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A New Method for Inducing a Depression-Like Behavior in Rats
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Published on: February 22, 2018

Does deinstitutionalization increase suicide?

Jangho Yoon1, Tim A Bruckner

  • 1Jiann-Ping Hsu College of Public Health, Georgia South University, Statesboro, GA 30460-8015, USA. yoonjangho@gmail.com

Health Services Research
|June 9, 2009
PubMed
Summary
This summary is machine-generated.

Reducing public psychiatric beds increases suicide rates, with no evidence of private beds compensating. Increased community mental health funding may mitigate this risk.

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Last Updated: Jun 22, 2026

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Published on: March 2, 2015

Area of Science:

  • Public health policy
  • Mental healthcare systems
  • Suicidology

Background:

  • Deinstitutionalization led to significant reductions in public psychiatric beds.
  • The impact of these reductions on suicide rates and the role of alternative care models remain critical public health questions.
  • Understanding the interplay between bed availability, private sector capacity, and community resources is essential for effective mental healthcare planning.

Purpose of the Study:

  • To determine if reductions in public psychiatric beds correlate with increased suicide rates.
  • To assess whether private psychiatric bed supply (not-for-profit and for-profit) can offset public bed reductions without adversely affecting suicide rates.
  • To investigate if community mental health resources moderate the relationship between public bed reduction and suicide rates.

Main Methods:

  • Analysis of state-level data in the United States from 1982-1998.
  • Examination of suicide rates in relation to public, not-for-profit, and for-profit psychiatric bed availability.
  • Inclusion of community mental health spending as a potential moderating factor.

Main Results:

  • A decrease in public psychiatric bed supply was significantly associated with an increase in suicide rates.
  • Neither not-for-profit nor for-profit psychiatric bed supply demonstrated a compensatory effect for public bed reductions.
  • Higher community mental health spending was found to buffer the negative impact of public bed reductions on suicide rates.

Conclusions:

  • Downsizing of public inpatient mental health services may lead to elevated suicide rates.
  • Increased investment in and availability of community mental health services show promise in mitigating these adverse outcomes.
  • Policy considerations should prioritize robust community-based mental health support alongside inpatient capacity.