H G Morgan1, R Stanton. 1. Department of Mental Health, University of Bristol.
Abstract
BACKGROUND: Rapid changes in styles of clinical practice mean that we should carefully monitor the way suicides occur among psychiatric patients both in hospital and in the wider community. METHOD: Patients who had died through suicide either while receiving in-patient care or within 2 months of discharge from hospital were compared with a similar series reported 10 years previously. Clinicians' perceptions of patients' behaviour were compared with concurrent controls. RESULTS: Patients in the more recent study were younger, more often male, and a greater proportion had been discharged from in-patient status. Hazards which complicated risk assessment included short-lasting misleading clinical improvements, variability in degree of distress, and a reluctance to discuss suicidal ideas. Over a range of perceived behaviours it was not possible to distinguish suicides from controls. CONCLUSIONS: In assessing suicide risk paramount importance should be attached to monitoring suicidal ideation and addressing the several hazards which might complicate this procedure.
BACKGROUND: Rapid changes in styles of clinical practice mean that we should carefully monitor the way suicides occur among psychiatricpatients both in hospital and in the wider community. METHOD:Patients who had died through suicide either while receiving in-patient care or within 2 months of discharge from hospital were compared with a similar series reported 10 years previously. Clinicians' perceptions of patients' behaviour were compared with concurrent controls. RESULTS:Patients in the more recent study were younger, more often male, and a greater proportion had been discharged from in-patient status. Hazards which complicated risk assessment included short-lasting misleading clinical improvements, variability in degree of distress, and a reluctance to discuss suicidal ideas. Over a range of perceived behaviours it was not possible to distinguish suicides from controls. CONCLUSIONS: In assessing suicide risk paramount importance should be attached to monitoring suicidal ideation and addressing the several hazards which might complicate this procedure.
Authors: Kimberly A Hepner; Katherine E Watkins; Marc N Elliott; J Quentin Clemens; Lara G Hilton; Sandra H Berry Journal: Urology Date: 2012-06-01 Impact factor: 2.649