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Jumping from a general hospital

R T White1, R J Gribble, M J Corr

  • 1Department of Psychiatry, Royal Prince Alfred Hospital, New South Wales, Australia.

General Hospital Psychiatry
|May 1, 1995
PubMed
Summary
This summary is machine-generated.

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Hospital suicides by jumping are a serious concern. Prevention strategies should focus on limiting access to windows and balconies, especially for medically ill patients experiencing pain or confusion.

Area of Science:

  • Medical research
  • Public health
  • Hospital safety

Background:

  • Jumping is a common suicide method in hospitals.
  • No comprehensive reviews on non-psychiatric inpatient suicides since 1980.
  • This study addresses a critical gap in understanding hospital-related suicides.

Purpose of the Study:

  • To review suicides by jumping in a general teaching hospital.
  • To identify risk factors and clinical profiles of patients who jump.
  • To inform prevention strategies for hospital suicides.

Main Methods:

  • Retrospective review of 12 inpatient suicides by jumping (1980-1992).
  • Analysis of clinical subgroups: post-suicide attempt, acutely delirious, chronically medically ill.
  • Comparison with 30 nonfatal jumpers from the Emergency Department.

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Main Results:

  • Eight fatalities occurred, yielding a suicide rate of 1.7 per 100,000 admissions.
  • Chronically medically ill patients often presented with pain, dyspnea, confusion, and poor prognosis.
  • Fatal jumpers differed from nonfatal jumpers by having more medical illnesses, older age, male gender, and no prior psychiatric history.

Conclusions:

  • Hospital jumping poses a significant risk, particularly for non-psychiatric inpatients.
  • Patient factors like medical illness, pain, and confusion are critical.
  • Environmental factors, specifically access to windows and balconies, are key to prevention.