Suicide rates among psychiatric inpatients are higher than in the general population.
Mental health professionals are poor at predicting suicide risk.
One hundred and three inpatient suicides, over a 21-year period, in a large psychiatric hospital in Melbourne were examined.
The characteristics, including demographic and clinical data, for 60 of these suicides were compared with a matched comparison group stratified for the time of admission.
Violent methods (including jumping in front of trains, trams and road traffic, jumping off buildings, hanging and drowning) were most frequently used.
Over one-third of the suicides occurred during periods of approved leave and a similar number occurred after absconding from the hospital.
Suicide was associated with a diagnosis of schizophrenia, increased duration of admission, more frequent prescription of neuroleptics and antidepressants, previous deliberate self-harm, suicidal ideation at the time of admission and during the admission, suicide attempts during the admission, unstable (fluctuating) suicidal ideation during the admission and a greater number of ward transfers.
Psychiatric units should be developed away from readily available methods of suicide.
Patients with previous or intra-admission suicidal ideation or attempts, or unstable suicidal ideation, should be carefully observed to avoid absconding. (...)
Mots-clés Pascal : Trouble psychiatrique, Hospitalisation, Hôpital psychiatrique, Tentative suicide, Etude longitudinale, Australie, Océanie, Epidémiologie, Homme
Mots-clés Pascal anglais : Mental disorder, Hospitalization, Psychiatric hospital, Suicide attempt, Follow up study, Australia, Oceania, Epidemiology, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0363841
Code Inist : 002B18C11. Création : 12/09/1997.