BACKGROUND: Psychiatric patients have an elevated risk of suicide while in hospital. AIMS: To compare social, clinical and health-care delivery factors in in-patient and out-patient suicides and their controls. METHOD: Retrospective case-control study of 59 in-patients and 106 controls, matched for age, gender, diagnosis and admission date. Odds ratios were calculated using conditional multiple logistic regression. RESULTS: There were seven independent increased-risk factors: history of deliberate self-harm, admission under the Mental Health Act, involvement of the police in admission, depressive symptoms, violence towards property, going absent without leave and a significant care professional being on leave. When compared with out-patient suicides, in-patients were more often female and male in-patients had a psychotic illness. Unlike the out-patient suicides, social factors were not found to be significant. CONCLUSIONS: The characteristics of in-patient and out-patient suicides differ. Identified risk factors have relatively low sensitivity and specificity.
BACKGROUND:Psychiatricpatients have an elevated risk of suicide while in hospital. AIMS: To compare social, clinical and health-care delivery factors in in-patient and out-patient suicides and their controls. METHOD: Retrospective case-control study of 59 in-patients and 106 controls, matched for age, gender, diagnosis and admission date. Odds ratios were calculated using conditional multiple logistic regression. RESULTS: There were seven independent increased-risk factors: history of deliberate self-harm, admission under the Mental Health Act, involvement of the police in admission, depressive symptoms, violence towards property, going absent without leave and a significant care professional being on leave. When compared with out-patient suicides, in-patients were more often female and male in-patients had a psychotic illness. Unlike the out-patient suicides, social factors were not found to be significant. CONCLUSIONS: The characteristics of in-patient and out-patient suicides differ. Identified risk factors have relatively low sensitivity and specificity.
Authors: A A M Hubers; S Moaddine; S H M Peersmann; T Stijnen; E van Duijn; R C van der Mast; O M Dekkers; E J Giltay Journal: Epidemiol Psychiatr Sci Date: 2016-12-19 Impact factor: 6.892
Authors: Elizabeth D Ballard; Maryland Pao; David Henderson; Laura M Lee; J Michael Bostwick; Donald L Rosenstein Journal: Jt Comm J Qual Patient Saf Date: 2008-08