Suicide risk assessment among psychiatric inpatients: A systematic review and meta-analysis of high-risk categories

Psychological Medicine

Volumn 48, Issue 7, 2018, Pages 1119-1127

  Large, M ^a   Myles, N ^b   Myles, H ^c   Corderoy, A ^d   Weiser, M ^e   Davidson, M ^f   Ryan, C J ^g  

^a UNIVERSITY OF NEW SOUTH WALES   (Australia)

^b QUEEN ELIZABETH HOSPITAL   (Australia)

^c UNIVERSITY OF ADELAIDE   (Australia)

^d UNIVERSITY OF NOTRE DAME   (Australia)

^e TEL AVIV UNIVERSITY   (Israel)

^f UNIVERSITY OF NICOSIA MEDICAL SCHOOL   (Cyprus)

^g UNIVERSITY OF SYDNEY   (Australia)

Author keywords

Inpatient; risk assessment; suicide

Indexed keywords

DEPRESSION; HOSPITAL PATIENT; HUMAN; META ANALYSIS; MOOD DISORDER; PROCEDURES; PSYCHOLOGY; RISK ASSESSMENT; RISK FACTOR; SUICIDE;

DEPRESSION; HUMANS; INPATIENTS; MOOD DISORDERS; RISK ASSESSMENT; RISK FACTORS; SUICIDE;

EID: 85044384426     PISSN: 00332917     EISSN: 14698978     Source Type: Journal    
DOI: 10.1017/S0033291717002537     Document Type: Review

References (48)

