@article{ref1,
title="Suicide in psychiatric inpatients- a case-control study",
journal="Frontiers in psychiatry",
year="2020",
author="Miller, Carl and Haring, Christian and Kemmler, Georg and Behrndt-Bauer, Elisa-Marie and Deisenhammer, Eberhard A.",
volume="11",
number="",
pages="e591460-e591460",
abstract="OBJECTIVE: Psychiatric inpatients constitute a population at considerably increased risk for suicide. Identifying those at imminent risk is still a challenging task for  hospital staff. This retrospective case-control study focused on clinical risk  factors related to the course of the hospital stay. <br><br>METHOD: Inpatient suicide cases  were identified by linking the Tyrol Suicide Register with the registers of three  psychiatric hospitals in the state. Control subjects were patients who had also been  hospitalized in the respective psychiatric unit but had not died by suicide. Matching variables included sex, age, hospital, diagnosis, and admission date. The  study period comprised 7 years. Data were analyzed by the appropriate two-sample  tests and by logistic regression. <br><br>RESULTS: A total of 30 inpatient suicide cases and  54 control patients were included. A number of factors differentiated cases from  controls; after correction for multiple testing, the following retained  significance: history of aborted suicide, history of attempted suicide, history of  any suicidal behavior/threats, suicidal ideation continuing during hospitalization,  no development of prospective plans, no improvement of mood during the hospital  stay, and leaving ward without giving notice. Logistic regression identified the  latter three variables and history of attempted suicide as highly significant  predictors of inpatient suicide. <br><br>CONCLUSIONS: Preventive measures during  hospitalization include thorough assessment of suicidal features, an emphasis on the  development of future perspectives, and a review of hospital regulations for  patients who want to leave the ward.<p /> <p>Language: en</p>",
language="en",
issn="1664-0640",
doi="10.3389/fpsyt.2020.591460",
url="http://dx.doi.org/10.3389/fpsyt.2020.591460"
}