Preventing suicide among inpatients

Canadian Journal of Psychiatry

Volumn 59, Issue 3, 2014, Pages 131-140

  Sakinofsky, Isaac ^a  

^a CENTRE FOR ADDICTION AND MENTAL HEALTH   (Canada)

Author keywords

Inpatients; Suicide; Suicide prevention

Indexed keywords

COCHRANE LIBRARY; EMBASE; ENVIRONMENT; HOSPITAL PATIENT; HUMAN; INFORMATION RETRIEVAL; MEDLINE; MENTAL HOSPITAL; PREVENTION STUDY; QUALITATIVE ANALYSIS; REVIEW; RISK FACTOR; SAFETY; SUICIDE;

ATTITUDE OF HEALTH PERSONNEL; COHORT STUDIES; CROSS-SECTIONAL STUDIES; EMERGENCY SERVICE, HOSPITAL; GUIDELINE ADHERENCE; HOSPITAL DESIGN AND CONSTRUCTION; HUMANS; INPATIENTS; PATIENT CARE TEAM; PSYCHIATRIC DEPARTMENT, HOSPITAL; RISK FACTORS; SAFETY MANAGEMENT; SOCIAL ENVIRONMENT; SUICIDE; TREATMENT REFUSAL;

EID: 84896527490     PISSN: 07067437     EISSN: 14970015     Source Type: Journal    
DOI: 10.1177/070674371405900304     Document Type: Review

References (205)

1. Goldberg JF, Ernst CL, Bird S. Predicting hospitalization versus discharge of suicidal patients presenting to a psychiatric emergency service. Psychiatr Serv. 2007;58(4):561-565.
2. Hunt GE, O'Hara-Aarons M, O'Connor N, et al. Why are some patients admitted to psychiatric hospital while others are not? A study assessing risk during the admission interview and relationship to outcome. Int J Ment Health Nurs. 2012;21(2):145-153.
3. Cochrane-Brink KA, Lofchy JS, Sakinofsky I. Clinical rating scales in suicide risk assessment. Gen Hosp Psychiatry. 2000;22(6):445-451.
4. de Leo D, Sveticic J. Suicides in psychiatric in-patients: what are we doing wrong? Epidemiol Psichiatr Soc. 2010;19(1):8-15.
5. Hirschfeld RMA. When to hospitalize patients at risk for suicide. Ann N Y Acad Sci. 2001;932:188-196.
6. Paris J. Is hospitalisation useful for suicidal patients with borderline personality disorder? J Pers Disord. 2004;18(3):240-247.
7. Taylor J, Lawrie S, Geddes J. Factors associated with admission to hospital following emergency psychiatric assessment. Health Bull (Edinb). 1996;54(6):467-473.
8. Ziegenbein M, Anreis C, Brüggen B, et al. Possible criteria for inpatient psychiatric admissions: which patients are transferred from emergency services to inpatient psychiatric treatment? BMC Health Serv Res. 2006;6:150.
9. Morgan H, Priest P. Assessment of suicide risk in psychiatric in-patients. Br J Psychiatry. 1984;145:467-469.
10. Cardell R, Horton-Deutsch S. A model for assessment of inpatient suicide potential. Arch Psychiatr Nurs. 1994;8(6):366-372.
11. The Joint Commission (TJC). Sentinel event data: event type by year 1995-2Q 2012 [Internet]. Oakbrook Terrace (IL): TJC; [cited 2013 Dec 1]. Available from: http://www.jointcommission.org/assets/1/18/Event-Type-Year-1995- 2Q2012.pdf
12. Blain PA, Donaldson LJ. The reporting of in-patient suicides: identifying the problem. Public Health. 1995;109(4):293-301.
13. Tishler CL, Reiss NS. Inpatient suicide: preventing a common sentinel event. Gen Hosp Psychiatry. 2009;31(2):103-109.
14. The Joint Commission (TJC). Inpatient suicides: recommendations for prevention. The Joint Commission sentinel event alert [Internet]. Oakbrook Terrace (IL): TJC; 1998;7(Nov 6) [cited 2013 Dec 1]. Available from: www.jointcommission.org/Sentinel-Event-Alert- issue-7-inpatient-suicide- recommendations-for-prevention/. Search box: inpatient suicides: recommendations.
15. Lieberman DZ, Resnik HLP, Holder-Perkins V. Environmental risk factors in hospital suicide. Suicide Life Threat Behav. 2004;34(4):448-453.
16. Mills PD, DeRosier JM, Ballot BA, et al. Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Jt Comm J Qual Patient Saf. 2008;34(8):482-488.
17. Martin B. The Clarke experience with completed suicide: 1966 to 1997. Can J Psychiatry. 2000;45:630-638.
18. Lynch MA, Howard PB, El Mallakh P, et al. Assessment and management of hospitalized suicidal patients. J Psychosoc Nurs Ment Health Serv. 2008;46(7):45-52.
