Inpatient suicide in a general hospital

Cheng, I-Chih; Hu, Fu‐Chang; Tseng, Ming-Yuan

doi:10.1016/j.genhosppsych.2008.12.008

Cited by 54 publications

(45 citation statements)

References 25 publications

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“…First week of inpatient care was the critical period with maximum (77%) suicides happening during that phase, similar to reports from multiple studies (Proulx et al 1997;Dong et al 2005;Qin & Nordentoft, 2005;Madsen et al 2012). Some studies have reported suicides to have occurred after many days on in-patient treatment as well (Deisenhammer et al 2000;Cheng et al 2009). Around half of the patients had past history of suicidal attempt, which is an important predictor of suicide attempt in general population as well as in-patients (Large et al 2011;Madsen et al 2012;Bose et al 2016).…”

Section: Discussionsupporting

confidence: 76%

“…This is important in the context of World Health Organization's observation of suicide being second most common cause of death in age group of 15-29 years. Findings are differing in some studies such as in one study median age was 39 years and in two studies the mean ages were 45 and 49 years (Deisenhammer et al 2000;Meehan et al 2006;Cheng et al 2009). In the current study, many patients were well educated (studied till graduation) similar to another study (Madsen et al 2012).…”

Section: Discussionmentioning

confidence: 82%

“…This could be due to comparatively easy accessibility to hanging in an inpatient setting. Whereas some studies have mentioned violent methods such as jumping from height (studies from China and Taiwan), jumping in front of a vehicle (Austria) and drowning (UK) as common methods of inpatient suicide (Deisenhammer et al 2000;Powell et al 2000;Dong et al 2005;Cheng et al 2009). With respect to the location, in this study all the 13 patients had committed suicide in the hospital building whereas many studies have reported high occurrence of suicide of in-patients outside hospital premises during agreed leave or by absconding (Proulx et al 1997;Deisenhammer et al 2000;Powell et al 2000;Dong et al 2005).…”

Section: Discussionmentioning

confidence: 99%

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In-patient suicide in psychiatry – an Indian experience

Dahale

Sherine

Chaturvedi

2017

Epidemiol Psychiatr Sci

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

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In-patient suicide in psychiatry – an Indian experience

Dahale

Sherine

Chaturvedi

2017

Epidemiol Psychiatr Sci

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“…Occasionally, suicide can occur inside vehicles by adopting simple suicide methods of different kinds [16][17][18][19][20][21][22][23][24], or with multiple methods [25][26][27][28], not to mention suicides committed in protected environments like jails [29][30][31][32], hospitals and health care facilities [33][34]. Recent studies from the Unites States report an increasing number of cases of suicide by jumping or falling from parking garages [35].…”

Section: Discussionmentioning

confidence: 99%

Unusual Suicide Settings: A Forensic-Pathological Analysis Four Cases of Suicide in Cemetery

Zoja¹

2017

FRCIJ

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The Author choose the cases of suicides in the cemetery performed in a period of 24 years in Milan. They highlight the general aspects, together with the forensic pathology and the psychopathological data. In Milan area, the selected cases were 4. The selected sample validates that cemetery suicide are rare and victims present three common features: a depressive mental disorder, the male sex and the burial of a beloved person in the cemetery of the suicide. These observations could enrich the knowledge of epidemiological analysis of such modality of suicide.Keywords: Suicide; Cemetery; Forensic pathology 41 cases of graveside killings is offered, all committed between 1969 and 1992, among which 18 suicides are documented [2]. In the current study, through a manual search of autoptic files over 20 years , the authors identified analogous cases occurred in seven cemeter is in the city of Milan, Italy (Baggio, Bruzzano, Chiaravalle, Greco, Lambrate, Cimitero Maggiore and Cimitero Monumentale) and in the metropolitan area. For each of the cases, an analysis of the crime scene is offered together with details obtained from autoptic examination; finally, the authors provide a tentative psychopathological analysis of the possible motivations connected to this unusual suicide site. Materials and MethodsOut of 22.764 autoptic examinations carried out in over 20 years (January 1 st 1993 -December 31 st 2015) at the Medico-legal Bureau, Milan State University, 3.902 suicides were identified and, among them, those committed in cemeteries or surrounding area were extracted and compared to those with analogous setting committed in Italy. As for the latter type of information, reference was made for data processing purposes to the online archives and to the major Italian national daily papers (Corriere della Sera, La Repubblica), local newspapers (Il Giorno and Il Giornale), and to the database of the Italian national and regional press agency (ANSA). The study was integrated by consulting generic search engines and Internet websites, as well as printed paper volumes and repertories. ResultsThe cases identified for the purpose of the present study were 4 (0.017% of the total number of the autoptic examinations carried out in that time frame) and they constitute 0,10% of all suicides examined at the Medico-legal Bureau, Milan State University. In line with previous studies [1-2], suicide in the cemetery seems to be a phenomenon mostly connected to male gender; the mean age is mostly around adulthood-third age with frequent presence of a positive psychiatric history. All victims were affected by depressive disorders, 75% were under psychiatric pharmacological treatment, while the remaining 25% was affected by bipolar disorder with hypochondriacal ideation. Moreover, half of the sample had a history of previous suicide attempts; the remaining half, though the absence of suicide attempts, had frequently expressed suicide intent. Suicides occurred in a timeframe between three months and a year since their loving ones' death...

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“…5 The most common nonpsychiatric medical diagnoses associated with inpatient death by suicide include malignancy (38%), infectious disease (13%), AIDS (8%), and orthopedic conditions (8%). 5 Risk for death by suicide is also associated with a greater number of previous suicide attempts. 7 Other risk factors for suicidal behaviors in medical settings include previous suicide attempts, suicide ideation, family history of suicide, physical…”

Section: Characteristics Of Inpatient Suicidementioning

confidence: 99%

Suicide risk among general hospital inpatients

2015

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Inpatient suicide in a general hospital

Cited by 54 publications

References 25 publications

In-patient suicide in psychiatry – an Indian experience

In-patient suicide in psychiatry – an Indian experience

Unusual Suicide Settings: A Forensic-Pathological Analysis Four Cases of Suicide in Cemetery

Suicide risk among general hospital inpatients

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