Inpatient Suicide in a Psychiatric Hospital: A Nested Case-control Study

Khanra, Sourav; Mahintamani, Tathagata; Bose, Swarnali; Khess, Christoday Raja Jayant; Umesh, Shreekantiah; Ram, Daya

doi:10.4103/0253-7176.194914

Cited by 10 publications

(12 citation statements)

References 42 publications

(64 reference statements)

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“…Levels of hospital areas and their safe proofing are summarized in Table 2 (11,14,17). It is important to emphasize that the surveillance of patients by cameras is not sufficient to reduce the risk of suicide.…”

Section: Level 5 Isolation Roomsmentioning

confidence: 99%

“…Source: Hunt and Sine (11), Joint Commission (14), Khanra et al (17) It is also important to keep in mind that suicidal behaviour occurs also in patients hospitalized in other wards of general hospitals. The adverse events register documented six suicidal attempted and one completed suicide in the Czech Republic between 2009-2010 (20).…”

Section: Level 5 Isolation Roomsmentioning

confidence: 99%

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Safe environment management in acute psychiatric wards in the Czech Republic, foundation for recommendations for preventive practice

Žaludek

David

Kajzar

et al. 2021

Cent Eur J Public Health

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Objectives: Suicides of hospitalized patients present rare but very serious adverse events in healthcare settings. The aim of this article is to describe and analyse the facilities and material equipment of acute psychiatric settings in the Czech Republic and contrast these with recommendations for effective prevention of suicidal behaviour. Since there are currently no universally accepted protocols for risk assessment and prevention of suicides in hospital settings in the Czech Republic, these recommendations draw on international guidelines. Based on the outcomes of our study we provide recommendations for risk management and effective prevention of suicidal behaviour of patients hospitalized in acute care settings.Methods: In order to describe and analyse the environment of acute psychiatric wards in the Czech Republic we have developed a questionnaire based on international recommendations for risk management and prevention of suicidal behaviour. We also collected data on the prevalence of attempted and completed suicides and their respective methods in these hospitals.Results: We have established that acute psychiatric wards in the Czech Republic operate within insufficient safety regimes, especially with respect to the prevention of suicide by hanging and the accessibility of objects for cutting. Our findings demonstrate that only 75% of the wards are equipped with safety glass, and only 50% of the wards with safety mirrors. Only just over 40% of hospitals have safety door handles and shower heads.Conclusion: While it is impossible to entirely eliminate the risk of suicidal behaviour it is possible to manage it. The risk reduction is attainable by providing a safe-proofed environment and minimizing opportunities of suicide attempts by hanging and cutting. In order to effectively prevent suicides, it is essential to increase the awareness of the possibilities of safe proofing of the environment as well as standardization of risk assessment of potential suicidal behaviour of patients.

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Section: Level 5 Isolation Roomsmentioning

confidence: 99%

Section: Level 5 Isolation Roomsmentioning

confidence: 99%

Safe environment management in acute psychiatric wards in the Czech Republic, foundation for recommendations for preventive practice

Žaludek

David

Kajzar

et al. 2021

Cent Eur J Public Health

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“…Die häufigsten Diagnosen bei Suizidenten während der stationären Behandlung sind Schizophrenien und depressive Störungen [30], [36] [38] oder sich keine Besserung der Psychopathologie einstellte, sowie bei Patienten, die keine abgeschlossene Berufsausbildung hatten [39]. Suizide während der stationären Behandlung erfolgten vorwiegend durch harte Methoden, während des Ausgangs oder einer Beurlaubung und in über 75 % außerhalb des Klinikgeländes [40].…”

Section: Merkeunclassified

Suizid und Suizidprävention im psychiatrischen Krankenhaus

Wolfersdorf¹,

Wurst²

2018

Fortschr Neurol Psychiatr

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Auch unter optimalen Bedingungen gibt es keine absolut sichere Suizidprävention. Dennoch gibt es Standards, die im psychiatrischen Krankenhaus hilfreich sind. Dazu gehören die Herstellung einer hilfreichen und fürsorglichen Beziehung unter der Mitarbeit des Patienten, die Diagnostik und adäquate psychotherapeutische und medikamentöse Therapie der Grunderkrankung sowie die Regelung von engmaschiger Betreuung, Ausgang und Besuch.

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“…Die gewählten Methoden hängen mit der Verfügbarkeit der Mittel zusammen, der Zeitpunkt und der Ort scheint mit dem Fehlen von sozialer Unterstützung sowie dem Vorhandensein eines familiären Konflikts assoziiert 37 . Des Weiteren ist das Risiko des Kliniksuizids für Patienten erhöht, bei denen die psychopharmakologische Behandlung keine Wirkung zeigte 38 oder sich keine Besserung der Psychopathologie einstellte, sowie bei Patienten, die keine abgeschlossene Berufsausbildung hatten 39 . Suizide während der stationären Behandlung erfolgten vorwiegend durch harte Methoden, während des Ausgangs oder einer Beurlaubung und in über 75% außerhalb des Klinikgeländes 40 .…”

Section: Suizid Im Psychiatrischen Krankenhausunclassified

Suizid und Suizidprävention im psychiatrischen Krankenhaus

Wolfersdorf¹,

Wurst²

2017

PSYCH up2date

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Inpatient Suicide in a Psychiatric Hospital: A Nested Case-control Study

Cited by 10 publications

References 42 publications

Safe environment management in acute psychiatric wards in the Czech Republic, foundation for recommendations for preventive practice

Safe environment management in acute psychiatric wards in the Czech Republic, foundation for recommendations for preventive practice

Suizid und Suizidprävention im psychiatrischen Krankenhaus

Suizid und Suizidprävention im psychiatrischen Krankenhaus

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