Completed suicide in medical/surgical patients: Who is at risk?

@article{Bostwick2007CompletedSI,
  title={Completed suicide in medical/surgical patients: Who is at risk?},
  author={J. Bostwick and Sandra J. Rackley},
  journal={Current Psychiatry Reports},
  year={2007},
  volume={9},
  pages={242-246}
}
Factors contributing to patients killing themselves while admitted to general hospital medical/surgical (med/surg) units have not been well described. These rare yet devastating suicides appear to have characteristics distinguishing them from suicides in psychiatric inpatients. This article emphasizes the importance of both agitation and readily available lethal means in suicides that are almost invariably impulsive. It also emphasizes how traditional risk factors such as past history of… Expand
Recognizing And Managing Hospitalized Patients Who Are At Risk For Suicide
TLDR
The current evidence-based recommendations available for management of suicidal patients in the hospital setting are reviewed, including a special focus on protective factors and symptoms associated with completed suicide, chronic medical conditions associated with suicide, and special high-risk populations the hospitalist needs to note. Expand
Inpatient suicide: preventing a common sentinel event.
TLDR
Environmental, patient care, staff training, and hospital policy recommendations for decreasing the number of inpatient suicides are presented, and factors which contribute to this tragic event are presented. Expand
Inpatient suicide in a general hospital.
TLDR
It is suggested that suicide prevention efforts need to be tailored in psychiatric and nonpsychiatric wards according to differing patient risk characteristics in these patient cohorts. Expand
Teaching medical staff in general hospitals about suicide prevention.
  • L. Sher
  • Medicine
  • Journal of the Formosan Medical Association = Taiwan yi zhi
  • 2011
TLDR
Clinicians should be educated that any evidence of suicidality in the general hospital needs to be taken very seriously, and medical staff should be taught how to screen for depression, how to evaluate patients for suicIDality, and how to treat suicidal patients. Expand
Characteristics of and management strategies for 54 suicidal inpatients in a general hospital
TLDR
It is concluded that management strategies for suicide prevention can be provided from the aspects of patients, medical staff and the hospital environment and is not only urgent but also feasible to reduce the suicide rate of inpatients and further improve hospital safety management. Expand
Psychiatric Disorders and Suicidality in the Intensive Care Unit.
TLDR
The prevalence of suicide attempts in different psychiatric diagnoses, conducting a suicide assessment, role of involuntary psychiatric holds, and most common challenges encountered in the ICU setting are reviewed. Expand
[In-patients suicide: epidemiology and prevention].
TLDR
Only a low rate of psychiatric consultation is found during the hospitalisation of patient who will commit suicide, and the chronicity and severity of the somatic disease, the personality of the patient and the existence of a psychiatric comorbidity are the suicidal factors most often quoted. Expand
Suicide risk among general hospital inpatients
TLDR
An overview of the characteristics of inpatient suicide, evidence-based assessments that may be used to evaluate patients at risk for suicide, and post-discharge suicide risk management recommendations as it pertains to general hospital inpatients is provided. Expand
Inpatient medical-surgical suicidal behavior: a 12-year case-control study.
TLDR
In this sample, suicide attempters were distinct from nonattempters by the increased likelihood of prior suicide attempts as well as inpatient psychiatric consultations before their attempts, underscore the rarity of reported inpatient medical/surgical suicidal behavior. Expand
Response to Sher regarding Tseng et al’s “Standardized mortality ratio of inpatient suicide in a general hospital”
TLDR
More distinct features of suicide in nonpsychiatric units of general hospitals are provided to raise more attentions for medical staff on suicide prevention. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 18 REFERENCES
Suicide attempts by hospitalized medical and surgical patients.
TLDR
The characteristics of impulsive suicide should be considered when a suicide prevention program is being developed for a general hospital, and patient vulnerability to suicide seemed to be the key determinant. Expand
Clinical correlates of inpatient suicide.
TLDR
Adding severity of anxiety and agitation to current assessments may help identify patients at acute risk and suggest effective treatment interventions and protect this group from suicide. Expand
One hundred in-patient suicides.
TLDR
The majority of in-patient suicides were not highly predictable, and for highly predictable suicides, the results underline the importance of actively treating and protecting patients. Expand
Predictors of early suicide: identification and appropriate intervention.
  • J. Fawcett
  • Psychology, Medicine
  • The Journal of clinical psychiatry
  • 1988
TLDR
Data from an ongoing prospective investigation evaluating the suicide risk in patients with major affective disorders have identified several heretofore unrecognized factors as highly correlated with early suicide. Expand
General hospital suicides--a psychological autopsy study in Finland.
TLDR
Most people who commit suicide during a spell of general hospital treatment suffer from current mental disorder, as do suicide victims in general, and the recognition and treatment of major depression should be improved in order to prevent suicide in general hospitals. Expand
Suicide risk assessment: a review of risk factors for suicide in 100 patients who made severe suicide attempts. Evaluation of suicide risk in a time of managed care.
A study of 100 patients who made a severe suicide attempt suggested that the managed care criteria often applied for approving admission to hospitals for potentially suicidal patients were not, inExpand
Suicides in general hospitals in Hong Kong: retrospective study.
  • T. Ho, M. Tay
  • Medicine
  • Hong Kong medical journal = Xianggang yi xue za zhi
  • 2004
TLDR
For patients admitted to general wards because of attempted suicide, the risk is highest just after admission; hence, these patients have to be monitored closely and a high degree of alertness to the possibility of depression and suicidal risk among general ward patients is required. Expand
Self-destructive acts occurring during medical general hospitalization.
TLDR
The results suggest that close supervision of high-risk patients should be mandatory within the first 2 weeks following admission, especially during the night shift, after self-destructive incidents among medical general inpatients. Expand
Attempted suicide, depression and physical diseases: a 1-year follow-up study.
In the period January 1, 1990 to March 31, 1991 a sample of suicide attempters admitted to the Department of Psychiatry, Odense University Hospital, underwent a structured interview. In the study 52%Expand
A retrospective study of general hospital patients who commit suicide shortly after being discharged from the hospital.
TLDR
Depression and/or substance use disorders were risk factors for suicide and screening for those disorders may be beneficial for suicide prevention in the general hospital population, but will likely benefit more patients who will not commit suicide. Expand
...
1
2
...