Suicide in recently discharged psychiatric patients: a case-control study

Hunt, Isabelle M.; Kapur, Navneet; Webb, Roger T.; Robinson, Jo; Burns, James; Shaw, Jenny; Appleby, Louis

doi:10.1017/s0033291708003644

Cited by 182 publications

(143 citation statements)

References 23 publications

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“…SMR was highest in the first year (11.1), and dropped incrementally with time. Studies have shown that risk is especially high in the post-psychotic phase of recovery, soon after discharge from hospital (Hunt et al, 2009;Rossau & Mortensen, 1997). Reasons for this are hypothesised to be connected with the realisation of loss of role and function, the frustrations associated with the recovery process, and difficulties with everyday activities (Power & McGowan, 2011).…”

Section: Prevalence Of Suicide and Dsh In Psychosismentioning

confidence: 99%

Future‐directed thinking in first‐episode psychosis

Goodby

MacLeod

2015

British J Clinic Psychol

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ObjectivesThis study employed the Future Thinking Task (MacLeod et al., 2005, Br. J. Clin. Psychol., 44, 495) to investigate whether future‐directed thinking in first‐episode psychosis is significantly different from that of matched controls, and to identify its correlates in this patient group.DesignCross‐sectional, mixed‐model, case–control design.MethodParticipants were 30 patients with first‐episode psychosis and 27 matched controls. The Future Thinking Task was used to assess future‐directed thinking in both groups. Anxiety and depression were also measured as well as self‐report measures of hopelessness, suicide ideation and a measure of negative symptoms.ResultsIndividuals with psychosis were impaired in future‐directed thinking in both positive and negative domains, particularly with respect to the coming year. Increased self‐reported hopelessness was associated with reduced positive future thinking and increased negative future thinking. Increased positive future thinking was also associated with reduced severity of negative symptoms, whilst negative future thinking was associated with suicide ideation.ConclusionsIndividuals with first‐episode psychosis show a reduction in positive future thinking in line with that seen in other clinical groups, but this is accompanied by an unexpected reduction in negative future thinking. The findings suggest a general disengagement with the future in this group that may affect recovery and functioning.Practitioner points Individuals with first‐episode psychosis may benefit from interventions to help them engage with their future, in particular in the mid‐range, up to 1 year. The Future Thinking Task may be a helpful addition to the assessment of suicide risk in those with first‐episode psychosis. Decreased positive future thinking was associated with increased severity of negative symptoms, indicating a potential new treatment angle for this resistant aspect of psychosis. The cross‐sectional design of this study does not allow for conclusions about the causal relationship between psychosis and future‐directed thinking. This study investigated future‐directed thinking in individuals with a range of psychotic illnesses employing a trans‐diagnostic approach; therefore, conclusions cannot be drawn about the nature of future‐directed thinking in individual psychotic disorders.

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Section: Prevalence Of Suicide and Dsh In Psychosismentioning

confidence: 99%

Future‐directed thinking in first‐episode psychosis

Goodby

MacLeod

2015

British J Clinic Psychol

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“…For selvmordstruede pasienter er tiden like etter utskrivelse fra psykiatrisk sykehus saerlig risikofylt med tanke på selvmordsfare (Hunt et al, 2009;Qin & Nordentoft, 2005).…”

Section: Innledningunclassified

“…Kontinuitet i helsetjenestilbudet etter utskrivelse kan vaere livreddende (Hunt, et al, 2009). For ivaretakelse av pasienten i den sårbare overgangsfasen etter utskrivelse anbefaler Nasjonale retningslinjer for selvmordsforebygging i psykisk helsevern (retningslinjen): «Når selvmordsrisiko har vaert en problemstilling under oppholdet eller tidligere bør selvmordsrisikoen vurderes og dokumenters ved utskriving fra døgnenhet.…”

Section: Innledningunclassified

Den sårbare tiden etter utskrivelse fra psykiatrisk sykehus – selvmordsrisiko og dokumentasjonspraksis

Bjarke¹,

Gjestad²,

Mellesdal³

et al. 2017

Suicid.

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“…También existe relación entre suicidio y trastornos de alimentación en adolescentes mujeres, trastornos de conducta en hombres (límite y sociópata) y abuso de sustancias en ambos sexos (Bhatia & Bhatia, 2007 Existe mayor riesgo de suicidio en los primeros meses después de ser diagnosticado con algún trastorno afectivo (Castro-Díazet al, 2013), depresión psicótica y trastorno bipolar (Steele & Doey, 2007). El riesgo aumenta en los primeros días o semanas de inicio de un tratamiento farmacológico ya que en dicho período suele empeorar la sintomatología (Healy & Alfred, 2005;Perlis et al, 2007), y en los días siguientes al alta hospitalaria, sobre todo en aquellos que consultan en urgencias (Gairin, House, & Owens, 2003;Hansagi, Olsson, Hussain, & Onlén, 2008), reportando un riesgo 100 veces mayor (Ho, 2003) entre los tres días y la semana después de salir del hospital (Hunt et al, 2009). …”

Section: Asociación Entre Suicidio Y Trastorno Mentalunclassified

Suicidio y Trastorno Mental

Cardona

Villalba

2016

CES Psico

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Suicide in recently discharged psychiatric patients: a case-control study

Cited by 182 publications

References 23 publications

Future‐directed thinking in first‐episode psychosis

Future‐directed thinking in first‐episode psychosis

Den sårbare tiden etter utskrivelse fra psykiatrisk sykehus – selvmordsrisiko og dokumentasjonspraksis

Suicidio y Trastorno Mental

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