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Suicidal Ideation After Discharge From Psychiatric Hospital: Momentary Assessment Study
Wenche Ryberg1, Lien My Diep2, Mathilde Husky3
1Department of Mental Health Research and Development, Division of Mental Health and Addiction, Vestre Viken Hospital Trust, Pb 800, Drammen, Buskerud, 3004, Norway, 47 03525.
JMIR Mental Health
|July 31, 2026
Summary
Suicidal ideation (SI) is common after hospital discharge, especially in women and those with a history of suicide attempts. Predischarge hopelessness and psychological pain predict SI intensity, highlighting the need for targeted interventions.
Area of Science:
- Psychiatry
- Clinical Psychology
- Digital Health
Background:
- High suicide risk persists post-discharge for individuals hospitalized with suicidal thoughts and behaviors.
- Suicidal ideation (SI) is a critical indicator of distress and a precursor to suicide attempts and completion.
Purpose of the Study:
- To identify patient characteristics and predischarge symptoms associated with postdischarge SI.
- To predict peak SI frequency, intensity, and longitudinal trajectory.
- To explore the utility of mobile health (mHealth) for monitoring SI.
Main Methods:
- Adult patients hospitalized for high suicide risk completed baseline assessments (diagnoses, symptom severity, SI, suicidal behaviors).
- Participants used a smartphone app to report SI 5 times daily for 10 days post-discharge.
- Logistic, median, and mixed-effects regression analyses examined associations between baseline data and postdischarge SI.
Main Results:
- Nearly half of completed surveys indicated SI; women reported SI more frequently than men.
- Participants hospitalized for high suicide risk reported SI more often and had higher peak SI scores than those hospitalized after a suicide attempt.
- Predischarge hopelessness and psychological pain predicted SI intensity, but no baseline variables predicted SI trajectory.
Conclusions:
- Postdischarge SI is prevalent and highly variable among individuals with high suicide risk.
- The Suicide Status Form-IV (SSF-IV) may aid in inpatient assessment and treatment planning.
- mHealth monitoring offers insights into the fluctuating nature of SI.
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