The characteristics of suicides within a week of discharge after psychiatric hospitalisation -- a nationwide register study

Pirkola, Sami; Sohlman, Britta; Wahlbeck, Kristian
January 2005
BMC Psychiatry;2005, Vol. 5, p32
Academic Journal
Background: The characteristics of victims of immediate post-discharge suicides are not well known. We explored these characteristics for the purposes of better recognition and preventive efforts of potential immediate post-discharge suicides. Methods: Suicides from a Finnish nationwide register were linked with preceding periods of psychiatric inpatient treatment. Characteristics of suicides within a week of discharge were compared to those occurring later after discharge. Results: Compared to other previously hospitalised suicide victims, those committing suicide within a week of discharge were more often female, unmarried, had a higher grade of education and a diagnosis of schizophrenia spectrum or affective disorder, tended to use more drowning and jumping from heights as the methods for suicide and had gained a smaller improvement in psychological functioning during hospitalization. Conclusion: These characteristics indicate a more severe psychopathology, relatively poorer level of functioning, less global response to hospitalisation, and a more frequent choice of lethal and easily available method for suicide. Potentially suicidal psychiatric patients should be better recognized and an immediate follow-up arranged if it is decided they be discharged.


Related Articles

  • ANHEDONIA AND SUICIDE: A 6.5-YR. FOLLOW-UP STUDY OF PATIENTS HOSPITALISED FOR A SUICIDE ATTEMPT. Loas, Gwenolé // Psychological Reports;Feb2007, Vol. 100 Issue 1, p183 

    This was a prospective follow-up study of suicidal patients to assess the association of anhedonia, depression, and completed suicides. Survival analysis as well as Cox's regression makes it possible to weigh the influence of variables. A cohort of 106 patients (81 women, 25 men, M age = 33 yr.,...

  • Suicidal ideation, deliberate self-harm behaviour and suicide attempts among adolescent outpatients with depressive mood disorders and comorbid axis I disorders. Tuisku, Virpi; Pelkonen, Mirjami; Karlsson, Linnea; Kiviruusu, Olli; Holi, Matti; Ruuttu, Titta; Punamäki, Raija-Leena; Marttunen, Mauri // European Child & Adolescent Psychiatry;Jun2006, Vol. 15 Issue 4, p199 

    Presents a study which aims to analyze and compare the prevalence and associated clinical features of suicidal ideation, self-harm behaviour with no suicidal intent and suicide attempts among adolescent outpatients with depressive mood disorders with or without comorbidity. Methodology of the...

  • Correlates of suicide attempts and ideation in schizophrenia. Landmark, J.; Cernovsky, Z.Z.; Merskey, H. // British Journal of Psychiatry;Jul87, Vol. 151, p18 

    A group of 118 patients with a hospital diagnosis of schizophrenia was reviewed. The incidence of suicide attempts was significantly correlated with more frequent past psychiatric admissions, more frequent past diagnoses of schizophrenia, and poor work function. The apparent relationships could...

  • White Matter Hyperintensities and Their Association With Suicidality in Major Affective Disorders: A Meta-Analysis of Magnetic Resonance Imaging Studies. Grangeon, Maria Conceição; Seixas, Camila; Quarantini, Lucas C.; Miranda-Scippa, Angela; Pompili, Maurizio; Steffens, David C.; Wenzel, Amy; Lacerda, Acioly L. T.; de Oliveira, Irismar Reis // CNS Spectrums: The International Journal of Neuropsychiatric Med;Jun2010, Vol. 15 Issue 6, p375 

    Introduction: Individuals who have deep and periventricular white matter hyperintensities may have a higher risk for suicidal behavior. There are mixed results in the literature regarding whether unipolar or bipolar patients who have attempted suicide have more deep white matter hyperintensities...

  • Contributors to suicidality in rural communities: beyond the effects of depression. Handley, Tonelle E.; Inder, Kerry J.; Kay-Lambkin, Frances J.; Stain, Helen J.; Fitzgerald, Michael; Lewin, Terry J.; Attia, John R.; Kelly, Brian J. // BMC Psychiatry;2012, Vol. 12 Issue 1, p105 

    Background: Rural populations experience a higher suicide rate than urban areas despite their comparable prevalence of depression. This suggests the identification of additional contributors is necessary to improve our understanding of suicide risk in rural regions. Investigating the independent...

  • The peer review of "Outcome of depression in psychiatric settings". Lee, Alan; Parker, Gordon; Lee, A; Parker, G // British Journal of Psychiatry;Mar94, Vol. 164, p305 

    The article comments on the study "Outcome of Depression in Psychiatric Settings." The study compiled findings from reports of naturalistic follow-up studies of adults with depressive disorders that were published between 1970 and 1992. According to the authors, the study was lengthy and heavily...

  • NEARLY LETHAL RESUSCITATED SUICIDE ATTEMPTERS HAVE NO LOW SERUM LEVELS OF CHOLESTEROL AND TRIGLYCERIDES. Pompili, Maurizo; Innamorati, Marco; Lester, David; Girardi, Paolo; Tatarelli, Roberto // Psychological Reports;Jun2010, Vol. 106 Issue 3, p785 

    To verify the hypothesis that suicide attempts are associated with lower serum cholesterol and triglyceride levels of patients with mood disorders, 26 patients with mood disorders (bipolar disorder and major depressive disorder) were admitted after a medically serious suicide attempt to the...

  • Subsequent deliberate self-harm in patients referred to a psychiatrist: a prospective study. Myers, E. D. // British Journal of Psychiatry;Feb82, Vol. 140, p132 

    One thousand and five patients referred to a psychiatrist were questioned, during a routine clinical interview, about current and previous suicidal ideas and previous suicide behaviour; they were also specifically asked what made life worth living for them at the time. In a four-year case-record...

  • Attempted suicide: factors leading to hospitalization. Hepp, Urs; Moergeli, Hanspeter; Trier, Stefan N.; Milos, Gabriella; Schnyder, Ulrich // Canadian Journal of Psychiatry;Nov2004, Vol. 49 Issue 11, p736 

    Objective: This study analyzes how sociodemographic and clinical characteristics influence the treatment decision for patients referred to a university hospital emergency room (ER) owing to attempted suicide.Method: Using a cross-sectional design, we monitored all...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics