Gender differences in the association of agitation and suicide attempts among psychiatric inpatients

Bryan, Craig J.; Hitschfeld, Mario J.; Palmer, Brian A.; Schak, Kathryn M.; Roberge, Erika M.; Lineberry, Timothy W.

doi:10.1016/j.genhosppsych.2014.09.013

Cited by 25 publications

(16 citation statements)

References 26 publications

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“…Each study's influence on the I 2 statistic was examined individually; the study resulting in the largest decrease in I 2 was excluded until the heterogeneity reached a moderate amount (I 2 b 0.50). The exclusion of Pompili et al (2009a) first resulted in an I 2 statistic of 0.80; excluding Bryan et al (2014) then dropped the I 2 statistic to 0.74. Finally, the exclusion of Placidi et al (2000) resulted in an I 2 statistic of 0.45, below the 0.50 threshold.…”

Section: Resultsmentioning

confidence: 99%

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A meta-analytic review of the association between agitation and suicide attempts

Rogers

Ringer

Joiner

2016

Clinical Psychology Review

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Section: Resultsmentioning

confidence: 99%

“…Sensitivity analyses revealed that three studies were responsible for the majority of the between-study heterogeneity (Bryan et al, 2014;Placidi et al, 2000;Pompili et al, 2009a). When these studies were excluded from analyses, the magnitude of the association between agitation and suicidal behavior increased.…”

Section: Discussionmentioning

confidence: 99%

A meta-analytic review of the association between agitation and suicide attempts

Rogers

Ringer

Joiner

2016

Clinical Psychology Review

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“…The demographic, historical and clinical data used in this study were collected from patients on admission via self-report questionnaires and clinical interview, with further psychiatric diagnoses obtained from billing records. (25)…”

Section: Methodsmentioning

confidence: 99%

How does active substance use at psychiatric admission impact suicide risk and hospital length-of-stay?

Miller

Hitschfeld

Lineberry

et al. 2016

Journal of Addictive Diseases

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Background/Objective Despite their high prevalence, little is known about the effects of substance use disorders (SUD) and active substance use on the suicide risk or length of stay (LOS) of psychiatric inpatients. This study examines the relationship between active substance use at the time of psychiatric hospitalization and changes in suicide risk measures and LOS. Methods Admission and discharge ratings on the Suicide Status Form-II-R, diagnoses, and toxicology data from 2333 unique psychiatric inpatients were examined. Data for patients using alcohol, THC, methamphetamines, cocaine, benzodiazepines, opiates, barbiturates, PCP and multiple substances on admission were compared with data from 1426 admissions without substance use. Results Patients with substance use by toxicology on admission had a 0.9 day shorter LOS compared to toxicology-negative patients. During initial nurse evaluation on the inpatient unit, these patients reported lower suicide measures (i.e. suicidal ideation frequency, overall suicide risk, and wish-to-die). No significant between-group differences were seen at discharge. Patients admitted with a SUD diagnosis had a 1.0 day shorter LOS than those without, while those with a SUD diagnosis and positive toxicology reported the lowest measures of suicidality on admission. These results remained independent of psychiatric diagnosis. Discussion For acute psychiatric inpatients, suicide risk is higher and LOS is longer in patients with SUDs who are NOT acutely intoxicated compared with patients without a SUD. Toxicology-positive patients are less suicidal on admission and improve faster than their toxicology-negative counterparts. This study gives support to the clinical observation that acutely intoxicated patients may stabilize quickly with regard to suicidal urges and need for inpatient care.

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“…This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited. ders (7,14,15). Also, suicide attempt differs between males and females with psychiatric disorders (14).…”

Section: Introductionmentioning

confidence: 99%

“…ders (7,14,15). Also, suicide attempt differs between males and females with psychiatric disorders (14).…”

Section: Introductionmentioning

confidence: 99%

Gender Differences of Suicide Attempt Among Iranian Patients with Psychiatric Disorders

Kharaghani¹,

Sharifi²,

Damghanian³

et al. 2017

Crit Care Nurs J

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Background: The prevalence of suicide in Iran is higher than other West Asian countries. Objectives: The aims of the present study were to determine the prevalence of suicide attempt in psychiatric patients, and determine its associations with clinical and sociodemographic factors, and gender differences. Methods: Participants in this descriptive-analytic study were 941 patients who were hospitalized for at least 2 days in Razi center in Tehran in 2010. Univariate and multivariate logistic regressions were used to analyze the factors related to suicide by SPSS software Version 17. Results: Almost 23.4% of the participants had a history of suicide attempt. Of the 250 females, 42 and of the 691 males, 178 attempted suicide. Suicide attempt in divorced, separated, and widowed females was much higher than in single females (P = 0.032). Also, those females who were drug abusers attempted suicide more often compared to non-users (P = 0.047). Suicide attempt was more prevalent in young males (P < 0.001). In addition, bipolar disorder (P = 0.011), depression (P = 0.27), drug abuse (P < 0.001), and alcohol abuse (P = 0.017) were risk factors of suicide attempt among males. Interactions between gender and marital status (P = 0.002) and between gender and the type of psychiatric disorder (P = 0.004) were statistically significant. Conclusions: There were significant differences in suicide attempt risk factors between males and females with psychiatric disorders; these differences could not be related to different exposures to the known risk factors in the 2 genders.

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Gender differences in the association of agitation and suicide attempts among psychiatric inpatients

Cited by 25 publications

References 26 publications

A meta-analytic review of the association between agitation and suicide attempts

A meta-analytic review of the association between agitation and suicide attempts

How does active substance use at psychiatric admission impact suicide risk and hospital length-of-stay?

Gender Differences of Suicide Attempt Among Iranian Patients with Psychiatric Disorders

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