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 […]

Psychiatric consultations as a modifiable factor for repeated suicide attempt-related hospitalizations: A nationwide, population-based study

Background: The risk of mortality and morbidity increased in repeated suicide attempts. This study aimed to investigate how psychiatric consultations, a modifiable factor, affects the risk of repeated suicide attempts in patients. Methods: The National Health Insurance Research Database was used in this study. All inpatients aged ≧10 with suicide attempts were recruited in Taiwan from 2000 […]

Participant reactions to suicide-focused research: Implications of studying suicide on an inpatient psychiatry unit

Background: Concerns exist regarding the perceived risks of conducting suicide-focused research among an acutely distressed population. Aims: The current study assessed changes in participant distress before and after participation in a suicide-focused research study conducted on a psychiatric inpatient unit. Method: Participants included 37 veterans who were receiving treatment on a psychiatric inpatient unit and completed a survey-based research study […]

An investigation of clinical decisionmaking: Identifying important factors in treatment planning for suicidal patients in the emergency department

Objective: We sought to evaluate the influence of several well-documented, readily available risk factors that may influence a psychiatric consultant’s decision to admit an emergency department (ED) patient reporting suicidal ideation for psychiatric hospitalization. Methods: We conducted a retrospective study of adult patients presenting to six affiliated EDs within Pennsylvania from January 2015 to June […]

Examining the Three-Step Theory (3ST) of suicide in a prospective study of adult psychiatric inpatients

This study examined the validity and predictive utility of Three-Step Theory (3ST) of Suicide in psychiatric patients. Participants were 190 consecutively admitted adult psychiatric inpatients (53% female; 60% Caucasian; ages 18–73) assessed at three time-points: baseline, 4 weeks later (n = 112), and 3 months post-discharge (n = 102). Results were broadly supportive of the 3ST. First, at baseline, an interactive […]

The relations between childhood maltreatment, shame, guilt, depression and suicidal ideation in inpatient adolescents

Background Previous studies demonstrated positive relations between various forms of maltreatment and suicidal ideation; however, mechanisms underlying these relationships are not well understood. We propose that the experience of maltreatment in childhood may lead to high levels of generalized guilt and shame, resulting in an increase of depressive symptoms and suicidal thoughts in adolescents. The […]

Factors associated with psychiatric ward admission in the emergency department after a suicide attempt: The risk-rescue rating scale (RRRS) and biochemical markers

Objective: This study was conducted to understand factors associated with psychiatric ward admission for patients referred to the emergency department after a suicide attempt. Methods: Medical records of patients referred to the emergency department (ED) after attempting suicide were retrospectively reviewed. Two groups were formed: the discharged (DC) group and the psychiatric ward (PW) admission […]

Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A case-control study with service and research implications for immunospychiatry

This study aimed to assess and compare the immediate stress and psychological impact experienced by people with and without psychiatric illnesses during the peak of 2019 coronavirus disease (COVID-19) epidemic with strict lockdown measures. Seventy-six psychiatric patients and 109 healthy control subjects were recruited from Chongqing, China and completed a survey on demographic data, physical […]

Reliability of paper-based routine documentation in psychiatric inpatient care and recommendations for further improvement

Background: Health services research is of increasing importance in current psychiatry. Therefore, large datasets and aggregation of data generated by electronic routine documentation due to legal, financial, or administrative purposes play an important role. However, paper-based routine documentation is still of interest. It remains relevant in less developed health care systems, in emergency settings, and in […]

Relevance of the interpersonal theory of suicide in an adolescent psychiatric inpatient population

The interpersonal theory of suicide (IPTS) has been widely studied in adults, but not adolescent populations at acute risk for suicide. Accordingly, this study aimed to evaluate IPTS clinical utility in a high-risk sample of suicidal adolescent inpatients. We assessed whether constructs of the IPTS (1) are associated with suicidal thoughts and behaviors (STBs) on […]

(In)stability of capability for suicide in psychiatric inpatients: Longitudinal assessment using ecological momentary assessments

Objective The study examines the temporal stability of capability for suicide (i.e., its state‐like component), because it has been recently discussed that capability for suicide may be subject to shift over time. Method Seventy‐four psychiatric inpatients with an unipolar depressive disorder were included in the study (mean age 37.9 years, 71.6% female, 32.4% with a history […]

Assessing the contribution of borderline personality disorder and features to suicide risk in psychiatric inpatients with bipolar disorder, major depression and schizoaffective disorder

Suicidal behavior often accompanies both borderline personality disorder (BPD) and severe mood disorders, and comorbidity between the two appears to further increase suicide risk. The current study aims to quantify the risk of suicidality conferred by comorbid BPD diagnosis or features in three affective disorders: major depressive disorder (MDD), bipolar disorder (BP) and schizoaffective disorder. […]