19. Neuner T, Schmid R, Wolfersdorf M, et al. Predicting inpatient suicides and suicide attempts by using clinical routine data? Gen Hosp Psychiatry. 2008;30(4):324-330.
20. Li J, Ran MS, Hao Y, et al. Inpatient suicide in a Chinese psychiatric hospital. Suicide Life Threat Behav. 2008;38(4):449-455.
21. Bowers L, Banda T, Nijman H. Suicide inside a systematic review of inpatient suicides. J Nerv Ment Dis. 2010;198(5):315-328.
22. Ganesvaran T, Shah AK. Psychiatric in-patient suicide rates: a 21-year study. Med Sci Law. 1997;37(3):202-309.
23. Appleby L, Kapur N, Shaw J, et al. The national confidential enquiry into suicide and homicide by people with mental illness: annual report [Internet]. Manchester (GB): University of Manchester; 2013 [cited 2013 Dec 1]. Available from: http://www.bbmh.manchester.ac.uk/cmhr/centreforsuicideprevention/nci/ reports/NCIAnnualReport2013V2.pdf.
24. Hunt IM, Windfuhr K, Swinson N, et al. Suicide amongst psychiatric in-patients who abscond from the ward: a national clinical survey. BMC Psychiatry. 2010;10(14).
25. Navaneelan T. Suicide rates: an overview. Statistics Canada Catalogue no 82-624-X [Internet]. Ottawa (ON): Statistics Canada; 2011. Available from: http://www.statcan.gc.ca/pub/82-624-x/2012001/article/11696.
26. Kapur N, Hunt IM, Windfuhr K, et al. Psychiatric inpatient care and suicide in England, 1997 to 2008: a longitudinal study. Psychol Med. 2013;43(1):61-71.
27. Pirkola S, Sohlman B, Heila H, et al. Reductions in postdischarge suicide after deinstitutionalization and decentralization: a nationwide register study in Finland. Psychiatr Serv. 2007;58(2):221-226.
28. Casadebaig F, Quemada,N. Mortality in psychiatric inpatients. Acta Psychiatr Scand. 1989;79:257-264.
29. Tseng M-CM, Cheng IC, Hu F-C. Standardized mortality ratio of inpatient suicide in a general hospital. J Formosan Med Assoc. 2011;110(4):267-269.
30. Cheng IC, Hu FC, Tseng MC. Inpatient suicide in a general hospital. Gen Hosp Psychiatry. 2009;31(2):110-115.
31. The Joint Commission. A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department. Sentinel Event Alert. 2010;46:1-4. Nov 17.
32. Pompili M, Girardi P, Ruberto A, et al. Emergency staff reactions to suicidal and self-harming patients. Eur J Emerg Med. 2005;12:169-178.
33. Suominen K, Suokas J, Lonnqvist J. Attitudes of general hospital emergency room personnel towards attempted suicide patients. Nord J Psychiatry. 2007;61(5):387-392.
34. Cooper JB, Lawlor MP, Hiroeh U, et al. Factors that influence emergency department doctors' assessment of suicide risk in deliberate self-harm patients. Eur J Emerg Med. 2003;10:283-287.
35. Crawford MJ, Turnbull G, Wessely S. Deliberate self harm assessment by accident and emergency staff-An intervention study. J Accid Emerg Med. 1998;15:18-22.
36. Olfson M, Gameroff MJ, Marcus SC, et al. Emergency treatment of young people following deliberate self-harm. Arch Gen Psychiatry. 2005;62(10):1122- 1128.
37. Bridge JA, Marcus SC, Olfson M. Outpatient care of young people after emergency treatment of deliberate self-harm. J Am Acad Child Adolesc Psychiatry. 2012;51(2):213-222.
38. Abualenain J, Frohna WJ, Shesser R, et al. Emergency department physician-level and hospital-level variation in admission rates. Ann Emerg Med. 2013;61:638-643.
39. Brassos REM, de Azevedo Marques JM, Carlotti IP, et al. Short admission in an emergency psychiatric unit can prevent prolong the lengths of stay in a psychiatric institution. Rev Bras Psiquiatr. 2010;32(2):145-151.
40. Mattioni T, Di Lallo D, Roberti R, et al. Determinants of psychiatric inpatient admission to general hospital psychiatric wards: an epidemiological study in a region of central Italy. Soc Psychiatry Psychiatr Epidemiol. 1999;34:425-431.
41. Wilson LS, Kelly BD, Morgan S, et al. Who gets admitted? Study of referrals and admissions to an adolescent psychiatry inpatient facility over a 6-month period. Ir J Med Sci. 2012;181(4):555-560.
42. Suominen K, Lonnqvist J. Determinants of psychiatric hospitalization after attempted suicide. Gen Hosp Psychiatry. 2006;28(5):424-430.
43. Gillig P, Hillard JR, Bell J, et al. The psychiatric emergency service holding area: Effect on utilization of inpatient resources. Am J Psychiatry. 1989;146:369-372.
