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Suicide in Psychiatric Inpatients— A Case–Control Study

Bibliographic Data

ID15516401
AuthorsE Deisenhammer (Universität Innsbruck, corresponding author), Eberhard A Deisenhammer, Elisa-Marie Behrndt-Bauer (Innsbruck Medical University), Georg Kemmler (Innsbruck Medical University), Christian Häring (0000-0001-7247-4529, Tirol Kliniken), Carl Miller (University of Applied Sciences Kufstein)
Year2020
Volume11
Pages591460-591460
Publication date2020-12-21
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2020.591460
PMID33408654
OpenAlexW3115154372
LanguageEN
Citations received2
References cited46

Objective: Psychiatric inpatients constitute a population at considerably increased risk for suicide. Identifying those at imminent risk is still a challenging task for hospital staff. This retrospective case-control study focused on clinical risk factors related to the course of the hospital stay. Method: Inpatient suicide cases were identified by linking the Tyrol Suicide Register with the registers of three psychiatric hospitals in the state. Control subjects were patients who had also been hospitalized in the respective psychiatric unit but had not died by suicide. Matching variables included sex, age, hospital, diagnosis, and admission date. The study period comprised 7 years. Data were analyzed by the appropriate two-sample tests and by logistic regression. Results: A total of 30 inpatient suicide cases and 54 control patients were included. A number of factors differentiated cases from controls; after correction for multiple testing, the following retained significance: history of aborted suicide, history of attempted suicide, history of any suicidal behavior/threats, suicidal ideation continuing during hospitalization, no development of prospective plans, no improvement of mood during the hospital stay, and leaving ward without giving notice. Logistic regression identified the latter three variables and history of attempted suicide as highly significant predictors of inpatient suicide. Conclusions: Preventive measures during hospitalization include thorough assessment of suicidal features, an emphasis on the development of future perspectives, and a review of hospital regulations for patients who want to leave the ward

Environmental health · Injury prevention · Logistic regression · Mood · Poison control · Population · Psychiatric history · Psychiatric hospital · Psychiatry · Suicidal ideation · Suicide attempt · Suicide prevention · Medicine · Mental Health Treatment and Access · Psychosomatic Disorders and Their Treatments · Suicide and Self-Harm Studies · Emergency Medicine

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  • Risks of all-cause and suicide mortality in mental disorders

    Open Access•Edward Chesney, Guy M Goodwin et al.•World Psychiatry•2014

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Unique citing works2
Citations per year2
Citation span2025 - 2026 (2)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 2
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