1. Bowers L, Banda T and Nijman H (2010) Suicide inside: a systematic review of inpatient suicides. Journal of Nervous and Mental Disease 198, 315-328.
2. Buchanan A (2008) Risk of violence by psychiatric patients: beyond the 'actuarial versus clinical' assessment debate. Psychiatric Services 59, 184-190.
3. Cassells C, Paterson B, Dowding D and Morrison R (2005) Long-and shortterm risk factors in the prediction of inpatient suicide: review of the literature. Crisis 26, 53-63.
4. Chan MK, Bhatti H, Meader N, Stockton S, Evans J, O'Connor RC et al. (2016) Predicting suicide following self-harm: systematic review of risk factors and risk scales. British Journal of Psychiatry 209, 277-283.
5. Chang BP, Franklin JC, Ribeiro JD, Fox KR, Bentley KH, Kleiman EM et al. (2016) Biological risk factors for suicidal behaviors: a meta-analysis. Translational Psychiatry 6, e887.
6. Cohen J (1986) Statistical approaches to suicidal risk factor analysis. Annals of the New York Academy of Science 487, 34-41.
7. De Leo D and Sveticic J (2010) Suicides in psychiatric in-patients: what are we doing wrong? Epidemiologia e Psichiatria Sociale 19, 8-15.
8. Dolan M and Doyle M (2000) Violence risk prediction. Clinical and actuarial measures and the role of the psychopathy checklist. British Journal of Psychiatry 177, 303-311.
9. Dong JY, Ho TP and Kan CK (2005) A case-control study of 92 cases of in-patient suicides. Journal of Affect Disorders 87, 91-99.
10. Duval S and Tweedie R (2000) Trim and fill: a simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics 56, 455-463.
11. Egger M, Davey Smith G, Schneider M and Minder C (1997) Bias in meta-analysis detected by a simple, graphical test. British Medical Journal 315, 629-634.
12. Hunt IM, Bickley H, Windfuhr K, Shaw J, Appleby L and Kapur N (2013) Suicide in recently admitted psychiatric in-patients: a case-control study. Journal of Affective Disorders 144, 123-128.
13. Hunt IM, Kapur N, Webb R, Robinson J, Burns J, Turnbull P et al. (2007) Suicide in current psychiatric in-patients: a case-control study. The National Confidential Inquiry into Suicide and Homicide. Psychological Medicine 37, 831-837.
14. International Initiative for Mental Health Leadership (2016) Zero Suicide: An International Declaration for Better Healthcare (https://riinternational. com/wp-content/uploads/2016/03/zerosuicidedeclaration-2015draft.pdf). (Accessed 22 July 2017).
15. Joint Commission into Patient Safety (2015) National Patient Safety Goals (http://www.jointcommission.org/assets/1/6/2015-NPSG-HAP.pdf). (Accessed 22 July 2017).
16. Kessler RC, Warner CH, Ivany C, Petukhova MV, Rose S, Bromet EJ et al. (2015) Predicting suicides after psychiatric hospitalization in US Army soldiers: the Army Study to Assess Risk and Resilience in Service members (Army STARRS). JAMA Psychiatry 72, 49-57.
17. King EA, Baldwin DS, Sinclair JM and Campbell MJ (2001) The Wessex Recent In-Patient Suicide Study, 2. Case-control study of 59 in-patient suicides. British Journal of Psychiatry 178, 537-542.
18. Krupinski M, Fischer A, Grohmann R, Engel R, Hollweg M and Moller HJ (1998) Risk factors for suicides of inpatients with depressive psychoses. European Archives of Psychiatry Clinical Neuroscience 248, 141-147.
19. Krupinski M, Fischer A, Grohmann R, Engel RR, Hollweg M and Moller HJ (2000) Schizophrenic psychoses and suicide in the clinic. Risk factors, psychopharmacologic treatment. Der Nervenarzt 71, 906-911.
20. Large M, Kaneson M, Myles N, Myles H, Gunaratne P and Ryan C (2016) Meta-analysis of longitudinal cohort studies of suicide risk assessment among psychiatric patients: heterogeneity in results and lack of improvement over time. PLoS ONE 11, e0156322.
21. Large M and Ryan CJ (2012) Screening for suicide: a comment on Steeg. Psychological Medicine 42, 2011-2012.
22. Large M, Smith G, Sharma S, Nielssen O and Singh SP (2011) Systematic review and meta-analysis of the clinical factors associated with the suicide of psychiatric in-patients. Acta Psychiatrica Scandinavica 124, 18-29.
23. Large MM and Ryan CJ (2014) Disturbing findings about the risk of suicide and psychiatric hospitals. Social Psychiatry and Psychiatric Epidemiology 49, 1353-1355.
24. Levi L, Werbeloff N, Pugachova I, Yoffe R, Large M, Davidson M et al. (2016) Has deinstitutionalization affected inpatient suicide? Psychiatric inpatient suicide rates between 1990 and 2013 in Israel. Schizophrenia Research 173, 75-78.
25. Lieb M, Palm U, Meyer S, Sarubin N, Mokhtari-Nejad R, Riedel M et al. (2014) Risk factors for inpatient suicide. Psychiatriche Praxis 41, 195-199.
26. Lin SK, Hung TM, Liao YT, Lee WC, Tsai SY, Chen CC et al. (2014) Protective and risk factors for inpatient suicides: a nested case-control study. Psychiatry Research 217, 54-59.
27. Madsen T, Agerbo E, Mortensen PB and Nordentoft M (2012) Predictors of psychiatric inpatient suicide: a national prospective register-based study. Journal of Clinical Psychiatry 73, 144-151.
28. Madsen T, Erlangsen A and Nordentoft M (2017) Risk estimates and risk factors related to psychiatric inpatient suicide-an overview. International Journal of Environmental Research and Public Health 14, E253.
29. Madsen T and Nordentoft M (2012) Risk factors for inpatient suicide do not translate into meaningful risk categories-all psychiatric inpatients are high-risk, author reply 1034-5. Journal of Clinical Psychiatry 73, 1034-1035.
30. Modestin J and Kopp W (1988a). A study of clinical suicide. Journal of Nervous and Mental Disease 176, 668-674.
31. Modestin J and Kopp W (1988b). Study on suicide in depressed inpatients. Journal of Affective Disorders 15, 157-162.
32. Modestin J, Zarro I and Waldvogel D (1992) A study of suicide in schizophrenic in-patients. British Journal of Psychiatry 160, 398-401.
33. Moher D, Liberati A, Tetzlaff J and Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Journal of Clinical Epidemiology 62, 1006-1012.
34. Neuner T, Schmid R, Wolfersdorf M and Spiessl H (2008) Predicting inpatient suicides and suicide attempts by using clinical routine data? General Hospital Psychiatry 30, 324-330.
35. Powell J, Geddes J, Deeks J, Goldacre M and Hawton K (2000) Suicide in psychiatric hospital in-patients. Risk factors and their predictive power. British Journal of Psychiatry 176, 266-272.
36. Rosenthal J (1996) Qualitative descriptors of strength of association and effect size. Journal of Social Service Research 21, 37-57.
37. Simon RI (2011) Preventing Patient Suicide. Clinical Assessment and Management. Washington, DC: American Psychiatric Association.
38. Sokolov G, Hilty DM, Leamon M and Hales RE (2006) Inpatient treatment and partial hospitalization. In R. I. Simon R. E. Hales (eds). The American Psychiatric Publishing Textbook of Suicide Assessment and Management, Washington: American Psychiatric Association, pp. 401-422.
39. Spiessl H, Hubner-Liebermann B and Cording C (2002) Suicidal behaviour of psychiatric in-patients. Acta Psychiatrica Scandinavica 106, 134-138.
40. Steblaj A, Tavcar R and Dernovsek MZ (1999) Predictors of suicide in psychiatric hospital. Acta Psychiatrica Scandinavica 100, 383-388.
41. Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GD, Rennie D et al. (2000) Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA 283, 2008-2012.
42. Sullivan AM, Barron CT, Bezmen J, Rivera J and Zapata-Vega M (2005) The safe treatment of the suicidal patient in an adult inpatient setting: a proactive preventive approach. Psychiatric Quarterly 76, 67-83.
43. Szmukler G, Everitt B and Leese M (2012) Risk assessment and receiver operating characteristic curves. Psychological Medicine 42, 895-898.
44. Vine R (2009) Inpatient Leave of Absence. Chief Psychiatrist's Guideline (ed. D. o. Health). Melbourne: Victorian Government Department of Health.
45. Walsh G, Sara G, Ryan CJ and Large M (2015) Meta-analysis of suicide rates among psychiatric in-patients. Acta Psychiatrica Scandinavica 131, 174-184.
46. Wells GA, Shea B, O'Connnell D, Peterson L, Welsh V, Losos M et al. (2013) The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses (http://www.ohri.ca/programs/clinical- epidemiology/oxford.asp). (Accessed 1 January 2017).
47. Worchel D and Gearing RE (2010) Suicide Assessment and Treatment. Empirical and Evidence-Based Practices. New York: Springer.
48. Zamora J, Abraira V, Muriel A, Khan K and Coomarasamy A (2006) Meta-DiSc: a software for meta-analysis of test accuracy data. BMC Medical Research Methodology 6, 31.