44. Wharff EA, Ginnis KM, Ross AM. Family-based crisis intervention with suicidal adolescents in the emergency room: a pilot study. Social Work. 2012;57(2):133-143.
45. Brooker C, Ricketts T, Bennett S, et al. Admission decisions following contact with an emergency mental health assessment and intervention service. J Clin Nurs. 2007;16(7):1313-1322.
46. Marks IM, Connolly J, Muijen M, et al. Home-based versus hospital-based care for people with serious mental illness. Br J Psychiatry. 1994;165(2):179-194. See comments.
47. Appleby L, Shaw J, Amos T, et al. Suicide within 12 months of contact with mental health services: national clinical survey. Br Med J. 1999;318(7193):1235-1239.
48. Paterson B, Dowding D, Harries C, et al. Managing the risk of suicide in acute psychiatric inpatients: a clinical judgement analysis of staff predictions of imminent suicide risk. J Ment Health. 2008;17(4):410-423.
49. Simon RI. Imminent suicide: the illusion of short-Term prediction. Suicide Life Threat Behav. 2006;36(3):296-301.
50. Benensohn HS, Resnik HL. Guidelines for "suicide-proofing" a psychiatric unit. Am J Psychother. 1973;27(2):204-212.
51. Cardell R, Bratcher KS, Quinnett P. Revisiting "suicide proofing" an inpatient unit through environmental safeguards: a review. Perspect Psychiatr Care. 2009;45(1):36-44.
52. Barba L. Bathrooms balance comfort, safety. Behav Healthc. 2010;30(10):40-42.
53. Mills PD, Watts BV, Miller S, et al. A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals. Jt Comm J Qual Patient Saf. 2010;36(2):87-93.
54. Hunt IM, Windfuhr K, Shaw J, et al. Ligature points and ligature types used by psychiatric inpatients who die by hanging. A national study. Crisis. 2012;33(2):87-94.
55. Watts BV, Young-Xu Y, Mills PD, et al. Examination of the effectiveness of the Mental Health Environment of Care Checklist in reducing suicide on inpatient mental health units. Arch Gen Psychiatry. 2012;69(6):588-592.
56. US Department of Veterans Affairs (VA). Mental Health Environment of Care Checklist (MHEOCC) [Internet]. Washington (DC): VA; 2007 [cited 2013 Dec 1]. Available from: http://www.patientsafety.va.gov/SafetyTopics.html#mheocc.
57. Ontario Registered Nurses' Association (RNA). Assessment and care of adults at risk for suicidal ideation and behaviour: nursing best practice guideline. Toronto (ON): Ontario RNA; 2008.
58. Billings C. Close observation of suicidal inpatients. J Am Psychiatr Nurs Assoc. 2001;7(2):49-50.
59. Green JS, Grindel CG. Supervision of suicidal patients in adult inpatient psychiatric units in general hospitals. Psychiatr Serv. 1996;47(8):859-863.
60. Aidroos N. Nurses' response to doctors' orders for close observation. Can J Psychiatry. 1986;31(9):831-833.
61. Janofsky JS. Reducing inpatient suicide risk: using human factors analysis to improve observation practices. J Am Acad Psychiatry Law. 2009;37(1):15-24.
62. Duffy D. Out of the shadows: a study of the special observation of suicidal psychiatric in-patients. J Adv Nurs. 1995;21(5):944-950.
63. Stewart D, Bowers L, Warburton F. Constant special observation and self-harm on acute psychiatric wards: a longitudinal analysis. Gen Hosp Psychiatry. 2009;31(6):523-530.
64. Bowers L, Flood C. Nurse staffing, bed numbers and the cost of acute psychiatric inpatient care in England. J Psychiatr Ment Health Nurs. 2008;15(8):630-637.
65. Coleman JC, Paul GT. Relationship between staffing ratios and effectiveness of inpatient psychiatric units. Psychiatr Serv. 2001;52:1374-1379.
66. Bassett D, Tsourtos G. Inpatient suicide in a general hospital psychiatric unit. A consequence of inadequate resources? Gen Hosp Psychiatry. 1993;15(5):301-306.
67. Silverman MM, Berman AL, Bongar B, et al. Inpatient standards of care and the suicidal patient. Part II: an integration with clinical risk management. Suicide Life Threat Behav. 1994;24(2):152-69. Review.
68. Shapiro DA, St John D. Special report: a review of successful hospital suicides and their aftermaths. Hosp Secur Saf Manage. 1991;11(12):5-10.
69. Manna M. Effectiveness of formal observation in inpatient psychiatry in preventing adverse outcomes: the state of the science. J Psychiatr Ment Health Nurs. 2010;17(3):268-273.
70. Pitula CR, Cardell R. Suicidal inpatients' experience of constant observation. Psychiatr Serv. 1996;47(6):649-651.
71. Jones J, Ward M, Wellman N, et al. Psychiatric inpatients' experience of nursing observation: a United Kingdom perspective. J Psychosoc Nurs Ment Health Serv. 2000;38(12):10-20.
