Journal article

Suicide in recently discharged psychiatric patients: a case-control study

IM Hunt, N Kapur, R Webb, J Robinson, J Burns, J Shaw, L Appleby

Psychological Medicine | CAMBRIDGE UNIV PRESS | Published : 2009


BACKGROUND: Few controlled studies have specifically investigated aspects of mental health care in relation to suicide risk among recently discharged psychiatric patients. We aimed to identify risk factors, including variation in healthcare received, for suicide within 3 months of discharge. METHOD: We conducted a national population-based case-control study of 238 psychiatric patients dying by suicide within 3 months of hospital discharge, matched on date of discharge to 238 living controls. RESULTS: Forty-three per cent of suicides occurred within a month of discharge, 47% of whom died before their first follow-up appointment. The first week and the first day after discharge were particula..

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Funding Acknowledgements

This study was funded by the National Patient Safety Agency, UK. We thank the other members of the research team: Kirsten Windfuhr, Alyson Ashton, Rebecca Lowe, Nicola Swinson, Sandra Flynn, Harriet Bickley, Pauline Turnbull, Cathryn Rodway, Sharon McDonnell, Alison Roscoe, Phil Stones, Huma Daud and David While. We acknowledge the help of district directors of public health, health authority and trust contacts, and clinicians for completing the questionnaires.