced by single, integrated clinical service . It provides information on baseline rates of multiple service utilization, psychiatric diagnosis, & gender differences.

Inpatient Suicides in an Australian Mental Hospital

103 inpatient suicides over a 21-year period in a psychiatric hospital in Melbourne were examined. 60 of these cases were compared with a matched group. Over 1/3 of the suicides occurred during approved leave & a similar number happened after absconding from the hospital. It is concluded that psychiatric units should be developed away from […]

Suicidal Feelings and Work Environment in Psychiatric Nursing Personnel

A questionnaire was used to study suicidal feelings, attempted suicide & aspects of the work environment & well-being in Swedish psychiatric nursing personnel. Suicidal feelings “last year” were lower than in the general population, but suicidal feelings & attempted suicide “earlier than last year” were much more common, & 13% of respondents reported an earlier […]

Review of Best Practices in Mental Health Reform. Prepared for the Federal/Provincial/Territorial Advisory Network on Mental Health

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