72. Cardell R, Pitula CR. Suicidal inpatients' perceptions of therapeutic and nontherapeutic aspects of constant observation. Psychiatr Serv. 1999;50(8):1066-1070.
73. Ontario Registered Nurses' Association (RNA). Assessment and care of adults at risk for suicidal ideation and behaviour: nursing best practice guideline. Toronto (ON): Ontario RNA; 2009.
74. Shugar G, Rehaluk R. Continuous observation for psychiatric inpatients: a critical evaluation. Compr Psychiatry. 1990;30:48-55.
75. Edwards SJ, Sachmann MD. No-suicide contracts, no-suicide agreements, and no-suicide assurances: a study of their nature, utilization, perceived effectiveness, and potential to cause harm. Crisis. 2010;31(6):290-302.
76. Puskar K, Urda B. Examining the efficacy of no-suicide contracts in inpatient psychiatric settings: implications for psychiatric nursing. Issues Ment Health Nurs. 2011;32(12):785-788.
77. Simon RI, Hales RE. Textbook of suicide assessment and management. Washington (DC): American Psychiatric Publishing; 2006.
78. Reynolds T, O'Shaughnessy M, Walker L, et al. Safe and supportive observation in practice: a practical governance project. Ment Health Pract. 2005;8(8):13-16.
79. Muir-Cochrane E, van der Merwe M, Nijman H, et al. Investigation into the acceptability of door locking to staff, patients, and visitors on acute psychiatric wards. Int J Ment Health Nurs. 2012;21(1):41-49.
80. Bowers L, Simpson A, Alexander J. Real world application of an intervention to reduce absconding. J Psychiatr Ment Health Nurs. 2005;12:598-602.
81. Sharma V, Persad E, Kueneman K. A closer look at inpatient suicide. J Affect Disord. 1998;47(1-3):123-129.
82. Fawcett J. Predictors of early suicide: identification and appropriate intervention. J Clin Psychiatry. 1988;49(Suppl):7-8.
83. Fawcett J. Treating impulsivity and anxiety in the suicidal patient. Ann N Y Acad Sci. 2001;932:94-102; discussion 102-105.
84. Madsen T, Agerbo E, Mortensen PB, et al. Predictors of psychiatric inpatient suicide: a national prospective register-based study. J Clin Psychiatry. 2012;73(2):144-151.
85. Large M, Smith G, Sharma S, et al. Systematic review and metaanalysis of the clinical factors associated with the suicide of psychiatric in-patients. Acta Psychiatr Scand. 2011;124:18-29.
86. Large MM, Nielssen OB. Risk factors for inpatient suicide do not translate into meaningful risk categories-All psychiatric inpatients are high-risk. J Clin Psychiatry. 2012;73(7):1034-1035.
87. Sakinofsky I. The current evidence base for the clinical care of suicidal patients: strengths and weaknesses. Can J Psychiatry. 2007;52(6 Suppl 1):7S-20S.
88. Kessing LV. Severity of depressive episodes according to ICD-10: prediction of risk of relapse and suicide. Br J Psychiatry. 2004;184:153-156.
89. Hoyer EH, Licht RW, Mortensen PB. Risk factors of suicide in inpatients and recently discharged patients with affective disorders. A case-control study. Eur Psychiatry. 2009;24(5):317-321.
90. Angst F, Stassen HH, Clayton PJ, et al. Mortality of patients with mood disorders: follow-up over 34-38 years. J Affect Disord. 2002;68(2-3):167-181.
91. Axelsson R, Lagerkvist-Briggs M. Factors predicting suicide in psychotic patients. Eur Arch Psychiatry Clin Neurosci. 1992;241(5):259-266.
92. Berglund M, Nilsson K. Mortality in severe depression. A prospective study including 103 suicides. Acta Psychiatr Scand. 1987;76(4):372-380.
93. Berglund M. Suicide in alcoholism. A prospective study of 88 suicides: I. The multidimensional diagnosis at first admission. Arch Gen Psychiatry. 1984;41:888-891.
94. Berglund M, Krantz P, Lundqvist G, et al. Suicide in psychiatric patients. A prospective study of 67 cases without initial signs of severe depression or alcoholism. Acta Psychiatr Scand. 1987;76(4):431-437.
95. Brent DA, Perper JA, Goldstein CE, et al. Risk factors for adolescent suicide: a comparison of adolescent suicide victims with suicidal inpatients. Arch Gen Psychiatry. 1988;45:581-588.
96. Choi JW, Park S, Yi KK, et al. Suicide mortality of suicide attempt patients discharged from emergency room, nonsuicidal psychiatric patients discharged from emergency room, admitted suicide attempt patients, and admitted nonsuicidal psychiatric patients. Suicide Life Threat Behav. 2012;42(3):235-243.
97. Cohen LJ, Test MA, Brown RL. Suicide and schizophrenia: data from a prospective community treatment study. Am J Psychiatry. 1990;147(5):602-607.
