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The Wessex Recent In-Patient Suicide Study, 1. Case-control study of 234 recently discharged psychiatric patient suicides

The Wessex Recent In-Patient Suicide Study, 1. Case-control study of 234 recently discharged psychiatric patient suicides
The Wessex Recent In-Patient Suicide Study, 1. Case-control study of 234 recently discharged psychiatric patient suicides
Background: psychiatric patients have a higher suicide risk following hospital discharge.

Aims: to identify social, clinical and health-care delivery factors in recently discharged patients.

Method: retrospective case—control study of 234 patients who died within 1 year of hospital discharge, matched for age, gender, diagnosis and admission period with 431 controls. Odds ratios for identified risk factors were calculated using conditional multiple logistic regression.

Results: independent increased-risk factors were: not being White; living alone; history of deliberate self-harm (DSH); suicidal ideation precipitating admission; hopelessness; admission under different consultant; onset of relationship difficulties; loss of job; in-patient DSH; unplanned discharge; significant care professional leaving/on leave. Reduced-risk factors were: shared accommodation; delusions at admission; misuse of non-prescribed substances; and continuity of contact.

Conclusions: continuity of contact may reduce suicide risk. Discontinuity of care from a significant professional is associated with increased risk of suicide.
0007-1250
531-536
King, Elizabeth A.
df3edffe-d232-4d6a-933f-37d8341611a7
Baldwin, David S.
1beaa192-0ef1-4914-897a-3a49fc2ed15e
Sinclair, Julia M.A.
be3e54d5-c6da-4950-b0ba-3cb8cdcab13c
Baker, Nigel G.
0043404f-b11e-4716-b3a2-fa327460568b
Campbell, Michael J.
8636f189-1c81-4dc3-873e-d967d8b0ef67
Thompson, Chris
10663070-e701-4ae1-a87f-c847ab1ba7e8
King, Elizabeth A.
df3edffe-d232-4d6a-933f-37d8341611a7
Baldwin, David S.
1beaa192-0ef1-4914-897a-3a49fc2ed15e
Sinclair, Julia M.A.
be3e54d5-c6da-4950-b0ba-3cb8cdcab13c
Baker, Nigel G.
0043404f-b11e-4716-b3a2-fa327460568b
Campbell, Michael J.
8636f189-1c81-4dc3-873e-d967d8b0ef67
Thompson, Chris
10663070-e701-4ae1-a87f-c847ab1ba7e8

King, Elizabeth A., Baldwin, David S., Sinclair, Julia M.A., Baker, Nigel G., Campbell, Michael J. and Thompson, Chris (2001) The Wessex Recent In-Patient Suicide Study, 1. Case-control study of 234 recently discharged psychiatric patient suicides. British Journal of Psychiatry, 178 (6), 531-536. (PMID:11388969)

Record type: Article

Abstract

Background: psychiatric patients have a higher suicide risk following hospital discharge.

Aims: to identify social, clinical and health-care delivery factors in recently discharged patients.

Method: retrospective case—control study of 234 patients who died within 1 year of hospital discharge, matched for age, gender, diagnosis and admission period with 431 controls. Odds ratios for identified risk factors were calculated using conditional multiple logistic regression.

Results: independent increased-risk factors were: not being White; living alone; history of deliberate self-harm (DSH); suicidal ideation precipitating admission; hopelessness; admission under different consultant; onset of relationship difficulties; loss of job; in-patient DSH; unplanned discharge; significant care professional leaving/on leave. Reduced-risk factors were: shared accommodation; delusions at admission; misuse of non-prescribed substances; and continuity of contact.

Conclusions: continuity of contact may reduce suicide risk. Discontinuity of care from a significant professional is associated with increased risk of suicide.

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More information

Published date: 2001

Identifiers

Local EPrints ID: 27625
URI: http://eprints.soton.ac.uk/id/eprint/27625
ISSN: 0007-1250
PURE UUID: 5231eca8-3606-4a1d-92a4-2cc6f1ebe33e
ORCID for David S. Baldwin: ORCID iD orcid.org/0000-0003-3343-0907
ORCID for Julia M.A. Sinclair: ORCID iD orcid.org/0000-0002-1905-2025

Catalogue record

Date deposited: 27 Apr 2006
Last modified: 09 Jan 2022 02:52

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Contributors

Author: Elizabeth A. King
Author: Nigel G. Baker
Author: Michael J. Campbell
Author: Chris Thompson

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