Understanding the Risks of Recent Discharge: The Phenomenological Experiences

Abstract

The authors conclude that early exploration of and reconciling patients' expectations regarding inpatient care for their suicidality would appear to be an empirically based intervention that could diminish the postdischarge risk for further suicide attempts.

Suicidal patients’ experiences regarding their safety during psychiatric in-patient care: a systematic review of qualitative studies

“…Analysed using thematic analysis inspired by Braun and Clarke. Gadamerian hermeneutic approach.• Openness and trust• Someone who addresses the matter• Being met on equal terms, humiliatedCutcliffe et al, 2012a [41]. Unknown origin.To better understand the observed increased risk for suicide following discharge from an in-patient psychiatric service.…”

“…Interviewed after discharge.In-patient psychiatric service.Hermeneutic interviews. Analysed using van Manen’s phenomenology.• Anxiety to go back to life without having a sense of control• Need to be involved in discharge planningCutcliffe et al, 2012b [42]. Unknown origin.To better understand the observed increased risk for suicide following discharge from an in-patient psychiatric service.…”

“…Patients considered this practice life-saving because of the presence of vigilant observers, the limited availability of objects to use for suicide attempts, the passage of time [40] and the distraction and escape from the outside world [24]. Patients struggled to feel safe from themselves and to assume responsibility for their own lives when they lacked protection during acute suicidal crises [31, 41]. Adequate protection was also related to their perceptions of the hospital as a safe place [41, 42].…”

Analysis of Psychology, Social, and Immunity in HIV/AIDS Patients Who Had Been Worked as Migrant Indonesia Worker in East Java

“…The patient gets anxious because of hospitalized, treatment and a medical procedure causing them uncomfortable [9]. Anxious is emotion response implies worry, nervous, scary, uncomfortable, and some physical complaints.…”

The Mental Health of Adults with Developmental Disabilities in Ontario: Lessons from Administrative Health Data

“…Lack of follow-up has been associated with readmissions 19 20 , substance use relapse 21 , self-harm 17 , exacerbation of psychosocial stressors 22 and suicide (with risk peaking in the first week after discharge) [23][24][25][26][27] . Lack of timely aftercare is increased for those with co-occurring disorders, those discharged against medical advice and for minorities.…”