98. Craig TJ, Ye Q, Bromet EJ. Mortality among first-Admission patients with psychosis. Compr Psychiatry. 2006;47(4):248-253.
99. Erlangsen A, Mortensen PB, Vach W, et al. Psychiatric hospitalisation and suicide among the very old in Denmark: population-based register study. Br J Psychiatry. 2005;187:43-48.
100. Erlangsen A, Zarit SH, Tu X, et al. Suicide among older psychiatric inpatients: an evidence-based study of a high-risk group. Am J Geriatr Psychiatry. 2006;14(9):734-741.
101. Fagg J, Hawkins M, Hawton K, et al. Factors associated with suicide after parasuicide in young people. BMJ. 1993;306(6893):1641-1644.
102. Fawcett J, Scheftner W, Clark D, et al. Clinical predictors of suicide in patients with major affective disorders: a controlled prospective study. Am J Psychiatry. 1987;144(1):35-40.
103. Fawcett J, Scheftner WA, Fogg L, et al. Time-related predictors of suicide in major affective disorder. Am J Psychiatry. 1990;147(9):1189-1194.
104. Hansen PE, Wang AG, Stage KB, et al; Danish-University- Antidepressant-Group. Comorbid personality disorder predicts suicide after major depression: a 10-year follow-up. Acta Psychiatr Scand. 2003;107:436-440.
105. Hoang U, Stewart R, Goldacre MJ. Mortality after hospital discharge for people with schizophrenia or bipolar disorder: retrospective study of linked English hospital episode statistics, 1999-2006. BMJ. 2011;343:d5422. doi: 10.1136/bmj.d5422.
106. Kan CK, Ho TP, Dong JYS, et al. Risk factors for suicide in the immediate post-discharge period. Soc Psychiatry Psychiatr Epidemiol. 2007;42(3):208-214.
107. Kapur N, Hunt IM, Webb R, et al. Suicide in psychiatric in-patients in England, 1997 to 2003. Psychol Med. 2006;36:1485-1492.
108. Links P, Nisenbaum R, Ambreen M, et al. Prospective study of risk factors for increased suicide ideation and behavior following recent discharge. Gen Hosp Psychiatry. 2012;34:88-97.
109. Nordentoft M, Mortensen PB, Pedersen CB. Absolute risk of suicide after first hospital contact in mental disorder. Arch Gen Psychiatry. 2011;68(10):1058-1064.
110. Agerbo E, Mortensen PB, Eriksson T, et al. Risk of suicide in relation to income level in people admitted to hospital with mental illness: nested case-control study. BMJ. 2001;322(7282):334-335.
111. Allebeck P, Varla A, Kristjansson E, et al. Risk factors for suicide among patients with schizophrenia. Acta Psychiatr Scand. 1987;76:414-419.
112. Appleby L, Dennehy JA, Thomas CS, et al. Aftercare and clinical characteristics of people with mental illness who commit suicide: a case-control study. Lancet. 1999;353(9162):1397-1400.
113. Bickley H, Hunt IM, Windfuhr K, et al. Suicide within two weeks of discharge from psychiatric inpatient care: a case-control study. Psychiatr Serv. 2013;64(7):653-659.
114. Burgess P, Pirkis J, Morton J, et al. Lessons from a comprehensive clinical audit of users of psychiatric services who committed suicide. Psychiatr Serv. 2000;51(12):1555-1560.
115. Crisanti AS, Love EJ. Mortality among involuntarily admitted psychiatric patients: a survival analysis. Soc Psychiatry Psychiatr Epidemiol. 1999;34(12):627-633.
116. Deisenhammer EA, DeCol C, Honeder M, et al. In-patient suicide in psychiatric hospitals. Acta Psychiatr Scand. 2000;102(4):290-294.
117. Deisenhammer EA, Huber M, Kemmler G, et al. Psychiatric hospitalizations during the last 12 months before suicide. Gen Hosp Psychiatry. 2007;29(1):63-65.
118. Dong JYS, Ho TP, Kan CK. A case-control study of 92 cases of in-patient suicides. J Affect Disord. 2005;87(1):91-99.
119. Drake RE, Cotton PG. Depression, hopelessness and suicide in chronic schizophrenia. Br J Psychiatry. 1986;148:554-559.
120. Drake RE, Gates C, Cotton PG, et al. Suicide among schizophrenics. Who is at risk? J Nerv Ment Dis. 1984;172(10):613-617.
121. Flood RA, Seager CP. A retrospective examination of psychiatric case records of patients who subsequently committed suicide. Br J Psychiatry. 1968;114:443-450.
122. Gaertner I, Gilot C, Heidrich P, et al. A case control study on psychopharmacotherapy before suicide committed by 61 psychiatric inpatients. Pharmacopsychiatry. 2002;35(2):37-43.
123. Gale SW, Mesnikoff A, Fine J, et al. A study of suicide in state mental hospitals in New York City. Psychiatr Q. 1980;52(3):201-213.
