Clinical Correlates of Inpatient Suicide

Busch, Katie A.; Fawcett, Jan; Jacobs, Douglas G.

doi:10.4088/jcp.v64n0105

Cited by 609 publications

(401 citation statements)

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“…Those meeting the criteria were further evaluated for their rapid-cycling status in addition to any other relevant clinical/mental health disorders. In addition to the MDQ, suicidal ideation screening questions (developed and implemented by the health system with a working group using data culled from key literature sources 6,7 ; please contact author C.F. for further information) were asked by the psychiatric clinician, and a brief set of relevant history and medication questions were completed.…”

Section: Assessment Toolsmentioning

confidence: 99%

Impact of Bipolar Disorder: Results From a Screening Study

Stang

Frank

Yood

et al. 2007

Prim. Care Companion J. Clin. Psychiatry

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Section: Assessment Toolsmentioning

confidence: 99%

Impact of Bipolar Disorder: Results From a Screening Study

Stang

Frank

Yood

et al. 2007

Prim. Care Companion J. Clin. Psychiatry

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“…The first possible cause is the low base rate of suicide. Another reason might be that patients deny suicidal thoughts in their last verbal communications before killing themselves (Busch et al, 2003). A third possible cause might be the lack of refinement of indices derived from clinical scales that might fail to capture the potential ongoing suicide processes.…”

Section: Introductionmentioning

confidence: 99%

Is it valid to measure suicidal ideation by depression rating scales?

Desseilles

Perroud

Guillaume

et al. 2012

Journal of Affective Disorders

170

119

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Objective: To date, most researchers rely on suicidal items of scales primarily designed to measure depression severity to capture suicidal ideation (SI). This study aims at investigating how well the suicide item of the clinician rated Hamilton Scale for Depression (HAM-D) and principal factors derived from this scale correlate with SI scores derived from a well validated measure of SI: the Beck's scale for SI (SSI). Method: 281 suicide attempters consecutively hospitalized between 2007 and 2009 were assessed by using the SSI, the HAM-D and the self-report Beck Depression Inventory (BDI). Principal Component Analysis (PCA) was computed to extract main factors. Correlations between these factors, BDI's and HAM-D's suicide items and the SSI scores were then computed. Results: Three components were derived from the PCA. Factor 2 showed a major loading for the HAM-D suicide item. Both the HAM-D suicide item and Factor 2 positively correlated with the SSI total score (both p b 0.00001). Moreover, the BDI suicide item highly correlated with the Factor 2 (p b 0.001) and the SSI total score (p b 0.00001). Finally, the HAM-D suicide item correlated significantly with the number of suicide attempts (p = 0.0001) and the age at the first attempt (p = 0.002). Limitations: Our sample was heterogeneous and future studies should refine the taxonomy of the suicidal behavior in specific sub-populations. The study design was cross-sectional and replication in a prospective study is needed. Conclusion: These findings suggest that the use of a single suicide item or a dimensional factor derived from a depression scale might be a valid approach to assess the suicidal ideations. Moreover, the results suggest that clinician rated scales as well as self-report questionnaires are equally valid to do so.

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“…However, few studies examined factors that were associated with immediate or near-term risk. Those that have suggest that most individuals at immediate risk exhibit psychiatric symptoms such as intense anxiety and agitation but only a few directly communicate their suicidal thoughts or intent (Busch et al, 2003;Hendin et al, 2001). Although these studies had significant limitations as they used small samples and lacked control groups, they showed that data collected during the last healthcare contact may contain critical information concerning near-term risk.…”

Section: Introductionmentioning

confidence: 99%

Warning signs for suicide within a week of healthcare contact in Veteran decedents

Britton

Ilgen

Rudd

et al. 2012

Psychiatry Research

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Objectives-This study examined warning signs for suicide observed in the final day(s) of life in Veteran decedents who received healthcare from Veterans Health Administration (VHA) (N=381), using data obtained from detailed chart reviews.Methods-Veterans who died within a week (7 days) of healthcare contact (18%) were compared to those who died later (82%). Multivariate logistic regression was used to examine differences in suicidal thoughts, psychiatric symptoms, and somatic symptoms as documented at the last visit, after controlling for demographic variables. A second multivariate regression examined whether the identified warning signs were also risk factors for suicide within a month (30 days) of contact.Results-Documented suicidal ideation, OR (95% CI) = 3.46 (1.15-10.38), and psychotic symptoms, OR (95% CI) = 2.67 (1.11-6.42), at the last visit increased the likelihood of suicide within a week of healthcare contact. Both variables also increased the odds of suicide within a month of contact.Conclusions-The assessment of suicidal ideation is critical to identifying Veterans at immediate risk. However, recognition of psychotic symptoms may also improve identification. In addition to indicating immediate risk, some warning signs may also suggest on-going risk.

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Clinical Correlates of Inpatient Suicide

Cited by 609 publications

References 0 publications

Impact of Bipolar Disorder: Results From a Screening Study

Impact of Bipolar Disorder: Results From a Screening Study

Is it valid to measure suicidal ideation by depression rating scales?

Warning signs for suicide within a week of healthcare contact in Veteran decedents

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