Suicide in Psychiatric Patients: Risk and Prevention

1992 ◽  
Vol 161 (6) ◽  
pp. 749-758 ◽  
Author(s):  
Louis Appleby
Keyword(s):  
Psychiatric Care ◽  
Community Care ◽  
Psychiatric Patients ◽  
Risk Groups ◽  
Community Services ◽  
Critical Periods ◽  
Male Sex ◽  
Clinical Prevention ◽  
State Depression ◽  
The Relationship

The prevention of suicide requires an understanding of protective as well as risk factors, and the recognition of high-risk groups. Factors which increase the risk in patient populations include previous parasuicide, recent relapse or discharge, features of mental state (depression, psychosis), social circumstances (isolation, unemployment), and demographic characteristics (male sex, young age). Protective factors are under-researched but are likely to lie in the nature of psychiatric care. Consequently, community care may affect suicide by altering the level of protection at critical periods in an episode of illness. The clinical prevention of suicide should therefore be a priority for community services, and the relationship between suicide and mental health care should be researched by a national process of monitoring.

Psychiatric Out-Patients in Plymouth—An Area Service Analysed

1965 ◽  
Vol 111 (470) ◽  
pp. 10-17 ◽  
Author(s):  
Neil Kessel ◽  
Christine Hassall ◽  
Robert Blair ◽  
John M. Gilroy ◽  
Francis Pilkington ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Mental Hospital ◽  
Psychiatric Care ◽  
Community Care ◽  
Psychiatric Patients ◽  
Patient Department

Out-patient services in Britain for psychiatric patients have expanded enormously under the National Health Service. Well over half a million patients are seen at clinics annually. Concomitant with this increase the out-patient department has changed in function. No longer is it principally concerned with providing follow up and support for discharged mental hospital in-patients; instead, because of the greatly increased demand for psychiatric care for less severe disorders and under the influence of the movement for community care it now should play a part not at all subservient to the in-patient department. The clinic, properly run, should be an arena of treatment in its own right.

A survey of a long-stay psychiatric population: implications for community services

1977 ◽  
Vol 7 (1) ◽  
pp. 113-126 ◽  
Author(s):  
J. R. W. Christie Brown ◽  
Lorna Ebringer ◽  
L. S. Freedman
Keyword(s):  
Nursing Staff ◽  
Community Care ◽  
Psychiatric Patients ◽  
Community Services ◽  
Psychiatric Population ◽  
Discharge From Hospital ◽  
Care Requirements ◽  
As If

synopsisTwo hundred and twenty long-stay psychiatric patients were surveyed by means of semi-standardized interviews and by obtaining information from nursing staff and case records. Each patient's needs for accommodation and employment were assessed as if immediate discharge from hospital were being contemplated. The results of the exercise emphasize the need for long-stay to permanent accommodation. The validity of this method of assessing community care requirements is discussed.

scholarly journals Sociodemographic and clinical characteristics of patients with recurrent psychiatric readmissions in Qatar

2020 ◽  
Vol 48 (12) ◽  
pp. 030006052097738
Author(s):  
Nahid M. Elhassan ◽  
Bushra Elhusein ◽  
Majid Al Abdulla ◽  
Tarek Abdelhalim Saad ◽  
Rajeev Kumar
Keyword(s):  
Retrospective Study ◽  
General Hospital ◽  
Clinical Features ◽  
Clinical Characteristics ◽  
Psychiatric Care ◽  
Psychiatric Patients ◽  
Psychiatric Condition ◽  
Post Discharge ◽  
Single Male ◽  
Male Sex

Objective To examine the sociodemographic and clinical characteristics of psychiatric patients with recurrent psychiatric readmissions (RPR). Methods A retrospective study was conducted at Hamad General Hospital in Qatar on psychiatric patients with recurrent readmissions from August 2018 to January 2019. Results Of 380 psychiatric patients admitted during the study period, 40 (10.5%) were readmitted within 30 days of discharge. Most of the patients who were readmitted were single, male and unemployed. Psychotic spectrum disorder was the most frequent psychiatric condition and was diagnosed in 18 (45%) patients. A total of 30% of the patients were receiving treatment with anti-psychotics, and a similar number received more than one medication. Most patients showed poor or no compliance. Only 12.5% of patients stayed in the hospital for more than 5 weeks in their last admission during the study period. Conclusions Poor compliance, male sex and single status were the most common demographic and clinical features of patients with RPR. Post-discharge psychiatric care should be tailored to meet the requirements of patients prone to RPR.

Gender Differences in Violence Risk in Tertiary Psychiatric Patients Transferred to Community Care

2013 ◽  
Author(s):  
Duncan Gordon Greig ◽  
Adam Joseph Evans Blanchard ◽  
Tonia Nicholls ◽  
Natalie Gagnon ◽  
Johann Brink ◽  
...  
Keyword(s):  
Gender Differences ◽  
Community Care ◽  
Psychiatric Patients ◽  
Violence Risk

scholarly journals The Relationship between Suicidality and Socio-Demographic Variables, Physical Disorders, and Psychiatric Disorders: Results from the Singapore Mental Health Study 2016

2021 ◽  
Vol 18 (8) ◽  
pp. 4365
Author(s):  
Kundadak Ganesh Kudva ◽  
Edimansyah Abdin ◽  
Janhavi Ajit Vaingankar ◽  
Boon Yiang Chua ◽  
Saleha Shafie ◽  
...  
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
Psychiatric Disorders ◽  
Population Level ◽  
Risk Groups ◽  
Epidemiological Survey ◽  
Health Study ◽  
Physical Disorders ◽  
Mental Health Study ◽  
The Relationship