124. Geddes JR, Juszczak E, O'Brien F, et al. Suicide in the 12 months after discharge from psychiatric inpatient care, Scotland 1968-92. J Epidemiol Comm Health. 1997;51(4):430-434.
125. Goldacre M, Seagroatt V, Hawton K. Suicide after discharge from psychiatric inpatient care. Lancet. 1993;342(8866):283-286.
126. Haklai Z, Goldberger N, Stein N, et al. The mortality risk among persons with psychiatric hospitalizations. Isr J Psychiatry Relat Sci. 2011;48(4):230-239.
127. Hattori T, Taketani K, Ogasawara Y. Suicide and suicide attempts in general hospital psychiatry: clinical and statistical study. Psychiatry Clin Neurosci. 1995;49(1):43-48.
128. Heila H, Haukka J, Suvisaari J, et al. Mortality among patients with schizophrenia and reduced psychiatric hospital care. Psychol Med. 2005;35(5):725-732.
129. Ho TP. The suicide risk of discharged psychiatric patients. J Clin Psychiatry. 2003;64(6):702-707.
130. Ho T. Duration of hospitalisation and post discharge suicide. Suicide Life Threat Behav. 2006;36(6):682-686.
131. Hoffman H, Modestin J. Completed suicide in discharged psychiatric inpatients. Soc Psychiatry. 1987;22:93-98.
132. Holley HL, Fick G, Love EJ. Suicide following an inpatient hospitalization for a suicide attempt: a Canadian follow-up study. Soc Psychiatry Psychiatr Epidemiol. 1998;33(11):543-551.
133. Honkonen H, Mattila AK, Lehtinen K, et al. Mortality of Finnish acute psychiatric hospital patients. Soc Psychiatry Psychiatr Epidemiol. 2008;43:660-666.
134. Hung CI, Liu CY, Liao MN, et al. Self-destructive acts occurring during medical general hospitalization. Gen Hosp Psychiatry. 2000;22(2):115-121.
135. Hunt IM, Kapur N, Webb R, et al. Suicide in current psychiatric in-patients: a case-control study-The National Confidential Inquiry into Suicide and Homicide. Psychol Med. 2007;37(6):831-817.
136. Hunt IM, Buickley H, Windfuhr K, et al. Suicide in recently admitted psychiatric in-patients: a case-control study. J Affect Disord. 2013;144:123-128.
137. Keller F, Wolfersdorf M. Changes in suicide numbers in psychiatric hospitals: an analysis using log-linear time-Trend models. Soc Psychiatry Psychiatr Epidemiol. 1995;30(6):269-273.
138. Kessing LV, Munk-Jørgensen P. Does type of first contact in depressive and bipolar disorders predict subsequent hospitalisation and risk of suicide? J Affect Disord. 2004;83(1):65-71.
139. King EA, Baldwin DS, Sinclair JMA, et al. The Wessex Recent In-Patient Suicide Study, 1. Case-control study of 234 recently discharged psychiatric patient suicides. Br J Psychiatry. 2001;178:531-536.
140. King EA, Baldwin DS, Sinclair JMA, et al. The Wessex Recent In-Patient Suicide Study, 2. Case-control study of 59 in-patient suicides. Br J Psychiatry. 2001;178:537-542.
141. Kjelsberg E, Neegaard E, Dahl AA. Suicide in adolescent psychiatric inpatients: incidence and predictive factors. Acta Psychiatr Scand. 1994;89(4):235-241.
142. Krupinski M, Fischer A, Grohmann R, et al. Risk factors for suicides of inpatients with depressive psychoses. Eur Arch Psychiatry Clin Neurosci. 1998;248:141-147.
143. Krupinski M, Fischer A, Grohmann R, et al. Psychopharmacological therapy and suicide of inpatients with depressive psychoses. Arch Suicide Res. 1998;4(2):143-155.
144. Kullgren G. Factors associated with completed suicide in borderline personality disorder. J Nerv Ment Dis. 1988;176(1):40-44.
145. Kuo CJ, Tsai SY, Lo CH, et al. Risk factors for completed suicide in schizophrenia. J Clin Psychiatry. 2005;66(5):579-585.
146. Lawrence DM, Holman CD, Jablensky AV, et al. Suicide rates in psychiatric in-patients: an application of record linkage to mental health research. Aust N Z J Public Health. 1999;23(5):468-470.
147. Lee HC, Lin HC. Are psychiatrist characteristics associated with postdischarge suicide of schizophrenia patients? Schizophr Bull. 2009;35(4):760-765.
148. Lin HC, Wu CH, Lee HC. Risk factors for suicide following hospital discharge among cancer patients. Psychooncology. 2009;18(10):1038-1044.
149. Luxton DD, Trofinovich L, Clark LL. Suicide risk among US service members after psychiatric hospitalization, 2001-2011. Psychiatr Serv. 2013;64(7):626-629.