Number and violence of suicide attempt methods: A preliminary investigation of the associations with fearlessness of suicide and fearlessness about death

The Interpersonal Psychological Theory of Suicide (IPTS) proposes that to attempt suicide one must not only desire death, but must also have acquired the capability to act on that desire. The IPTS states capability for suicide can be acquired through exposure to painful and provocative events, with events most closely related to suicide (e.g., non-fatal […]

A controlled comparison trial of the Collaborative Assessment and Management of Suicidality (CAMS) in an inpatient setting: Outcomes at discharge and six-month follow-up

This controlled comparison trial evaluated a suicide-specific intervention, the Collaborative Assessment and Management of Suicidality (CAMS), in an extended-stay psychiatric inpatient setting. Multiple outcomes were examined for 104 patients, half of whom received individual therapy from therapists trained in CAMS. The comparison group was selected from a larger pool through Propensity Score Matching to ensure comparability on age, sex, […]

Lack of emotional awareness is associated with thwarted belongingness and acquired capability for suicide in a military psychiatric inpatient sample

Objective To examine potential links between facets of impulsivity and emotion dysregulation to components of the Interpersonal‐Psychological Theory of Suicide (thwarted belongingness, perceived burdensomeness, and acquired capability) among U.S. military personnel. Method The current study performed secondary data analysis from a randomized control trial testing the efficacy of a cognitive therapy for 134 service members […]

One size does not fit all: A comprehensive clinical approach to reducing suicidal ideation, attempts, and deaths

While the existence of mental illness has been documented for centuries, the understanding and treatment of such illnesses has evolved considerably over time. Ritual exorcisms and locking mentally ill patients in asylums have been fundamentally replaced by the use of psychotropic medications and evidence-based psychological practices. Yet the historic roots of mental health management and […]

Does compulsory admission prevent inpatient suicide among patients with schizophrenia? A nationwide cohort study in Taiwan

Objective The aim of this study was to analyze the risk of inpatient suicide in patients with schizophrenia during 2007–2013 and to determine putative risk factors. Methods We conducted a national population‐based cohort study of 2,038 psychiatric inpatients in their first compulsory admission, matched with 8,152 controls who were voluntary inpatients. Only patients with schizophrenia […]

Sleep-related problems and suicide behavior and ideation among black and white trauma-exposed psychiatric inpatients

Objective Sleep-related problems (SRPs) are associated with increased risk for suicide-related behavior and death. Given that Black adults report greater SRPs as compared to White adults, the purpose of the current study was to examine sleep problems, suicide-related psychiatric admission, and suicide ideation, in Black and White trauma-exposed adults. Method Suicide-related behavior (i.e., intent, plan, and/or […]

Anhedonia predicts suicidal ideation in a large psychiatric inpatient sample

This study examined the relationship among symptoms of anhedoniaand suicidal ideation at baseline, at termination, and over time in 1529 adult psychiatric inpatients. Anhedonia was associated with suicidalitycross-sectionally at baseline and at termination. In addition, change in anhedonia from baseline to termination predicted change in suicidality from baseline to termination, as well as level of suicidality at termination; moreover, […]

Evaluation of structured assessment and mediating factors of suicide-focused group therapy for veterans recently discharged from inpatient psychiatry

The current study investigated the impact of adding the Suicide Status Form (SSF) to a suicide-focused group therapy for veterans recently discharged from an inpatient psychiatry setting. A sample of 141 veterans was enrolled and randomized into a Usual Assessment Group Therapy or SSF-Assessment Group Therapy. Participants completed interviews at baseline, 1, and 3 months. […]

Valued living, life fulfillment, and suicide ideation among psychiatric inpatients: The mediating role of thwarted interpersonal needs

Suicide is one of the leading causes of death in psychiatric hospitals with an estimated rate of 100–400 per 100,000 admissions. The current study aimed to examine suicide ideation among psychiatric inpatients utilizing perspectives from the psychological flexibility model (Hayes, Strosahl, & Wilson, 2012) and the interpersonal theory of suicide (Joiner, 2005; Van Orden et al., 2010) to better […]

Thwarted interpersonal needs and suicide ideation: Comparing psychiatric inpatients with bipolar and non-bipolar mood disorders

Psychiatric inpatients are at heightened risk for suicide, and evidence suggests that psychiatric inpatients with bipolar mood disorders may be at greater risk for suicide ideation compared to those with non-bipolar mood disorders. There is a paucity of research directly comparing risk factors for suicide ideation in bipolar versus non-bipolar mood disorders in an inpatient sample. The current study […]