Evidence map›Paper›PMID 39934676›Full record

ArticleBMC psychiatry2025

Suicidal ideation among mental health patients at hospital discharge: prevalence and risk factors.

Wanying Mao, Reham Shalaby, Ernest Owusu, Hossam Eldin Elgendy, Belinda Agyapong, Ejemai Eboreime, Peter H Silverstone, Pierre Chue, Xin-Min Li, Wesley Vuong and 4 more

Abstract read
In one paragraph

Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. From Plan to Practice: Embedding Safety Planning in Inpatient Mental Health Care.International journal of mental health nursing · 2026
    Article
  2. Article
  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

14 authors.

Wanying MaoDepartment of Psychiatry, University of Alberta, Edmonton, Canada.
Reham ShalabyDepartment of Psychiatry, University of Alberta, Edmonton, Canada.
Ernest OwusuDepartment of Psychiatry, University of Alberta, Edmonton, Canada.
Hossam Eldin ElgendyDepartment of Psychiatry, University of Alberta, Edmonton, Canada.
Belinda AgyapongDepartment of Psychiatry, University of Alberta, Edmonton, Canada.
Ejemai EboreimeDepartment of Psychiatry, Faculty of Medicine, Dalhousie University, 5909 Veterans Memorial Lane, 8th Floor Abbie J. Lane Memorial Building QEII Health Sciences Centre, Halifax, NS, B3H 2E2, Canada.
Peter H SilverstoneDepartment of Psychiatry, University of Alberta, Edmonton, Canada.
Pierre ChueDepartment of Psychiatry, University of Alberta, Edmonton, Canada.
Xin-Min LiDepartment of Psychiatry, University of Alberta, Edmonton, Canada.
Wesley VuongConnect Care Clinical Operations Informatics Office, Alberta Health Services, Edmonton Zone, AB, Canada.
Arto OhinmaaSchool of Public Health, University of Alberta, Edmonton, AB, Canada.
Valerie TaylorDepartment of Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Andrew J GreenshawDepartment of Psychiatry, University of Alberta, Edmonton, Canada.
Vincent Israel Opoku AgyapongDepartment of Psychiatry, University of Alberta, Edmonton, Canada. vn602367@dal.ca.

Funding

Alberta Innovates - Health Solutions 202010086
6 · The paper itself

Abstract

backgroundEvidence indicates that suicide risk is much higher for psychiatric patients in the weeks immediately following discharge from the hospital. It is, therefore, crucial to evaluate suicide risk accurately at discharge to provide supportive and lifesaving interventions as appropriate.

aimIn this study, the prevalence and risk factors for suicide ideations were examined among patients ready to be discharged from psychiatric units in Alberta province, Canada.

methodsResearchers conducted face-to-face meetings with potential participants to determine if they were interested in participating. Eligible individuals in this epidemiological cross-sectional study used an online quantitative survey to assess suicide ideations using the appropriate question contained in the Patient Health Questionnaire (PHQ-9) scale. Information was also gathered regarding patient demographics, clinical information, and responses to the Generalized Anxiety Disorder (GAD-7), and World Health Organization Well-Being Index (WHO-5) questionnaires.

resultsWe recruited 1,004 patients from an initial pool of 1,437 patients. We found that the prevalence of suicidal ideation among patients about to be discharged was 48.9%, i.e., nearly half of all patients had active suicidal thinking prior to discharge. We found that factors that were most significantly associated with this were age, ethnicity, employment status, primary mental health diagnoses, anxiety, and poor well-being at baseline.

conclusionHere, in a large cohort of psychiatric patients in Alberta, Canada, we found that nearly half of patients being discharged from an acute psychiatric unit reported suicidal ideation. Given the increased short-term risk to this group, there is an urgent need for additional research on the underlying reasons and reliable predictors of suicidal ideation in these patients. Additionally, appropriate interventions and supportive services must be provided both prior and after discharge to mitigate this substantial risk.

Indexed as

Mental DisordersPatient DischargeSuicidal IdeationAdolescentAdultAgedAlbertaCross-Sectional StudiesFemaleHumansMaleMiddle AgedPrevalenceRisk FactorsYoung AdultMental healthPrevalencePsychiatry dischargeRisk factorsSuicide ideation

Identifiers

PMID39934676
PMCPMC11817020

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.