Standardized Mortality Ratio of Inpatient Suicide in a General Hospital

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

doi:10.1016/s0929-6646(11)60040-5

Cited by 16 publications

(13 citation statements)

References 5 publications

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“…Suicide and intentional self-harm are major health-care issues. A research report suggests that patients hospitalized in a general hospital have an eight times higher risk of committing suicide compared to the general population ( 25 ). Many physicians who work with medical or surgical patients do not have adequate training in suicide assessment techniques and treatment approaches to suicidal patients ( 26 , 27 ).…”

Section: Medical Student Clerkship In Psychiatrymentioning

confidence: 99%

Understanding the Role of Psychiatric Principles in Patient Care: An Important Goal of the Medical Student Clerkship in Psychiatry

Sher

New

2016

Front. Public Health

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Section: Medical Student Clerkship In Psychiatrymentioning

confidence: 99%

Understanding the Role of Psychiatric Principles in Patient Care: An Important Goal of the Medical Student Clerkship in Psychiatry

Sher

New

2016

Front. Public Health

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“…22 Hospital suicide rates were considerably higher than the corresponding general population rates for all age groups and were particularly high in age categories of 25-29, 30-34, 40-44, and 55-59 years after controlling for sex and calendar year. 23 However, there are contradicting studies stating age between 20-40 years, living alone with unemployment, and poor socioeconomic support as risk factors with less degree of association among IPS, though they are significant factors in general population suicides. [24][25][26]…”

Section: A Epidemiological Factorsmentioning

confidence: 99%

Prevention of Inpatient Suicides: An Attempt to Portray an Approach

Thomas¹

2018

KJP

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IPS is the second most common sentinel event reported to the Joint Commission. Studies and statistics related to IPS are limited, as many cases are not appropriately reported, thereby masking the exact figures. Deliberate improperinadequate reporting and hiding of cases are mostly assumed to be for fear of lawsuits. 3 ABSTRACT Inpatient Suicide (IPS) is the second most common sentinel event reported to the Joint Commission. Psychiatric inpatient suicide rates in the USA, China, New Zealand, Australia, and the UK range from 0.1% to 0.4% for all psychiatric admissions. Population-based mortality studies in psychiatric care show a 16-fold risk for suicide among psychiatric inpatients and a 2-3-fold greater risk for outpatients compared to the risk for outpatients treated in primary care. The risk factors for suicides in inpatient setting and general population differ. Moreover, the identified risk factors for IPS have relatively low degree of association. Nevertheless, psychiatric inpatients are at a higher risk for suicide. This article discusses the spectrum Model of interventions for mental health protection proposed by Mrazek & Haggarty, B-SAFE strategy, and SAFE-T strategy. The above models portray a stepwise approach for inpatients who are "at risk" for suicide. Prevention strategies are to be specifically tailored for each individual, after carefully assessing the risk of suicide. Early diagnosis and proper treatment of psychiatric illness and modification of hospital environmental factors are the cornerstones in preventing inpatient suicides. The role of nursing and paramedical staff is also discussed.

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“…Many patients are discharged even if they are not psychiatrically stable because insurance carriers refuse to pay for patients after some days. Patients in non-psychiatric settings such as medical or surgical units, or emergency rooms also commit suicides (36)(37)(38)(39). General hospital patients who commit suicide are less likely to have a known history of psychiatric illness or suicidal behavior (37).…”

Section: Suicide Malpracticementioning

confidence: 99%

Suicide medical malpractice: an educational overview

Sher

2015

International Journal of Adolescent Medicine and Health

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A malpractice lawsuit is in the legal category of an action in tort, which is a demand for compensation for the damages that have occurred. For a physician to be found liable to a patient for malpractice, four essential elements must be proved to sustain an assertion of malpractice: duty, negligence, harm, and causation. The incidence of malpractice litigation in the field of psychiatry is increasing. The most common malpractice claim related to psychiatric practice is the failure to provide reasonable protection to patients from killing themselves. A psychiatrist should be able to evaluate suicide risk on the basis of all available information, including patient responses to direct and indirect questions, known risk factors, information on how the patient behaved under similar circumstances in the past, and collateral information. Reasonable care necessitates that a patient who is either thought of being or established to be suicidal must be the subject of some precautions. A failure either to soundly assess a patient's suicide risk or to employ an appropriate safety plan after the suicide potential becomes foreseeable is likely to make a physician liable if the patient is harmed because of a suicide event. It is imperative for a psychiatric office or facility to have a good documentation. Careful documentation of evaluations and treatment interventions with a description of changes related to the patient's clinical condition indicates clinically and legally appropriate psychiatric care.

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Standardized Mortality Ratio of Inpatient Suicide in a General Hospital

Cited by 16 publications

References 5 publications

Understanding the Role of Psychiatric Principles in Patient Care: An Important Goal of the Medical Student Clerkship in Psychiatry

Understanding the Role of Psychiatric Principles in Patient Care: An Important Goal of the Medical Student Clerkship in Psychiatry

Prevention of Inpatient Suicides: An Attempt to Portray an Approach

Suicide medical malpractice: an educational overview

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