Abstract
Objective
To quantify the suicide rate among people discharged from non‐psychiatric facilities after presentations with suicidal thoughts or behaviours.
Method
Meta‐analysis of studies reporting suicide deaths among people with suicidal thoughts or behaviours after discharge from non‐psychiatric settings.
Results
115 studies reported 167 cohorts including a total of 3 747 suicide deaths among 248 005 patients during 1 263 727 person‐years. The pooled suicide rate post‐discharge was 483 suicide deaths per 100,000 person‐years (95% confidence interval (CI) 445 – 520, prediction interval (PI) 200 to 770) with high between sample heterogeneity (I2=92). The suicide rate was highest in the first year post‐discharge (851 per 100 000 person‐years) but remained elevated in the long term. Suicide rates were elevated among samples of men (716 per 100 000 person‐years) and older people (799 per 100 000 person‐years) but were lower in samples of younger people (107 per 100 000 person‐years) and among studies published between 2010 and 2018 (329 per 100 000 person‐years).
Conclusions
People with suicidal thoughts or behaviours who are discharged from non‐psychiatric facilities have highly elevated rates of suicide despite a clinically meaningful decline in reported suicide rates post‐discharge from non‐psychiatric settings in recent decades.
To quantify the suicide rate among people discharged from non‐psychiatric facilities after presentations with suicidal thoughts or behaviours.
Method
Meta‐analysis of studies reporting suicide deaths among people with suicidal thoughts or behaviours after discharge from non‐psychiatric settings.
Results
115 studies reported 167 cohorts including a total of 3 747 suicide deaths among 248 005 patients during 1 263 727 person‐years. The pooled suicide rate post‐discharge was 483 suicide deaths per 100,000 person‐years (95% confidence interval (CI) 445 – 520, prediction interval (PI) 200 to 770) with high between sample heterogeneity (I2=92). The suicide rate was highest in the first year post‐discharge (851 per 100 000 person‐years) but remained elevated in the long term. Suicide rates were elevated among samples of men (716 per 100 000 person‐years) and older people (799 per 100 000 person‐years) but were lower in samples of younger people (107 per 100 000 person‐years) and among studies published between 2010 and 2018 (329 per 100 000 person‐years).
Conclusions
People with suicidal thoughts or behaviours who are discharged from non‐psychiatric facilities have highly elevated rates of suicide despite a clinically meaningful decline in reported suicide rates post‐discharge from non‐psychiatric settings in recent decades.
| Original language | English |
|---|---|
| Journal | Acta Psychiatrica Scandinavica |
| Early online date | 13 Mar 2019 |
| DOIs | |
| Publication status | Published - 2019 |
