Suicide Rates After Discharge From Psychiatric Facilities

Abstract

The immediate postdischarge period is a time of marked risk, but rates of suicide remain high for many years after discharge. Patients admitted because of suicidal ideas or behaviors and those in the first months after discharge should be a particular focus of concern. Previously admitted patients should be able to access long-term care and assistance.

Suicide, substance use and natural causes are respectively the most important causes of mortality in the first year post discharge from psychiatric hospitals

“…Some of this increased mortality can be explained by suicides,3 but it is generally believed that the majority of the premature deaths of mentally ill people are from natural causes 1. However, suicide rates are alarmingly high in the year after discharge from psychiatric hospitals,4 but the relative contribution of suicide and natural death to premature mortality in this period is under-researched.…”

Advances in Psychotherapy for Depressed Older Adults

“…Building on the above work, there is a need to develop and test psychotherapies that are specifically targeted to reduce suicidal ideation and other suicide risk factors among older adults [59–60], particularly for those at high suicide risk such as recently hospitalized patients and those with treatment resistant depression [61]. A recent pilot by Heisel at al [62] adapted Interpersonal Psychotherapy (IPT) for older adults at risk of suicide.…”

Nasjonalt kartleggingssystem for selvmord i psykisk helsevern og tverrfaglig spesialisert rusbehandling. Bakgrunn, utviklingsprosess og formål

“…Registerstudier fra Danmark har vist at over 50 % av selvmordene i den danske befolkningen har eller har hatt kontakt med psykisk helsevern på et tidspunkt i livet (Qin & Nordentoft, 2005). En nylig publisert meta-analyse rapporterte at selvmordsraten blant pasienter utskrevet fra psykiatrisk sykehus var 484 per 100 000 person-år -dette tilsvarer 44 ganger den globale selvmordsraten i 2012 (Chung et al, 2017). Vi har også gjort en meta-analyse på forekomst av kontakt med psykisk helsevern i normalbefolkningen det siste året før selvmord, og fant da en internasjonal samlet prevalens på 26 % (Walby, Myhre, & Kildahl, Submitted manuscript).…”