Therapeutic alliance and change in suicide ideation among psychiatric inpatients at risk for suicide

Background: Therapeutic alliance is thought to be essential in the treatment of suicidality. Surprisingly, studies about the association between therapeutic alliance and change in suicide ideation over the course of treatment are sparse  and reported inconsistent results. Furthermore, theoretically important moderators were rarely explored empirically. Methods: We investigated the association between therapeutic alliance and change […]

Validating the suicide status form for the Collaborative Assessment and Management of Suicidality in a psychiatric adolescent sample

Background For adults, the Collaborative Assessment and Management of Suicidality (CAMS; Jobes, (2006, Managing suicidal risk: A collaborative approach, New York, Guilford) and Jobes, (2016, Managing suicidal risk: A collaborative approach, New York, Guilford)) is a treatment framework with replicated evidenced-based support for effectiveness. The current study is a psychometric validation of the Suicide Status Form (SSF-IV), […]

God bless you? The association of religion and spirituality with reduction of suicide ideation and length of hospital stay among psychiatric patients at risk for suicide

Objective Religion and spirituality (R&S) were protective against suicidal behavior in the majority of studies. In prospective studies, R&S were associated with improved outcome for patients with depression, a main risk factor for suicide. Thus, R&S may also improve recovery from suicidal crisis, but related data is lacking. Method We explored how aspects of R&S […]

Suicidal and violent ideation in acute psychiatric inpatients: prevalence, co-occurrence, and associated characteristics

Objective We studied the point prevalence of suicidal and violent ideation, as well as their co-occurrence and associated characteristics in inpatients with mental health disorders. Methods Data on suicidal and violent ideation, and sociodemographic and clinical information, were gathered from 1,737 patients when admitted to the acute psychiatric ward. Results The point prevalence was 51.9% […]

Mortality among psychiatric inpatients in China: A national survey

Background: Patients with mental disorders are at increased risk of premature mortality. Psychiatric inpatients are a particularly vulnerable population, yet data on the mortality rate and causes of death among psychiatric inpatients in a national sample are scarce. Methods: We analyzed data collected from patients who died during psychiatric hospitalization in 2019 and 2020 from 41 psychiatric […]

Inpatient suicides in late life: A retrospective analysis of a hospital group with nine psychiatric clinics

Objective Inpatient suicides are rare incidents; however, the impacts of such events on associated families and hospital staff are severe. Therefore, preventive strategies need to focus on risk factors. Clinical management in a hospital setting must integrate the home environment and social life of patients. Nevertheless, home leaves require careful preparation. Methods Suicides were reported […]

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 […]

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 for the delivery […]

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 emotional […]

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.

Constant observation of suicidal patients: The intervention we love to hate

Constant observation (CO) of psychiatric inpatients at risk for suicidal behavior has been criticized in the literature because of the absence of demonstrable effectiveness, associated costs, staff and patient acceptance, and related issues. Our inability to demonstrate effectiveness, however, is an ethical conundrum that cannot readily be solved. Frequent and often vociferous references in the […]

Characterizing children hospitalized for suicide-related thoughts and behaviors

Background: Despite alarming increases in suicide deaths among preadolescent children, knowledge of the precipitants of suicide risk and the characteristics of children who seek treatment for suicidality is limited. This study’s purpose is to describe children (ages 6-12) hospitalized for suicide-related concerns and compare demographic and diagnostic differences between children and adolescent (ages 13-18) patients. Methods: This […]

Suicidal mental imagery in psychiatrically hospitalized adolescents

Suicide is the second leading cause of death in adolescents and suicide rates in this population have increased in recent years. A critical step in preventing suicide is improving the accuracy of suicide risk assessment. Measurement of suicidal cognitions typically emphasizes assessment of verbal thoughts about suicide. Recent research suggests, however, that suicidal mental imagery, […]

Suicide prevention in psychiatric patients

An increased risk of suicide has been reported for psychiatric patients. In several world regions, an underlying psychiatric disorder is reported in up to 90% of people who die from suicide, though this rate seems to be considerably lower in low- and middle-income countries. Major psychiatric conditions associated with suicidality are mood disorders, alcohol and […]

Motivations for suicide attempts amongst psychiatric inpatients: Associations with risk factors and recent suicide attempt characteristics

Suicide is a major and preventable public health issue and research has identified several distal risk factors for determining individuals at risk for a suicide attempt. However, understanding imminent processes could enhance individualized safety plan formulations and interventions. Motivation for suicide attempt (MfSA) reflects why an individual engages in a specific attempt. Research indicates such motives can […]

Is religiousness a protective factor against suicide? Evaluating suicidality and religiousness in psychiatric inpatient population utilizing Sheehan Suicide Tracking Scale (S-STS) and Columbia Suicide Severity Rating Scale (C-SSRS)

Background: Suicide is a major public health concern. Studies have suggested that Religiousness can be protective of suicidality. We objectively wanted to explore this relationship. Methods: Patients admitted to a psychiatric hospital were invited to participate in the study to compare the psychometric properties of Sheehan-Suicidality Tracking Scale (S-STS) and Columbia Suicide Severity Rating Scale (C-SSRS). 199 […]

A safety and coping planning intervention for suicidal adolescents in acute psychiatric care

Transitioning from an acute psychiatric care setting to a less restrictive environment after a suicidal event is arguably the most critical period of suicide risk for adolescents, making comprehensive safety and coping plans for this population ever more critical. In this paper we provide theoretical and empirical rationale for the need for developmental adaptations to […]