Suicide behaviour after hospitalisation and related factors: a case report.

Introduction Suicide is a global epidemic, with the World Health Organization (WHO) estimating that there are roughly 800,000 suicides annually, accounting for 1.4% of all deaths, and making suicide the 18th leading cause of death in 2016 (World Health Organization. There is a pressing need to bett...

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Main Authors: P. Setién Preciados, A. Sanz Giancola, E. Arroyo Sánchez, M. Martín Velasco, I. Romero Gerechter
Format: Article
Language:English
Published: Cambridge University Press 2023-03-01
Series:European Psychiatry
Online Access:https://www.cambridge.org/core/product/identifier/S0924933823023714/type/journal_article
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author P. Setién Preciados
A. Sanz Giancola
E. Arroyo Sánchez
M. Martín Velasco
I. Romero Gerechter
author_facet P. Setién Preciados
A. Sanz Giancola
E. Arroyo Sánchez
M. Martín Velasco
I. Romero Gerechter
author_sort P. Setién Preciados
collection DOAJ
description Introduction Suicide is a global epidemic, with the World Health Organization (WHO) estimating that there are roughly 800,000 suicides annually, accounting for 1.4% of all deaths, and making suicide the 18th leading cause of death in 2016 (World Health Organization. There is a pressing need to better understand factors that contribute to suicide risk. One important domain for suicide prevention is inpatient psychiatric treatment, as many patients are admitted precisely in order to reduce their risk of suicide. Although inpatient psychiatric treatment is often used for suicide risk prevention the risk of suicide after inpatient treatment remains high. Patients who have been recently discharged have a greater risk of suicide than non-hospitalised mentally ill people. Objectives Review suicidal risk after hospitalisations and the factors that may have an influence on it. Methods Presentation of a patient’s case and review of existing literature, in regards to the rate of suicide after a patient is released from psychiatric hospitalisation and the factors that surround it. Results The patient in question is admitted into a psychiatric ward with a diagnosis of severe psychotic depression, after a suicide attempt trying to dissect his arms’ blood vessels. Health professionals at the hospital attend to his needs and the patient sees improvement. Not long after his release, there is a second hospital admission, which doesn’t have the same result and after his release he successfully ends his life. What comes to mind with these sorts of patients is: what kind of help would they have needed? Why hospital admission was not enough? And which factors and profile of patient is more prone to develop suicide behaviour? Conclusions Admissions at psychiatric wards always have to be thought of as a beneficial resource for patients. There are some cases in which patients do not get the help they need by being hospitalised, increasing the risk of comitting suicide. A lot more studies will have to be carried out to understand what variables play a part in this. Meanwhile an improvement in outpatient care to support patients after hospital release is crucial. Disclosure of Interest None Declared
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spelling doaj.art-83803990675c4ded81e6d25a61f5adf32023-11-17T05:06:26ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-03-0166S1115S111510.1192/j.eurpsy.2023.2371Suicide behaviour after hospitalisation and related factors: a case report.P. Setién Preciados0A. Sanz Giancola1E. Arroyo Sánchez2M. Martín Velasco3I. Romero Gerechter4Psychyatry, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, SpainPsychyatry, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, SpainPsychyatry, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, SpainPsychyatry, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, SpainPsychyatry, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Spain Introduction Suicide is a global epidemic, with the World Health Organization (WHO) estimating that there are roughly 800,000 suicides annually, accounting for 1.4% of all deaths, and making suicide the 18th leading cause of death in 2016 (World Health Organization. There is a pressing need to better understand factors that contribute to suicide risk. One important domain for suicide prevention is inpatient psychiatric treatment, as many patients are admitted precisely in order to reduce their risk of suicide. Although inpatient psychiatric treatment is often used for suicide risk prevention the risk of suicide after inpatient treatment remains high. Patients who have been recently discharged have a greater risk of suicide than non-hospitalised mentally ill people. Objectives Review suicidal risk after hospitalisations and the factors that may have an influence on it. Methods Presentation of a patient’s case and review of existing literature, in regards to the rate of suicide after a patient is released from psychiatric hospitalisation and the factors that surround it. Results The patient in question is admitted into a psychiatric ward with a diagnosis of severe psychotic depression, after a suicide attempt trying to dissect his arms’ blood vessels. Health professionals at the hospital attend to his needs and the patient sees improvement. Not long after his release, there is a second hospital admission, which doesn’t have the same result and after his release he successfully ends his life. What comes to mind with these sorts of patients is: what kind of help would they have needed? Why hospital admission was not enough? And which factors and profile of patient is more prone to develop suicide behaviour? Conclusions Admissions at psychiatric wards always have to be thought of as a beneficial resource for patients. There are some cases in which patients do not get the help they need by being hospitalised, increasing the risk of comitting suicide. A lot more studies will have to be carried out to understand what variables play a part in this. Meanwhile an improvement in outpatient care to support patients after hospital release is crucial. Disclosure of Interest None Declaredhttps://www.cambridge.org/core/product/identifier/S0924933823023714/type/journal_article
spellingShingle P. Setién Preciados
A. Sanz Giancola
E. Arroyo Sánchez
M. Martín Velasco
I. Romero Gerechter
Suicide behaviour after hospitalisation and related factors: a case report.
European Psychiatry
title Suicide behaviour after hospitalisation and related factors: a case report.
title_full Suicide behaviour after hospitalisation and related factors: a case report.
title_fullStr Suicide behaviour after hospitalisation and related factors: a case report.
title_full_unstemmed Suicide behaviour after hospitalisation and related factors: a case report.
title_short Suicide behaviour after hospitalisation and related factors: a case report.
title_sort suicide behaviour after hospitalisation and related factors a case report
url https://www.cambridge.org/core/product/identifier/S0924933823023714/type/journal_article
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AT iromerogerechter suicidebehaviourafterhospitalisationandrelatedfactorsacasereport