Abstract
“When you’re in the hospital, you’re in a sort of bubble.” Understanding the high risk of self-harm and suicide following psychiatric discharge: A qualitative study
Owen-Smith, A., Bennewith, O., Donovan, J., Evans, J., Hawton, K., Kapur, N., ... & Gunnell, D.
Background: Individuals are at a greatly increased risk of suicide and self-harm in the months following discharge from psychiatric hospital, yet little is known about the reasons for this.
Aims: To investigate the lived experience of psychiatric discharge and explore service users' experiences following discharge.
Method: In-depth interviews were undertaken with recently discharged service users (n = 10) in the UK to explore attitudes to discharge and experiences since leaving hospital.
Results: Informants had mixed attitudes to discharge, and those who had not felt adequately involved in discharge decisions, or disagreed with them, had experienced urges to self-harm since being discharged. Accounts revealed a number of factors that made the postdischarge period difficult; these included both the reemergence of stressors that existed prior to hospitalization and a number of stressors that were prompted or exacerbated by hospitalization.
Conclusion: Although inferences that can be drawn from the study are limited by the small sample size, the results draw attention to a number of factors that could be investigated further to help explain the high risk of suicide and self-harm following psychiatric discharge. Findings emphasize the importance of adequate preparation for discharge and the maintenance of ongoing relationships with known service providers where possible.