@article{ref1,
title="Early post-discharge suicide in mental health patients: findings from a national clinical survey",
journal="Frontiers in psychiatry",
year="2020",
author="Bojanić, Lana and Hunt, Isabelle M. and Baird, Alison and Kapur, Navneet and Appleby, Louis and Turnbull, Pauline",
volume="11",
number="",
pages="e502-e502",
abstract="Studies on suicide by recently discharged mental health patients have reported a high number of deaths in the early post-discharge period, which has led to recommendations of follow-up within 7 days (d). More recently, the National Confidential Inquiry into Suicide and Safety in Mental Health (NCISH) proposed a more &quot;stringent&quot; follow-up period of 2-3 days (d) after discharge. Patients who died within this early time-frame post-discharge were more likely to die before the follow-up appointment occurred. They more often had a primary diagnosis of a personality disorder, self-discharged, and had a higher frequency of death by jumping from a height or in front of the vehicle compared to later deaths. This study provides practical implications for post-discharge management and safety planning. Clinicians should be aware of (1) the increased risk of immediate suicide in the post-discharge period by people with a diagnosis of personality disorder, (2) immediate suicide risk in patients who initiate their own discharge, and (3) the increased risk of death by jumping from a height or in front of the vehicle in the immediate post-discharge period. Our findings support the recent recommendation from NCISH that follow-up should occur within 3 d of discharge from in-patient care.<p /> <p>Language: en</p>",
language="en",
issn="1664-0640",
doi="10.3389/fpsyt.2020.00502",
url="http://dx.doi.org/10.3389/fpsyt.2020.00502"
}