BACKGROUND: Risk of self-harm and suicide is greatly increased in the period after discharge from psychiatric in-patient care. AIMS: To investigate the impact on suicide of a series of policy initiatives to enhance care in the immediate post-discharge period. METHOD: A time series analysis was based on 1997-2007 data from the National Confidential Inquiry into Suicide and from Hospital Episode Statistics for England. RESULTS: There was no evidence of a reduced risk of suicide in the first 12 weeks following discharge in 2003-2007 compared with 1997-2002. In contrast, the relative risk of non-fatal self-harm in the 12 weeks after discharge declined. The risk ratio for self-harm (2003-2007 v. 1997-2002) at 0-1 week post-discharge was 0.86 (95% CI 0.80-0.92) and at 2-4 weeks it was 0.89 (95% CI 0.85-0.94). CONCLUSIONS: These findings provide some support for the impact of recent policy changes on the risk of non-fatal self-harm in the immediate period after discharge from psychiatric in-patient care.
BACKGROUND: Risk of self-harm and suicide is greatly increased in the period after discharge from psychiatric in-patient care. AIMS: To investigate the impact on suicide of a series of policy initiatives to enhance care in the immediate post-discharge period. METHOD: A time series analysis was based on 1997-2007 data from the National Confidential Inquiry into Suicide and from Hospital Episode Statistics for England. RESULTS: There was no evidence of a reduced risk of suicide in the first 12 weeks following discharge in 2003-2007 compared with 1997-2002. In contrast, the relative risk of non-fatal self-harm in the 12 weeks after discharge declined. The risk ratio for self-harm (2003-2007 v. 1997-2002) at 0-1 week post-discharge was 0.86 (95% CI 0.80-0.92) and at 2-4 weeks it was 0.89 (95% CI 0.85-0.94). CONCLUSIONS: These findings provide some support for the impact of recent policy changes on the risk of non-fatal self-harm in the immediate period after discharge from psychiatric in-patient care.
Authors: Brian K Ahmedani; Edward L Peterson; Yong Hu; Rebecca C Rossom; Frances Lynch; Christine Y Lu; Beth E Waitzfelder; Ashli A Owen-Smith; Samuel Hubley; Deepak Prabhakar; L Keoki Williams; Nicole Zeld; Elizabeth Mutter; Arne Beck; Dennis Tolsma; Gregory E Simon Journal: Am J Prev Med Date: 2017-06-12 Impact factor: 5.043
Authors: Ruby Shah; Peter Franks; Anthony Jerant; Mitchell Feldman; Paul Duberstein; Erik Fernandez y Garcia; Ladson Hinton; Lorrie Strohecker; Richard L Kravitz Journal: J Gen Intern Med Date: 2014-04-08 Impact factor: 5.128