The effect of sex on suicide risk during and after psychiatric inpatient care in 12 countries—An ecological study
AbstractBackground.Suicide risk in patients is markedly elevated during psychiatric inpatient care, as well as after discharge. However, it is unclear whether, and to what extent, this increased suicide risk varies between sex. Thus, the aim of this study was to analyze sex differences for suicides...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2020-01-01
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| Series: | European Psychiatry |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933820000838/type/journal_article |
| _version_ | 1827994990501953536 |
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| author | Stephan Listabarth Benjamin Vyssoki Alexander Glahn Andrea Gmeiner Nathalie Pruckner Sandra Vyssoki Andreas Wippel Thomas Waldhoer Daniel König |
| author_facet | Stephan Listabarth Benjamin Vyssoki Alexander Glahn Andrea Gmeiner Nathalie Pruckner Sandra Vyssoki Andreas Wippel Thomas Waldhoer Daniel König |
| author_sort | Stephan Listabarth |
| collection | DOAJ |
| description | AbstractBackground.Suicide risk in patients is markedly elevated during psychiatric inpatient care, as well as after discharge. However, it is unclear whether, and to what extent, this increased suicide risk varies between sex. Thus, the aim of this study was to analyze sex differences for suicides during and after psychiatric hospitalization in various countries.Methods.National suicide mortality rates and inpatient-related suicide rates (three intervals: during psychiatric inpatient treatment, 1 month, and 1 year after discharge) from 12 countries for 2000–2016 were analyzed, and a logistic model was used to quantify the effect of sex.Results.Persons admitted to or discharged from psychiatric inpatient care exhibited significantly increased rates of suicide compared to those in the general population. Furthermore, increase of suicide risk was significantly higher for females than for males for all investigated time intervals (inpatient suicide odds ratio [OR] 1.85; suicide within 1 month after discharge—OR 1.94; suicide within 1 year after discharge—OR 2.04).Conclusion.Analysis confirmed the time during and after psychiatric inpatient care to be significantly associated with an elevated risk for suicide. Further, a significant sex effect was observed, with females in this population being at a proportionally higher risk for suicide during psychiatric inpatient treatment as well as the year following discharge. Our study implicates that more effective suicide preventive measures during inpatient stay, focusing on female patients, are needed. |
| first_indexed | 2024-04-10T04:49:35Z |
| format | Article |
| id | doaj.art-abdb09dbc8954c3ebc23ff74db760ab7 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-04-10T04:49:35Z |
| publishDate | 2020-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-abdb09dbc8954c3ebc23ff74db760ab72023-03-09T12:33:57ZengCambridge University PressEuropean Psychiatry0924-93381778-35852020-01-016310.1192/j.eurpsy.2020.83The effect of sex on suicide risk during and after psychiatric inpatient care in 12 countries—An ecological studyStephan Listabarth0https://orcid.org/0000-0003-0466-0420Benjamin Vyssoki1https://orcid.org/0000-0003-1195-630XAlexander Glahn2Andrea Gmeiner3https://orcid.org/0000-0003-0265-3083Nathalie Pruckner4Sandra Vyssoki5Andreas Wippel6https://orcid.org/0000-0001-6188-9374Thomas Waldhoer7https://orcid.org/0000-0003-2043-8299Daniel König8https://orcid.org/0000-0002-5741-834XClinical Division of Social Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, AustriaClinical Division of Social Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, AustriaDepartment for Psychiatry, Social Psychiatry and Psychotherapy, Medical University of Hannover, Hannover, GermanyClinical Division of Social Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, AustriaClinical Division of Social Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, AustriaDepartment of Health Sciences, St. Pölten University of Applied Sciences, Sankt Pölten, AustriaClinical Division of Social Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, AustriaCenter for Public Health, Department of Epidemiology, Medical University of Vienna, Vienna, AustriaClinical Division of Social Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, AustriaAbstractBackground.Suicide risk in patients is markedly elevated during psychiatric inpatient care, as well as after discharge. However, it is unclear whether, and to what extent, this increased suicide risk varies between sex. Thus, the aim of this study was to analyze sex differences for suicides during and after psychiatric hospitalization in various countries.Methods.National suicide mortality rates and inpatient-related suicide rates (three intervals: during psychiatric inpatient treatment, 1 month, and 1 year after discharge) from 12 countries for 2000–2016 were analyzed, and a logistic model was used to quantify the effect of sex.Results.Persons admitted to or discharged from psychiatric inpatient care exhibited significantly increased rates of suicide compared to those in the general population. Furthermore, increase of suicide risk was significantly higher for females than for males for all investigated time intervals (inpatient suicide odds ratio [OR] 1.85; suicide within 1 month after discharge—OR 1.94; suicide within 1 year after discharge—OR 2.04).Conclusion.Analysis confirmed the time during and after psychiatric inpatient care to be significantly associated with an elevated risk for suicide. Further, a significant sex effect was observed, with females in this population being at a proportionally higher risk for suicide during psychiatric inpatient treatment as well as the year following discharge. Our study implicates that more effective suicide preventive measures during inpatient stay, focusing on female patients, are needed.https://www.cambridge.org/core/product/identifier/S0924933820000838/type/journal_articleGenderin-hospital suicidepostdischarge suicidepsychiatric caresuicide |
| spellingShingle | Stephan Listabarth Benjamin Vyssoki Alexander Glahn Andrea Gmeiner Nathalie Pruckner Sandra Vyssoki Andreas Wippel Thomas Waldhoer Daniel König The effect of sex on suicide risk during and after psychiatric inpatient care in 12 countries—An ecological study European Psychiatry Gender in-hospital suicide postdischarge suicide psychiatric care suicide |
| title | The effect of sex on suicide risk during and after psychiatric inpatient care in 12 countries—An ecological study |
| title_full | The effect of sex on suicide risk during and after psychiatric inpatient care in 12 countries—An ecological study |
| title_fullStr | The effect of sex on suicide risk during and after psychiatric inpatient care in 12 countries—An ecological study |
| title_full_unstemmed | The effect of sex on suicide risk during and after psychiatric inpatient care in 12 countries—An ecological study |
| title_short | The effect of sex on suicide risk during and after psychiatric inpatient care in 12 countries—An ecological study |
| title_sort | effect of sex on suicide risk during and after psychiatric inpatient care in 12 countries an ecological study |
| topic | Gender in-hospital suicide postdischarge suicide psychiatric care suicide |
| url | https://www.cambridge.org/core/product/identifier/S0924933820000838/type/journal_article |
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