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[Suicide in psychiatric clinic patients]
1Rheinischen Landesklinik Düsseldorf-Psychiatrische Klinik, Heinrich-Heine-Universität Düsseldorf.
Zeitschrift Fur Klinische Psychologie, Psychopathologie Und Psychotherapie
|January 1, 1990
Summary
Suicidal psychiatric inpatients often have endogenous psychoses like schizophrenia or major depression. Past suicide attempts are strong predictors of future suicidal behavior, necessitating careful risk assessment.
Area of Science:
- Psychiatry
- Clinical Psychology
Context:
- Psychiatric inpatients represent a vulnerable population at risk for suicide.
- Understanding the characteristics of inpatients who die by suicide is crucial for prevention efforts.
Purpose:
- To identify demographic, diagnostic, and historical factors associated with suicide among psychiatric inpatients.
- To inform clinical practice and hospital policies regarding suicide prevention in psychiatric settings.
Summary:
- Suicidal psychiatric inpatients are often aged 30-60, diagnosed with endogenous psychoses (e.g., schizophrenia, major depression), and may have a history of family psychiatric disorders or childhood developmental issues.
- A history of prior suicide attempts is a significant predictor of future suicidal behavior.
- The rate of suicide among psychiatric inpatients is increasing, with no clear link to open versus closed treatment conditions.
Impact:
- Findings can guide the development of targeted suicide prevention strategies within psychiatric facilities.
- Highlights the need for comprehensive risk assessment, including a thorough review of patient history and previous attempts.
- May influence policy decisions regarding the balance between patient liberality and necessary restrictive measures for suicide risk management.