Evidence map›Paper›PMID 38166746›Full record

ArticleBMC public health2024

Preventing post-discharge suicides in psychiatric patients: insights from patients, lay healthcare supporters, and mental health professionals-a qualitative analysis.

Tiantian Fu, Huiming Liu, Chang Chen, Bin Zhang, Guanjie Chen, Yuanhan Bai, Jinghua Li, Fengsu Hou

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04907669 (An Implementation Study of Suicide Risk Management Among Discharged Psychiatric Patients Based on Brief Contact Interventions and Sequential Multiple Assignment Randomized Trial), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04907669 nacompletednot on this map

An Implementation Study of Suicide Risk Management Among Discharged Psychiatric Patients Based on Brief Contact Interventions and Sequential Multiple Assignment Randomized Trial

TypeinterventionalSponsorShenzhen Kangning HospitalRan2022 to 2025Enrolled498ConditionsSuicideArmsBrief contact intervention
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Suicide Risk Following Psychiatric Hospitalization: A Narrative Review and Conceptual Synthesis.International journal of environmental research and public health · 2026
    Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Tiantian FuDepartment of Medical Statistics, School of Public Health, Sun Yat-Sen University, No. 74 Zhongshan 2Nd Road, Guangzhou, 510080, Guangdong, China.
Huiming LiuDepartment of Public Health, Shenzhen Mental Health Center/Shenzhen Kangning Hospital, No.1080, Cuizhu Road, Shenzhen, 518020, Guangdong, China.
Chang ChenDepartment of Public Health, Shenzhen Mental Health Center/Shenzhen Kangning Hospital, No.1080, Cuizhu Road, Shenzhen, 518020, Guangdong, China.
Bin ZhangDepartment of Public Health, Shenzhen Mental Health Center/Shenzhen Kangning Hospital, No.1080, Cuizhu Road, Shenzhen, 518020, Guangdong, China.
Guanjie ChenDepartment of Public Health, Shenzhen Mental Health Center/Shenzhen Kangning Hospital, No.1080, Cuizhu Road, Shenzhen, 518020, Guangdong, China.
Yuanhan BaiDepartment of Bipolar Disorders, Shenzhen Mental Health Center, Shenzhen Kangning Hospital (Pingshan Campus), Shenzhen, Guangdong Province, China.
Jinghua LiDepartment of Medical Statistics, School of Public Health, Sun Yat-Sen University, No. 74 Zhongshan 2Nd Road, Guangzhou, 510080, Guangdong, China. lijinghua3@mail.sysu.edu.cn.
Fengsu HouDepartment of Public Health, Shenzhen Mental Health Center/Shenzhen Kangning Hospital, No.1080, Cuizhu Road, Shenzhen, 518020, Guangdong, China. houfengsu@gmail.com.
Shenzhen KangNing Hospital · CNSun Yat-sen University · CNJinzhou Kangning Hospital · CN

Funding

Shenzhen Fund for Guangdong Provincial High-level Clinical Key Specialties SZGSP013the National Natural Science Foundation of China 7004140the Natural Science Foundation of Guangdong Province 2022A1515011533
6 · The paper itself

Abstract

backgroundDischarged psychiatric patients are at higher risk of suicide due to various risk factors in their lives compared to the general population. However, specific problems and needs of these patients after discharge remain unclear. This research constitutes a segment of a broader implementation study designed to formulate an interventional strategy targeting post-discharge suicide among Chinese psychiatric patients. The present study seeks to qualitatively investigate the problems and needs from the perspectives of patients, their lay healthcare supporters (LHSs), and mental health professionals (MPs), aiming to enhance the efficacy of the interventional strategy.

methodsThis study is part of a larger implementation study based on Shenzhen Kangning Hospital (SKH) in Shenzhen, Guangdong, China. Under the community-based participatory research framework, we recruited discharged psychiatric patients, their LHSs, and MPs as a collaborative community team, and we conducted individual in-depth interviews for patients and LSHs and focus group interviews with MPs. We utilized a thematic analysis approach to identify sub-themes and themes from interviews through systematically coding and analyzing the data.

resultsA total of 45 participants were recruited for interviews, comprising 17 patients, 8 LHSs, and 20 MPs. We conducted 25 individual in-depth interviews and 3 focus group interviews. Through the interviews, we identified three themes of post-discharge problems: problems related to self, family-related problems, societal and community-related problems. We also identified four themes related to reducing post-discharge suicide: proactive self-management, multifunctional relatives, multifunctional MP group, and a warm society. The tangible support from LHSs and emotional support from MPs are strongly emphasized. Follow-up interventions were identified as the most significant way to addressing these unmet needs. Instrumental support from the community and a caring and non-discriminatory environment for individuals with mental disorders are essential for reducing suicide risk.

conclusionsEstablishing an integrated mental health care service network that connects psychiatric patients, LHSs, and MPs cross community and societal sectors, with patient-centered follow-up care at its core, is a practical approach to better address patients' needs and reduce post-discharge suicide.

trial registrationRegistration number: NCT04907669. Date of registration: May 26th,2021.

Indexed as

SuicideAftercareDelivery of Health CareHumansMental HealthPatient DischargeQualitative ResearchCommunity-based participatory researchPost-discharge suicideProblems and unmet needsPsychiatric patientsThematic analysis

Identifiers

PMID38166746
PMCPMC10762919
OpenAlexW4390508534

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.