Prevalence and factors associated with suicide ideation and psychiatric morbidity among inpatients of a general hospital: A consecutive three‐year study
Abstract Using a self‐administered questionnaire (the five‐item Brief Symptom Rating Scale, BSRS‐5), determine the prevalence of suicide ideation (SI), psychiatric morbidity (PM), and the factors associated with these conditions in a general hospital in Taiwan. All individuals aged 12 years or older...
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| Format: | Article |
| Language: | English |
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Wiley
2021-05-01
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| Series: | Kaohsiung Journal of Medical Sciences |
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| Online Access: | https://doi.org/10.1002/kjm2.12336 |
| _version_ | 1818650122878189568 |
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| author | Jia‐In Lee Katherine E. Burdick Chih‐Hung Ko Tai‐Ling Liu Yi Chun Lin Ming‐Been Lee |
| author_facet | Jia‐In Lee Katherine E. Burdick Chih‐Hung Ko Tai‐Ling Liu Yi Chun Lin Ming‐Been Lee |
| author_sort | Jia‐In Lee |
| collection | DOAJ |
| description | Abstract Using a self‐administered questionnaire (the five‐item Brief Symptom Rating Scale, BSRS‐5), determine the prevalence of suicide ideation (SI), psychiatric morbidity (PM), and the factors associated with these conditions in a general hospital in Taiwan. All individuals aged 12 years or older, who were admitted to a Medical University Hospital between August 2014 and December 2016, were asked to fill out the BSRS‐5 at admission. The study was conducted in a medical inpatient setting, excluding Intensive Care Units and the Emergency Service Department. The 93,129 participants were recruited for analysis. Pearson's correlation, regression analysis and path analysis were performed to test the association between SI and each item of psychopathology and to determine the discrimination validity of individual BSRS‐5 items for predicting SI. The prevalence rate was 2.3% for SI and 2.0% for PM among all participants. PM was more prevalent in females and those aged 25–54 years. Individuals with PM had a significantly higher rate of SI (44.6%) than did others (1.4%). The prevalence of PM was varied by department, e.g., Psychiatry (44.3%), Rehabilitation Medicine (7.9%), and Nephrology (5.2%). The regression analysis and path analysis with structural equation model indicated that depression, hostility, anxiety, and inferiority were significant independent predictors of SI. The BSRS‐5 is an efficient and useful screening tool to identify psychological distress and SI among inpatients in a general hospital. Its integration into the electronic medical chart facilitates identifying patients at risk. |
| first_indexed | 2024-12-17T01:45:12Z |
| format | Article |
| id | doaj.art-63a6e2563103499691da02332c798eb5 |
| institution | Directory Open Access Journal |
| issn | 1607-551X 2410-8650 |
| language | English |
| last_indexed | 2024-12-17T01:45:12Z |
| publishDate | 2021-05-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-63a6e2563103499691da02332c798eb52022-12-21T22:08:13ZengWileyKaohsiung Journal of Medical Sciences1607-551X2410-86502021-05-0137542743310.1002/kjm2.12336Prevalence and factors associated with suicide ideation and psychiatric morbidity among inpatients of a general hospital: A consecutive three‐year studyJia‐In Lee0Katherine E. Burdick1Chih‐Hung Ko2Tai‐Ling Liu3Yi Chun Lin4Ming‐Been Lee5Department of Psychiatry, Kaohsiung Medical University Hospital Kaohsiung Medical University Kaohsiung TaiwanDepartment of Psychiatry, Brigham and Women's Hospital Harvard Medical School Boston Massachusetts USADepartment of Psychiatry, Kaohsiung Medical University Hospital Kaohsiung Medical University Kaohsiung TaiwanDepartment of Psychiatry, Kaohsiung Medical University Hospital Kaohsiung Medical University Kaohsiung TaiwanDepartment of Nursing Kaohsiung Medical University Hospital, Kaohsiung Medical University Kaohsiung TaiwanNational Taiwan Suicide Prevention Center Taipei TaiwanAbstract Using a self‐administered questionnaire (the five‐item Brief Symptom Rating Scale, BSRS‐5), determine the prevalence of suicide ideation (SI), psychiatric morbidity (PM), and the factors associated with these conditions in a general hospital in Taiwan. All individuals aged 12 years or older, who were admitted to a Medical University Hospital between August 2014 and December 2016, were asked to fill out the BSRS‐5 at admission. The study was conducted in a medical inpatient setting, excluding Intensive Care Units and the Emergency Service Department. The 93,129 participants were recruited for analysis. Pearson's correlation, regression analysis and path analysis were performed to test the association between SI and each item of psychopathology and to determine the discrimination validity of individual BSRS‐5 items for predicting SI. The prevalence rate was 2.3% for SI and 2.0% for PM among all participants. PM was more prevalent in females and those aged 25–54 years. Individuals with PM had a significantly higher rate of SI (44.6%) than did others (1.4%). The prevalence of PM was varied by department, e.g., Psychiatry (44.3%), Rehabilitation Medicine (7.9%), and Nephrology (5.2%). The regression analysis and path analysis with structural equation model indicated that depression, hostility, anxiety, and inferiority were significant independent predictors of SI. The BSRS‐5 is an efficient and useful screening tool to identify psychological distress and SI among inpatients in a general hospital. Its integration into the electronic medical chart facilitates identifying patients at risk.https://doi.org/10.1002/kjm2.12336five‐item brief symptom rating scale (BSRS‐5)general hospitalinpatientspsychological distresssuicide ideation |
| spellingShingle | Jia‐In Lee Katherine E. Burdick Chih‐Hung Ko Tai‐Ling Liu Yi Chun Lin Ming‐Been Lee Prevalence and factors associated with suicide ideation and psychiatric morbidity among inpatients of a general hospital: A consecutive three‐year study Kaohsiung Journal of Medical Sciences five‐item brief symptom rating scale (BSRS‐5) general hospital inpatients psychological distress suicide ideation |
| title | Prevalence and factors associated with suicide ideation and psychiatric morbidity among inpatients of a general hospital: A consecutive three‐year study |
| title_full | Prevalence and factors associated with suicide ideation and psychiatric morbidity among inpatients of a general hospital: A consecutive three‐year study |
| title_fullStr | Prevalence and factors associated with suicide ideation and psychiatric morbidity among inpatients of a general hospital: A consecutive three‐year study |
| title_full_unstemmed | Prevalence and factors associated with suicide ideation and psychiatric morbidity among inpatients of a general hospital: A consecutive three‐year study |
| title_short | Prevalence and factors associated with suicide ideation and psychiatric morbidity among inpatients of a general hospital: A consecutive three‐year study |
| title_sort | prevalence and factors associated with suicide ideation and psychiatric morbidity among inpatients of a general hospital a consecutive three year study |
| topic | five‐item brief symptom rating scale (BSRS‐5) general hospital inpatients psychological distress suicide ideation |
| url | https://doi.org/10.1002/kjm2.12336 |
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