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Related Experiment Videos

[Crisis intervention and psychiatric mortality]

A Mühlebach1, M Gognalons, J Abensur

  • 1Clinique de psychiatrie I, Institutions Universitaires de psychiatrie Genevoises.

Annales Medico-Psychologiques
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

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Hospitalized psychiatric patients face high mortality and suicide risks. Emergency intervention assignment at intake was linked to increased suicide rates, highlighting a need for better risk assessment in acute psychiatric illness.

Area of Science:

  • Psychiatry and Mental Health
  • Epidemiology
  • Public Health

Context:

  • Hospitalized psychiatric patients exhibit elevated mortality and suicide rates.
  • Treatment assignment may serve as a predictive factor for these adverse outcomes.
  • Previous research indicates a potential link between psychiatric care and patient mortality.

Purpose:

  • To prospectively investigate the relationship between treatment choice, mortality, and suicide in hospitalized psychiatric patients.
  • To assess the predictive value of initial treatment assignment on mortality and suicide risk.
  • To examine suicide risk in patients with acute psychiatric illness.

Summary:

  • A prospective study followed 78 psychiatric inpatients in Geneva, Switzerland.
  • High Standardized Mortality Ratios (SMR) were observed: 10.5 for overall deaths and 257.7 for suicides during the second follow-up year.

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  • Assignment to emergency intervention only at intake was associated with increased suicide rates.
  • Impact:

    • Findings suggest that emergency intervention assignment may indicate higher suicide risk in psychiatric inpatients.
    • The study underscores the underestimation of suicide risk in acute psychiatric illness.
    • Results call for improved suicide risk assessment and management strategies in psychiatric care settings.