Postdischarge Suicides

Nordentoft, Merete; Erlangsen, Annette; Madsen, Trine

doi:10.1001/jamapsychiatry.2016.2010

Cited by 17 publications

(7 citation statements)

References 17 publications

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“…119,120 However, the very high suicide rates calculated in this study and the known limitations of suicide risk assessment 116,121 suggest that a focus on clinical risk assessment might mislead clinicians into thinking that some patients can be regarded as having low risk after discharge. 115 Our findings better support the views of authors who believe in a more universal approach to suicide prevention that might focus on periods of high risk but that extends for periods of years. 116 However, the findings should curb enthusiasm for restrictive interventions directed at patients labeled as having high risk of suicide by virtue of demographic or clinical variables.…”

Section: Discussionsupporting

confidence: 86%

“…Studies with follow-up periods of 3 to 12 months had almost 60 times the global suicide rates, and the suicide rate among discharged patients was more than 30 times that in the general population even for periods of follow-up of 5 to 10 years. Nordentoft et al 115 recently described the phenomenon of postdischarge suicide as a "nightmare and disgrace." 115(p 1) We agree; however, they formed this view in the light of a recent study 116 that found a rate of suicide of 178 per 100 000 patients per year during the first 3 months after discharge.…”

Section: Discussionmentioning

confidence: 99%

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Suicide Rates After Discharge From Psychiatric Facilities

et al. 2017

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Suicide Rates After Discharge From Psychiatric Facilities

et al. 2017

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“…These figures represent a significantly higher and more enduring risk that was generally believed, as stated by the authors, the figures after 3 months are more than three times the suicide rates presented in comparable studies (30,31). Studies from Nordic countries with similar follow-up durations have also reported high suicide rates after discharge from psychiatric hospitals (29,(32)(33)(34). Qin and Nordentoft found that suicide risk was especially elevated both the first week after admission and the first week after discharge (35).…”

Section: Introductionmentioning

confidence: 51%

Mortality Among Patients Discharged From an Acute Psychiatric Department: A 5-Year Prospective Study

et al. 2020

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The primary aim of the study was to explore the post discharge standardized mortality ratio of patients from an acute psychiatric department in Norway. The secondary aims were to explore if the standardized mortality ratio is still increasing and to examine the causes of death in the defined population. We conducted a 5-year prospective study among patients admitted to an acute psychiatric department with catchment area responsibilities. A total of 380 patients were included in the study, and the number and causes of deaths were obtained from the Norwegian Cause of Death Registry. Excess mortality was found for the patient group. The standardized mortality ratio for all causes of death was 6.7 (95% CI, 4.6–8.8). The study finds an increased standardized mortality ratio relative to a previous corresponding study in Norway, and the suicide risk was especially elevated the first 2 years after discharge.

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“…In general, people are not discharged until their situation is evaluated as being stable. It is, however, difficult to assess the impact by factors in the home environment (12). To help the patient cope with the possible challenges of returning home, an integrated effort, which supports the patient during the time immediately after discharge is needed.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Suicide Risks During the First Week Immediately After Discharge From Psychiatric Inpatient Facility

et al. 2021

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Background: The suicide rate in first week after psychiatric discharge is alarmingly high. Although a risk assessment prior to discharge is standard praxis, it can be difficult to take into consideration the obstacles that patient will meet once discharged. A follow-up-visit during the first week after discharge is an opportunity to reevaluate whether a person may be at risk of suicide.Aim: To determine how many patients, of those who were assessed, were evaluated to be at elevated risk of suicide during the first week after psychiatric discharge and secondarily to identify predictors of this and predictors for receiving a follow-up visit during first week after discharge.Methods: All patients discharged between March 1st 2018 to January 17th 2019 were offered a home visit including a systematic risk assessment. Socio-demographics and clinical variables were obtained from medical records and logistic regression analyses were used to identify predictors of a higher suicide risk assessment as well as receiving a follow-up visit.Results: Information from 1905 discharges were included. Of these, 1,052 were seen in follow-up meetings. Risk assessments was conducted in a total of 567 discharge procedures, of which 28 (5%) had an elevated risk of suicide. A history of suicide attempt, suicide risk having been the reason for admission, a first diagnosis of a psychiatric disorder was associated with an elevated risk of suicide after discharge.Conclusion: Follow-up visits could serve as an important tool to identify people whose suicidal risk were overlooked at discharge or exposed to severe stressors after discharge.

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Postdischarge Suicides

Cited by 17 publications

References 17 publications

Suicide Rates After Discharge From Psychiatric Facilities

Suicide Rates After Discharge From Psychiatric Facilities

Mortality Among Patients Discharged From an Acute Psychiatric Department: A 5-Year Prospective Study

Assessment of Suicide Risks During the First Week Immediately After Discharge From Psychiatric Inpatient Facility

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