ArticleThe British journal of psychiatry : the journal of mental science2022
Suicide and other causes of death among working-age and older adults in the year after discharge from in-patient mental healthcare in England: matched cohort study.
Article in The British journal of psychiatry : the journal of mental science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Role of Socioeconomic Position in the Association Between Mental Disorders and Mortality: A Systematic Review and Meta-Analysis.JAMA psychiatry · 2024Pooled it
- Relative risk and risk factors of all-cause, natural-cause and external-cause mortality after psychiatric hospitalisation: a population-based electronic health-record study in Hong Kong.EClinicalMedicine · 2026Article
- What can administrative registers tell us about the widening in life expectancy gap in people with mental disorders?BJPsych open · 2025Article
- Umbrella review of psychosocial and ward-based interventions to reduce self-harm and suicide risks in in-patient mental health settings.BJPsych open · 2025Review
- Time trends in life expectancy of people with severe mental illness in Scotland, 2000-2019: population-based study.BJPsych open · 2025Article
- Primary care contact, clinical management, and suicide risk following discharge from inpatient mental health care: a case-control study.BJGP open · 2024Article
- Premature Death, Suicide, and Nonlethal Intentional Self-Harm After Psychiatric Discharge.JAMA network open · 2024Article
- Article
- Cause-specific mortality after discharge from inpatient psychiatric care in Taiwan: A national matched cohort study.Psychiatry and clinical neurosciences · 2023Article
- Suicide among psychiatric patients who migrated to the UK: a national clinical survey.EClinicalMedicine · 2023Article
- Absolute risks of self-harm and interpersonal violence by diagnostic category following first discharge from inpatient psychiatric care.European psychiatry : the journal of the Association of European Psychiatrists · 2023Article
- Mental Health Recovery Using the Individual Recovery Outcomes Counter (I.ROC) in a Community Rehabilitation Team: A Service Evaluation.Journal of psychosocial rehabilitation and mental health · 2022Review
- Suicide and death by other causes among patients with a severe mental illness: cohort study comparing risks among patients discharged from inpatient careEpidemiology and psychiatric sciences · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundEvidence for risk of dying by suicide and other causes following discharge from in-patient psychiatric care throughout adulthood is sparse.
aimsTo estimate risks of all-cause mortality, natural and external-cause deaths, suicide and accidental, alcohol-specific and drug-related deaths in working-age and older adults within a year post-discharge.
methodUsing interlinked general practice, hospital, and mortality records in the Clinical Practice Research Datalink we delineated a cohort of discharged adults in England, 2001-2018. Each patient was matched to up to 20 general population comparator patients. Cumulative incidence (absolute risks) and hazard ratios (relative risks) were estimated separately for ages 18-64 and ≥65 years with additional stratification by gender and practice-level deprivation.
resultsThe 1-year cumulative incidence of dying post-discharge was 2.1% among working-age adults (95% CI 2.0-2.3) and 14.1% (95% CI 13.6-14.5) among older adults. Suicide risk was particularly elevated in the first 3 months, with hazard ratios of 191.1 (95% CI 125.0-292.0) among working-age adults and 125.4 (95% CI 52.6-298.9) in older adults. Older patients were vulnerable to dying by natural causes within 3 months post-discharge. Risk of dying by external causes was greater among discharged working-age adults in the least deprived areas. Relative risk of suicide in discharged working-age women relative to their general population peers was double the equivalent male risk elevation.
conclusionsRecently discharged adults at any age are at increased risk of dying from external and natural causes, indicating the importance of close monitoring and provision of optimal support to all such patients, particularly during the first 3 months post-discharge.
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