150. Marusic A, Tavcar R, Dernovsek M, et al. Comparison of psychiatric inpatient suicides with suicides completed in the surrounding community. Nord J Psychiatry. 2002;56(5):335-338.
151. McKenzie I, Wurr C. Early suicide following discharge from a psychiatric hospital. Suicide Life Threat Behav. 2001;31(3):358-363.
152. Modestin J, Hoffmann H. Completed suicide in psychiatric inpatients and former inpatients. A comparative study. Acta Psychiatr Scand. 1989;79(3):229-234.
153. Modestin J, Kopp W. Study on suicide in depressed inpatients. J Affect Disord. 1988;15:157-162.
154. Modestin J, Schwarzenbach F. Effect of psychopharmacotherapy on suicide risk in discharged psychiatric inpatients. Acta Psychiatr Scand. 1992;85(2):173-175.
155. Modestin J, Zarro I, Waldvogel D. A study of suicide in schizophrenic in-patients. Br J Psychiatry. 1992;160:398-401. See comments.
156. Morgan HG, Stanton R. Suicide among psychiatric in-patients in a changing clinical scene-suicidal ideation as a paramount index of short-Term risk. Br J Psychiatry. 1997;171:561-563.
157. Myers DH, Neal CD. Suicide in psychiatric patients. Br J Psychiatry. 1978;133:38-44.
158. Neuner T, Hubner-Liebermann B, Haen E, et al. Completed suicides in 47 psychiatric hospitals in Germany-results from the AGATEStudy. Pharmacopsychiatry. 2011;44(7):324-330.
159. Perez-Carceles M, Inigo C, Luna A, et al. Mortality in maximum security psychiatric hospital patients. Forensic Sci Int. 2001;119(3):279-283.
160. Pirkis J, Burgess P, Jolley D. Suicide among psychiatric patients: a case-control study. Aust N Z J Psychiatry. 2002;36(1):86-91.
161. Pirkola S, Sohlman B, Wahlbeck K. The characteristics of suicides within a week of discharge after psychiatric hospitalisation-A nationwide register study. BMC Psychiatry. 2005;5:32.
162. Powell J, Geddes J, Deeks J, et al. Suicide in psychiatric hospital in-patients-risk factors and their predictive power. Br J Psychiatry. 2000;176:266-272.
163. Qin P, Nordentoft M. Suicide risk in relation to psychiatric hospitalization-evidence based on longitudinal registers. Arch Gen Psychiatry. 2005;62(4):427-432.
164. Qin P, Jepsen P, Norgard B, et al. Hospital admission for non-fatal poisoning with weak analgesics and risk for subsequent suicide: a population study. Psychol Med. 2009;39(11):1867-1873.
165. Robin AA, Brooke EM, Freeman-Browne DL. Some aspects of suicide in psychiatric patients in Southend. Br J Psychiatry. 1968;114:739-747.
166. Rorsman B. Suicide in psychiatric patients: a comparative study. Soc Psychiatry. 1973;8:55-66.
167. Roy A, Draper R. Suicide among psychiatric hospital in-patients. Psychol Med. 1995;25(1):199-202.
168. Roy A. Risk factors for suicide in psychiatric patients. Arch Gen Psychiatry. 1982;39:1089-1095.
169. Shah AK, Ganesvaran T. Inpatient suicides in an Australian mental hospital. Aust N Z J Psychiatry. 1997;31(2):291-298.
170. Steblaj A, Tavcar R, Dernovsek MZ. Predictors of suicide in psychiatric hospital. Acta Psychiatr Scand. 1999;100(5):383-388.
171. Sundqvist-Stensman UB. Suicides in close connection with psychiatric care: an analysis of 57 cases in a Swedish county. Acta Psychiatr Scand. 1987;76:15-20.
172. Suominen KH, Isometsä ET, Heila H, et al. General hospital suicides-A psychological autopsy study in Finland. Gen Hosp Psychiatry. 2002;24:412-416.
173. Taiminen TJ, Kujari H. Antipsychotic medication and suicide risk among schizophrenic and paranoid inpatients. A controlled retrospective study. Acta Psychiatr Scand. 1994;90(4):247-251.
174. Taiminen T. Suicide contagion among psychiatric inpatients. Nord J Psychiatry. 1993;47(3):191-194.
175. Thong JY, Su AHC, Chan YH, et al. Suicide in psychiatric patients: case-control study in Singapore. Aust N Z J Psychiatry. 2008;42(6):509-519.
176. Wolfersdorf M, Keller F, Kaschka WP, et al. Suicide of psychiatric inpatients 1970-1993 in Baden-Wurttemberg (Germany). Arch Suicide Res. 1997;3(4):303-311.
177. Ajdacic-Gross V, Lauber C, Baumgartner M, et al. In-patient suicide-A 13-year assessment. Acta Psychiatr Scand. 2009;120(1):71-75.
178. Allebeck P, Varla A, Wistedt B. Suicide and violent death among patients with schizophrenia. Acta Psychiatr Scand. 1986;74(1):43-49.
