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[…]

Emotion-oriented coping style predicts self-harm in response to acute psychiatric hospitalization

Psychiatric hospitalization can cause significant distress for patients. Research has shown that to cope with the stress, patients sometimes resort to self-harm. Given the paucity of research on self-harm among psychiatric inpatients, a better understanding of transdiagnostic processes as predictors of self-harm during psychiatric hospitalization is needed. The current study examined whether coping styles predicted[…]

Selective serotonin reuptake inhibitors (SSRIs) and their effect on patient aggression in adult Patients in a state psychiatric facility: A retrospective analysis

Objective: The utility of selective serotonin reuptake inhibitors (SSRIs) has been overshadowed by the box warning they received when the United States (US) Food and Drug Administration (FDA) identified an increased risk of suicidality in patients 24 years of age or younger. Newer studies have identified suicidality as self-aggression and hypothesized whether this might also apply[…]

Suicide ideation and thwarted interpersonal needs among psychiatric inpatients: A network approach

We aimed to demonstrate the utility of an item-level network analysis approach to suicide risk by testing the interpersonal psychological theory of suicide (IPTS) among 402 psychiatric inpatients. We hypothesized that specific thwarted belongingness (TB) or perceived burdensomeness (PB; Interpersonal Needs Questionnaire items) facets would positively relate to passive or active suicide ideation and that[…]

Observational study of suicide in Switzerland: Comparison between psychiatric in- and outpatients

AIMS OF THE STUDY: In Switzerland, suicide is a major cause of years of potential life lost. Among people who died by suicide, a significant number suffered from mental illness and were treated by psychiatric care institutions. Psychiatric patients are thus a specific target for suicide prevention. Based on data from a clinical committee reviewing[…]

Nosocomial suicide

Objective and Method:
To consider the possibility that adverse aspects of psychiatric hospitalisation may precipitate suicide contributing significantly to the increased rate of suicide among inpatients, given little has been published about this.
Results and Conclusions:
It is likely that psychiatric hospitalisation itself contributes to some inpatient suicides. This has significant implications[…]

Feasibility and acceptability of ecological momentary assessment with high-risk suicidal adolescents following acute psychiatric care

Objective: The study purpose was to examine the feasibility and acceptability of intensive ecological momentary assessment (EMA) among high-risk adolescents with suicidal thoughts and behaviors following discharge from acute psychiatric care. Method: Fifty-three adolescents, 12-18 years old, and their parents, were recruited following discharge from acute psychiatric care for suicide risk. The study included a[…]

Electroconvulsive therapy and the risk of suicide in hospitalized patients with major depressive disorder

Importance  Electroconvulsive therapy (ECT) is indicated for severe depression, including depression with psychosis, catatonia, and/or an elevated suicide risk. However, the association of ECT with suicide risk is uncertain. Objective  To determine the association between ECT and the risk of suicide in patients with unipolar major depressive disorder. Design, Setting, and Participants  This registry-based cohort study used patient[…]

Suicide in inpatient settings: Are our hospitals safe enough?

In the recognition that prevention of inpatient suicide should be a critical priority for systems of care, in 2007 The Joint Commission added Requirement 15A to its National Patient Safety Goals (NPSGs). 1.
This requirement, now renumbered as NPSG.15.01.01,2 stipulates that general hospitals treating patients with a primary diagnosis or a primary complaint of an[…]

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.