A prospective study of noncompliance with medication, suicidal ideation, and suicidal behavior in recently discharged psychiatric inpatients

Intikhab Qurashi, Navneet Kapur, Louis Appleby

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Discharged psychiatric inpatients are at a greater risk of suicide in the three months following discharge. However, risk factors for this group are not clear. In this study 69 psychiatric inpatients were recruited and suicidal ideation, insight and compliance scores were measured at discharge and 12 weeks post-discharge. There were clinically significant rates of suicidal ideation (52%) and deliberate self harm (28%) in the post-discharge period. Over half of patients (52%) became noncompliant with medication. Subjects with lower insight scores at discharge were significantly more likely to become noncompliant. Suicidal ideation scores increased irrespective of compliance from discharge to follow-up and this increase was significantly greater in noncompliant subjects. We conclude that noncompliance with medication is associated with suicidal ideation.
    Original languageEnglish
    Pages (from-to)61-67
    Number of pages6
    JournalArchives of Suicide Research
    Volume10
    Issue number1
    DOIs
    Publication statusPublished - Jan 2006

    Keywords

    • Compliance
    • Discharge
    • Noncompliance
    • Self-harm
    • Suicidal behavior
    • Suicidal ideation

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