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Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
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Exploring the Objective Signs of Imminent Suicide Risk in Psychiatric In-patients.

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    Summary

    This study identified objective signs of imminent suicide risk in psychiatric patients, highlighting communication and information handling issues within hospitals to improve suicide prevention strategies.

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    Area of Science:

    • Psychiatry
    • Clinical Psychology
    • Healthcare Management

    Background:

    • Assessing suicide risk in psychiatric in-patients is critical for effective intervention.
    • Previous research has focused on patient-reported risk factors, with less emphasis on observable signs during hospitalization.

    Purpose of the Study:

    • To retrospectively explore objective signs of imminent suicide risk in psychiatric in-patients.
    • To identify systemic issues in hospital information handling that may impact suicide risk assessment.

    Main Methods:

    • Retrospective analysis of diagnostic and nursing records for 18 psychiatric in-patients who died by suicide.
    • Utilized fishbone diagrams and the KJ method (Kawakita Jiro Method) for qualitative data analysis by three professionals.

    Main Results:

    • Identified five categories of objective signs of imminent suicide risk: patient-derived, engagement-based, treatment response, family reports, and inferred signs.
    • Extracted five categories of hospital information handling issues: omissions in records, communication lapses during transfer, and need for integrated information.

    Conclusions:

    • Findings provide crucial insights for enhancing suicide risk assessment protocols in psychiatric settings.
    • Addressing identified information handling deficiencies can contribute to improved suicide prevention strategies.