ArticleSocial psychiatry and psychiatric epidemiology2011
Suicide in high security hospital patients.
Article in Social psychiatry and psychiatric epidemiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Suicide Rates After Discharge From Psychiatric Facilities: A Systematic Review and Meta-analysis.JAMA psychiatry · 2017Pooled it
- Patient outcomes following discharge from secure psychiatric hospitals: systematic review and meta-analysis.The British journal of psychiatry : the journal of mental science · 2016Pooled it
- All-cause and external mortality in released prisoners: systematic review and meta-analysis.American journal of public health · 2012Pooled it
- Determinants of clinical outcome and length of stay in acute care forensic psychiatry units.BMC psychiatry · 2023Article
- Suicide attempts among Greenlandic forensic psychiatric patients - prevalence and determinants.International journal of circumpolar health · 2022Article
- Prison inmates with court-ordered treatments: are they really different?Annals of general psychiatry · 2022Article
- High Security Settings in Flanders: An Analysis of Discharged and Long-Term Forensic Psychiatric Patients.Frontiers in psychiatry · 2022Article
- Self-Harm History, Anxiety-Depression, Severity of Disease, and Insight Are Significantly Associated With Suicide Risk in Forensic Psychiatric Inpatients of China.Frontiers in psychiatry · 2021Article
- Epidemiology of Suicide and the Psychiatric Perspective.International journal of environmental research and public health · 2018Review
- Risk Estimates and Risk Factors Related to Psychiatric Inpatient Suicide-An Overview.International journal of environmental research and public health · 2017Review
- Preventing suicide among inpatients.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2014Review
- Suicide in hospitalized early psychosis patients at the time of discharge from hospital: An exploratory study of attempters and nonattempters.Indian journal of psychiatryArticle
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePeople with mental disorder and people who are violent are separately recognised as being at high risk of suicide. People detained in high security hospitals are recognised for their violence to others, but perhaps less so for their suicide potential. We aimed to investigate suicide rates among such patients during and after their high security hospital residency, and to establish risk factors for suicide.
methodsWe extracted data from the Special Hospitals' Case Register on each person resident at any time between 1 January 1972 and 31 December 2000. Suicide rates were calculated for the whole period. We compared rates to the general population using standardised mortality ratios (SMRs). We used poisson regression to estimate the effects of gender, legal category of detention, offending history and length of admission on the suicide rate.
resultsOf the 5,955 individuals, 218 completed suicide. The suicide rate was nearly 7 times higher among resident men (SMR 662, 95% CI 478-845) and over 40 times higher in resident women (SMR 4,012, 95% CI 2,526-5,498) than in the general population; it was 23 times higher (SMR 2,325, 95% CI 1,901-2,751) and 45 times higher (SMR 4,486, 95% CI 2,727-6,245) among post-discharge men and women, respectively. The suicide rate was significantly higher among women than men inside high security but not after discharge.
conclusionsThe suicide rate among high security hospital patients was significantly higher than in the general population. Women were especially at risk while resident, whereas for men, the risk was higher after discharge.
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