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Suicide risk factors in patients recently discharged from a psychiatric hospital: A case-control study

The Journal of Clinical Psychiatry Sep 27, 2019

Deisenhammer EA, et al. - As the risk for suicide remains considerably high in the first weeks after discharge from a psychiatric hospital, researchers conducted this case-control study focussing on factors that describe the interaction between patient and hospital and studied variables during the entire course of the hospital stay. Linking the Tyrol Suicide Register (all suicides occurring in the Austrian state of Tyrol) with the registers of the 3 psychiatric hospitals in the state, they identified a total of 89 suicide cases. In addition, they included 144 controls comprising of patients who had also been inpatients in the respective psychiatric unit but had not committed suicide. A history of suicidal behavior or threats (odds ratio [OR] = 4.65), depressive symptoms (OR = 3.63) and disordered thought content (OR = 2.68) at admission, admission mode (patient self-referral less often [OR = 0.28]), a change from one ward to another (OR = 1.87), discharge initiated by the patient (OR = 10.34), depressive symptoms at this point in time (OR = 4.42), discharge mode (less often into institutional care [OR = 0.17]), and linkage with postdischarge care (fixed appointment with a general practitioner less often [OR = 0.53]), were the factors that differentiate cases from controls. Suicide preventive measures suggested by this work may be implemented during and after hospitalization, including the transfer of precise information in case of inevitable ward change and optimization of follow-up care organization.
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