ArticleBMC psychiatry2017
Possible factors influencing the duration of hospital stay in patients with psychiatric disorders attempting suicide by jumping.
Article in BMC psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 17 citations in OpenAlex.
- Effect of pre-existing psychiatric treatment in suicidal jumpers on the need for in-hospital treatment following injury.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- A Comparison of Severely Injured Patients after Suicide Attempts and Violent Crimes-A Retrospective Study of a Level 1 Trauma Center.Clinics and practice · 2024Article
- Comments on the Article "Orthopedic Patients with Mental Disorder: Literature Review on Preoperative and Postoperative Precautions": To the Editor.Clinics in orthopedic surgery · 2024Article
- Association between length of hospital stay and fractures in the spine, pelvis, and lower extremity among patients after intentional fall from a height: an analysis of the Japan Trauma Databank.Trauma surgery & acute care open · 2023Article
- Factors influencing the length of stay in a unit with mixed rehabilitation and psychiatric care after a suicide attempt by jumping: a cohort observational retrospective study.European journal of physical and rehabilitation medicine · 2022Observational
- Length of stay of hospitalized patients at tertiary psychiatry facilities in Uganda: the role of caregiver's presence.Discover mental health · 2022Article
- Psychiatric and physical rehabilitation intensive approach for suicide attempters by jumping from heights.Acta bio-medica : Atenei Parmensis · 2021Article
- Characteristics of Dimensional Psychopathology in Suicidal Patients With Major Psychiatric Disorders and Its Association With the Length of Hospital Stay: Algorithm Validation Study.JMIR mental health · 2021Article
- Falls from height: orthopaedic and psychiatric evaluation.Acta bio-medica : Atenei Parmensis · 2020Article
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Authors and funding
8 authors at 3 institutions in 1 country.
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Abstract
backgroundPatients with psychiatric disorders have a high rate of suicide. The present study investigated factors influencing hospital stays for Japanese patients with psychiatric disorders attempting suicide by jumping.
methodsWe diagnosed all suicide attempts (n = 113) by jumping based on the International Classification of Diseases 10th Revision (ICD-10) and investigated the mean hospital stays of patients with each diagnosis based on the ICD-10 code. We then analyzed differences in the demographic and clinical characteristics between the diagnostic groups to identify factors influencing the duration of hospital stay.
resultsPatients diagnosed with schizophrenia (F2 code) were the most frequent (32.7%) of all diagnoses; therefore, we divided the diagnostic groups into schizophrenia group (n = 37) and other psychiatric diagnoses group (n = 76). The patients with schizophrenia showed a significantly longer hospital stay (125.7 ± 63.9 days) compared with the patients with other psychiatric diagnoses (83.6 ± 63.2) (β ± SE = 42.1 ± 12.7, p = 0.0013), whereas there was no difference in the jump height between the two groups (the average was the 3rd to 4th floor; p > 0.05). The number of injured parts, particularly lower-limb fractures, was significantly higher (p = 0.017) in patients with schizophrenia than in patients with other psychiatric diagnoses. The duration of psychiatric treatment in patients with schizophrenia were significantly longer (z = 3.4, p = 0.001) than in patients with other psychiatric diagnoses.
conclusionOur findings indicate that the number of injuries and the body parts injured in patients with schizophrenia are associated with a longer duration of hospital stay following a suicide attempt by jumping. The current use of antipsychotics and a longer duration of taking antipsychotics might contribute to the risk of bone fracture via hyperprolactinemia. Further cognitive impairment in patients with schizophrenia might prevent rehabilitation for the management of lower-limb fractures. From these results, we suggest that clinicians should monitor the level of prolactin and cognitive function in patients with schizophrenia in future studies on managing of lower-limb fractures.
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