Evidence map›Paper›PMID 7640540›Full record

ArticleBMJ (Clinical research ed.)1995

Period trends in rate of suicide in first 28 days after discharge from psychiatric hospital in Scotland, 1968-92.

J R Geddes, E Juszczak

Registry-linked trialAbstract read
In one paragraph

Article in BMJ (Clinical research ed.), 1995. 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 18 papers, 1 of them a synthesis that pooled it.

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0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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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 mapstarted 2022, after this paper: background citation

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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. The effect of sex on suicide risk during and after psychiatric inpatient care in 12 countries-An ecological study.European psychiatry : the journal of the Association of European Psychiatrists · 2020
    Article
  9. Review
  10. Article
  11. Suicide in high security hospital patients.Social psychiatry and psychiatric epidemiology · 2011
    Article
  12. Article
  13. Article
  14. Article
  15. Suicide and homicide by people with mental illness.BMJ (Clinical research ed.) · 1999
    Article
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

J R GeddesRoyal Edinburgh Hospital.
E Juszczak

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine period trends in the rate of suicide in the first 28 days after discharge from psychiatric hospital.

designCohort study of patients discharged from psychiatric hospital.

settingScotland. SUBJECTS: All patients aged 15-84 who were discharged from Scottish psychiatric hospitals during 1968 to 1992. OUTCOME MEASURE: The rate of suicide (classified as codes E950-9 and E980-9 according to the International Classification of Diseases, Ninth Revision) within 28 days of discharge per 100,000 person years at risk for five year periods during 1968 to 1992. Crude, within cohort rates and externally standardised rates were calculated.

resultsOverall, 196 male patients committed suicide in 20,520 person years at risk, and 171 female patients committed suicide in 24,114 person years at risk. A significant linear trend was seen in period effect on externally standardised mortality ratios in both sexes: a decrease in male patients (P = 0.008) and an increase in female patients (P = 0.0001). The adjusted standardised mortality ratio in 1988-92 compared with 1968-72 was 0.62 (95% confidence interval 0.39 to 0.98) in male patients and 2.73 (1.64 to 4.56) in female patients.

conclusionThe increase in the rate of suicide in the 28 days after discharge in female psychiatric patients makes this an increasingly important period to target. The rise has occurred against the background of a reduction of 60% in the number of psychiatric beds for adults.

Indexed as

Hospitals, PsychiatricPatient DischargeAdolescentAdultAgedAged, 80 and overCohort StudiesFemaleHumansMaleMiddle AgedRisk FactorsScotlandSex FactorsSuicideTime Factors

Identifiers

PMID7640540
PMCPMC2550428

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