Suicides in psychiatric in-patients: what are we doing wrong?

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Title Suicides in psychiatric in-patients: what are we doing wrong?
Author De Leo, Diego; Sveticic, Jerneja
Journal Name Epidemiology and Psychiatric Sciences
Year Published 2010
Place of publication United Kingdom
Publisher Cambridge University Press
Abstract Abstract. Given the uncontested role of psychiatric illnesses in both fatal and non-fatal suicidal behaviours, efforts are continuously made in improving mental health care provision. In cases of severe mental disorder, when intensified treatment protocols and continuous supervision are required due to individual's impaired emotional, cognitive and social functioning (including danger to self and others), psychiatric hospitalisation is warranted. However, to date there is no convincing evidence that in-patient care prevents suicide. In fact, quite paradoxically, both admissions to a psychiatric ward and recent discharge from it have been found to increase risk for suicidal behaviours. What elements in the chain of well-intentioned approaches to treating psychiatric illness and suicidality fail to protect this vulnerable population is still unclear. The same holds true for the identifications of factors that may increase the risk for suicide. This editorial discusses current knowledge on this subject, proposing strategies that might improve prevention.
Peer Reviewed No
Published Yes
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Copyright Statement Copyright 2010 Cambridge University Press. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
Volume 19
Issue Number 1
Page from 8
Page to 15
ISSN 2045-7960
Date Accessioned 2011-05-23
Language en_AU
Research Centre Australian Institute for Suicide Research and Prevention
Faculty Griffith Health Faculty
Subject Public Health and Health Services
Publication Type Non Refereed Journal Articles
Publication Type Code c2

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