179. Allgulander C, Allebeck P, Przybeck TR, et al. Risk of suicide by psychiatric diagnosis in Stockholm County. A longitudinal study of 80,970 psychiatric inpatients. Eur Arch Psychiatry Clin Neurosci. 1992;241(5):323-326.
180. Andersen UA, Andersen M, Rosholm JU, et al. Contacts to the health care system prior to suicide: a comprehensive analysis using registers for general and psychiatric hospital admissions, contacts to general practitioners and practising specialists and drug prescriptions. Acta Psychiatr Scand. 2000;102(2):126-134.
181. Bahmanyar S, Sparen P, Rutz EM, et al. Risk of suicide among operated and non-operated patients hospitalised for peptic ulcers. J Epidemiol Comm Health. 2009;63(12):1016-1021.
182. Barner-Rasmussen P, Dupont A, Bille H. Suicide in psychiatric patients in Denmark, 1971-81. I. Demographic and diagnostic description. Acta Psychiatr Scand. 1986;73(4):441-448.
183. Baxter D, Appleby L. Case register study of suicide risk in mental disorders. Br J Psychiatry. 1999;175:322-326.
184. Busch KA, Fawcett J, Jacobs DG. Clinical correlates of inpatient suicide. J Clin Psychiatry. 2003;64(1):14-19.
185. Busch K, Clark DC, Fawcett J, et al. Clinical features of inpatient suicide. Psychiatr Ann. 1993;23(5):256-262.
186. Copas J, Robin A. Suicide in psychiatric in-patients. Br J Psychiatry. 1982;141:503-511.
187. Goh SE, Salmons PH, Whittington RM. Hospital suicides: are there preventable factors? Profile of the psychiatric hospital suicide. Br J Psychiatry. 1989;154:247-249. See comments.
188. Hintikka J, Viinamaki H. Suicide within a day of discharge-failure of risk assessment? Nord J Psychiatry. 1998;52(1):15-21.
189. Johansson LM, Johansson SE, Sundquist J, et al. Suicide among psychiatric in-patients in Stockholm, Sweden. Arch Suicide Res. 1996;2(3):171-181.
190. Jones RM, Hales H, Butwell M, et al. Suicide in high security hospital patients. Soc Psychiatry Psychiatr Epidemiol. 2011;46(8):723-731.
191. King EA. The Wessex Suicide Audit 1988-1993: a study of 1457 suicides with and without a recent psychiatric contact. Int J Psychiatry Clin Pract. 2001;5(2):111-118.
192. Meehan J, Kapur N, Hunt IM, et al. Suicide in mental health inpatients and within 3 months of discharge. National clinical survey. Br J Psychiatry. 2006;188:129-134.
193. Modestin J, Wurmle O. Role of modelling in in-patient suicide: a lack of supporting evidence. Br J Psychiatry. 1989;155:511-514.
194. Morgan HG, Priest P. Suicide and other unexpected deaths among psychiatric in-patients. The Bristol confidential inquiry. Br J Psychiatry. 1991;158:368-374. See comments.
195. Mortensen PB, Juel K. Mortality and causes of death in first admitted schizophrenic patients. Br J Psychiatry. 1993;163(2):183-189.
196. Neuner T, Hubner-Liebermann B, Wolfersdorf M, et al. Time patterns of inpatient suicides. Int J Psychiatry Clin Pract. 2010;14(2):95-101.
197. Nordentoft M, Breum L, Munck LK, et al. High mortality by natural and unnatural causes: a 10 year follow-up study of patients admitted to a poisoning treatment centre after suicide attempts. BMJ. 1993;306:1637-1641.
198. Papadopoulos IN, Papaefthymiou M, Roumeliotis L, et al. Status and perspectives of hospital mortality in a public urban Hellenic hospital, based on a five-year review. BMC Public Health. 2008;8:28.
199. Proulx F, Lesage AD, Grunberg F. One hundred in-patient suicides. Br J Psychiatry. 1997;171(3):247-250.
200. Ripley HS. Suicide in general hospitals. West J Med. 1979;130:408-410.
201. Shapiro S, Waltzer H. Successful suicides and serious attempts in a general hospital over 15-year period. Gen Hosp Psychiatry. 1980;2(2):118-126.
202. Spiessl H, Hubner-Liebermann B, Cording C. Suicidal behaviour of psychiatric in-patients. Acta Psychiatr Scand. 2002;106:134-138.
203. Taiminen TJ, Helenius H. Suicide clustering in a psychiatric hospital with a history of a suicide epidemic: a quantitative study. Am J Psychiatry. 1994;151(7):1087-1088.
204. Taiminen TJ, Strandberg J, Kujari H. Inpatient suicide on a general hospital psychiatric ward: does experience with high risk patients help to prevent suicides? Arch Suicide Res. 1996;2(2):119-124.
205. Temoche A, Pugh TF, McMahon B. Suicide rates among current and former mental institution patients. J Nerv Ment Dis. 1964;138:124-131.