Should compulsory admission to hospital be part of suicide prevention strategies?

Wang, Daniel Wei Liang; Colucci, Erminia

doi:10.1192/pb.bp.116.055699

Cited by 23 publications

(16 citation statements)

References 22 publications

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“…Regardless, the WHO recommends that requests for help should be encouraged. Among other things, the high risk of suicide was noted after resignation due to the experience of discrimination and dehumanization of hospitalization (85).…”

Section: Resultsmentioning

confidence: 99%

Criteria, Procedures, and Future Prospects of Involuntary Treatment in Psychiatry Around the World: A Narrative Review

et al. 2019

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Section: Resultsmentioning

confidence: 99%

Criteria, Procedures, and Future Prospects of Involuntary Treatment in Psychiatry Around the World: A Narrative Review

et al. 2019

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“…This changed with an increasing number of health care professionals and an increasing treatment rate of depression. On the other hand, care should be taken not to misuse compulsory admissions, as there might be false positives and persons drawn to suicide by adverse experiences [ 210 ].…”

Section: Preventionmentioning

confidence: 99%

Epidemiology of Suicide and the Psychiatric Perspective

Bachmann

2018

IJERPH

1,035

646

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Suicide is a worldwide phenomenon. This review is based on a literature search of the World Health Organization (WHO) databases and PubMed. According to the WHO, in 2015, about 800,000 suicides were documented worldwide, and globally 78% of all completed suicides occur in low- and middle-income countries. Overall, suicides account for 1.4% of premature deaths worldwide. Differences arise between regions and countries with respect to the age, gender, and socioeconomic status of the individual and the respective country, method of suicide, and access to health care. During the second and third decades of life, suicide is the second leading cause of death. Completed suicides are three times more common in males than females; for suicide attempts, an inverse ratio can be found. Suicide attempts are up to 30 times more common compared to suicides; they are however important predictors of repeated attempts as well as completed suicides. Overall, suicide rates vary among the sexes and across lifetimes, whereas methods differ according to countries. The most commonly used methods are hanging, self-poisoning with pesticides, and use of firearms. The majority of suicides worldwide are related to psychiatric diseases. Among those, depression, substance use, and psychosis constitute the most relevant risk factors, but also anxiety, personality-, eating- and trauma-related disorders as well as organic mental disorders significantly add to unnatural causes of death compared to the general population. Overall, the matter at hand is relatively complex and a significant amount of underreporting is likely to be present. Nevertheless, suicides can, at least partially, be prevented by restricting access to means of suicide, by training primary care physicians and health workers to identify people at risk as well as to assess and manage respective crises, provide adequate follow-up care and address the way this is reported by the media. Suicidality represents a major societal and health care problem; it thus should be given a high priority in many realms.

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“…In our study, while a number of relevant covariates were adjusted for confounders, several unmeasured residual confounders may still exist. For example, unnecessary CA can increase if legal accountability encourages defensive clinical practice (Wang & Colucci, ). Second, shame and self‐contempt associated with CA may lead to self‐stigma, reduced empowerment, and poor quality of life (Rüsch et al., ).…”

Section: Discussionmentioning

confidence: 99%

Does Compulsory Admission Prevent Inpatient Suicide Among Patients with Schizophrenia? A Nationwide Cohort Study in Taiwan

Lin

Chung

Chen

et al. 2018

Suicide & Life Threat Behav

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Our results suggest that compulsory admission has no protective effects on risk reduction of inpatient suicide for patients with schizophrenia who are compulsorily admitted compared with voluntarily admitted controls. Clinicians should be more alert for the prevention of inpatient suicide among patients with schizophrenia and consider the close monitoring of inpatient suicide risk in the first week of admission.

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Should compulsory admission to hospital be part of suicide prevention strategies?

Cited by 23 publications

References 22 publications

Criteria, Procedures, and Future Prospects of Involuntary Treatment in Psychiatry Around the World: A Narrative Review

Criteria, Procedures, and Future Prospects of Involuntary Treatment in Psychiatry Around the World: A Narrative Review

Epidemiology of Suicide and the Psychiatric Perspective

Does Compulsory Admission Prevent Inpatient Suicide Among Patients with Schizophrenia? A Nationwide Cohort Study in Taiwan

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