Suicidality encompasses suicidal ideation, plans, and attempts. This paper aims to establish associations between suicidality and sociodemographic variables, physical disorders, and psychiatric disorders. The Singapore Mental Health Study 2016 was a population-level epidemiological survey, which determined the prevalence of physical disorders, psychiatric disorders, and suicidality. Questionnaires were used to determine socio-demographic information. A total of 6216 respondents were interviewed. Lifetime prevalence of suicidal ideation, planning, and attempts were 7.8%, 1.6%, and 1.6%, respectively. All components of suicidality were more likely in those with major depressive disorder, bipolar disorder, generalized anxiety disorder, alcohol use disorder, and chronic pain. Suicidal ideation and attempts were more likely in those with diabetes. Age above 65, being male, and a monthly household income of ≥ SGD 10,000 were associated with a lower likelihood of suicidal ideation. These findings indicate that there are high-risk groups for whom suicidality is a concern, and for whom interventions may be needed.

Pathways through psychiatric care: the experience of psychiatric patients

2007 ◽  
Vol 3 (6) ◽  
pp. 343-352 ◽  
Author(s):  
Paul Spicker ◽  
Irene Anderson ◽  
Richard Freeman ◽  
Robin McGilp
Keyword(s):  
Psychiatric Care ◽  
Psychiatric Patients

scholarly journals Psychiatric Services in Saskatchewan under Medicare*

1970 ◽  
Vol 15 (1) ◽  
pp. 63-72 ◽  
Author(s):  
Wilfred A. Cassell ◽  
Colin M. Smith ◽  
Maggie Grandy Rankin
Keyword(s):  
Private Practice ◽  
Urban Areas ◽  
Psychiatric Care ◽  
Psychiatric Treatment ◽  
Psychiatric Patients ◽  
Treatment Session ◽  
Psychiatric Services ◽  
Treatment Services ◽  
Hospital Visits ◽  
To Receive

This study has examined the nature and extent of services provided to psychiatric patients under ‘Medicare’. An analysis of the records of 864,128 residents of Saskatchewan revealed that in 1965, 13,950 males and 27,009 females received a psychiatric diagnosis from physicians in private practice. Psychoneurotic conditions were frequent. General practitioners provided the majority of treatment services for this group. Physicians practising in urban areas were found to complete more psychiatric treatment than their rural counterparts. Female patients were found to receive relatively more psychiatric care than males. The latter obtained more consultations, hospital visits and somatic investigations. Lastly, the rate of service was infrequent, averaging less than one treatment session per patient.

scholarly journals The Chronic Patient in the Community A Two-Year Follow Up of 338 Chronic Patients

1968 ◽  
Vol 13 (3) ◽  
pp. 231-236 ◽  
Author(s):  
M. Herjanic ◽  
A. Stewart ◽  
R. C. Hales
Keyword(s):  
Social Worker ◽  
Living Arrangements ◽  
Community Care ◽  
Psychiatric Patients ◽  
Chronic Patient ◽  
Chronic Patients ◽  
Chronic Psychiatric Patients

Three hundred and thirty-eight chronic psychiatric patients were followed up for two years after their discharge. Information was available on all but four patients. During the twenty-four month follow-up period, 11% had died and 25% required readmission. The source of support and living arrangements for the whole group were discussed, and the opinions about the outcome by the informant, psychiatrist, and social worker, were compared, The opinions correlated remarkably well. Characteristics of community care deemed important by the investigators were discussed briefly.

scholarly journals Metabolic syndrome in psychiatry: advances in understanding and management

2014 ◽  
Vol 20 (2) ◽  
pp. 101-112 ◽  
Author(s):  
Cyrus S. H. Ho ◽  
Melvyn W. B. Zhang ◽  
Anselm Mak ◽  
Roger C. M. Ho
Keyword(s):  
Risk Factors ◽  
Metabolic Syndrome ◽  
Psychiatric Disorders ◽  
Psychiatric Patients ◽  
Learning Objectives ◽  
List Type ◽  
Type Number ◽  
Unhealthy Lifestyle ◽  
Definition Of ◽  
The Relationship

SummaryMetabolic syndrome comprises a number of cardiovascular risk factors that increase morbidity and mortality. The increase in incidence of the syndrome among psychiatric patients has been unanimously demonstrated in recent studies and it has become one of the greatest challenges in psychiatric practice. Besides the use of psychotropic drugs, factors such as genetic polymorphisms, inflammation, endocrinopathies and unhealthy lifestyle contribute to the association between metabolic syndrome and a number of psychiatric disorders. In this article, we review the current diagnostic criteria for metabolic syndrome and propose clinically useful guidelines for psychiatrists to identify and monitor patients who may have the syndrome. We also outline the relationship between metabolic syndrome and individual psychiatric disorders, and discuss advances in pharmacological treatment for the syndrome, such as metformin.LEARNING OBJECTIVES•Be familiar with the definition of metabolic syndrome and its parameters of measurement.•Appreciate how individual psychiatric disorders contribute to metabolic syndrome and vice versa.•Develop a framework for the prevention, screening and management of metabolic syndrome in psychiatric patients.

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