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Evaluation of suicide risk in psychiatric patients after discharge. A follow-up study

Published online by Cambridge University Press:  23 March 2020

G. Giordano ,
R. Federica ,
E. Denise ,
M. Monica ,
I. Marco  and
P. Maurizio
G. Giordano*
Affiliation:
Mental Health and Sensory Organs Sant’Andrea Hospital Sapienza University of Roma- Rome- Italy., Department of Neurosciences, Rome, Italy
R. Federica
Affiliation:
Mental Health and Sensory Organs Sant’Andrea Hospital Sapienza University of Roma- Rome- Italy, Department of Neurosciences, Rome, Italy
E. Denise
Affiliation:
Mental Health and Sensory Organs Sant’Andrea Hospital Sapienza University of Roma- Rome- Italy., Department of Neurosciences, Rome, Italy
M. Monica
Affiliation:
Mental Health and Sensory Organs Sant’Andrea Hospital Sapienza University of Roma- Rome- Italy., Department of Neurosciences, Rome, Italy
I. Marco
Affiliation:
Mental Health and Sensory Organs Sant’Andrea Hospital Sapienza University of Roma- Rome- Italy., Department of Neurosciences, Rome, Italy
P. Maurizio
Affiliation:
Mental Health and Sensory Organs Sant’Andrea Hospital Sapienza University of Roma- Rome- Italy., Department of Neurosciences, Rome, Italy
*
*Corresponding author.

Résumé

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Introduction

Several studies show that the first period after discharge has an higher suicide risk.

Objectives

Following up psychiatric inpatients after discharge may be important in order to better understand the risk and the protective factors of suicide.

Aim

The aim of our follow-up study is to evaluate the predictive factors of suicide in a sample of psychiatric inpatients after discharge.

Methods

We analyzed the temperament and the levels of hopelessness, depression, suicide risk in a sample of 87 (54% males) inpatients at time T0 (during the hospitalization), T1 (12 months after discharge) and T2 (8 months after T1). We administered the following scales: BHS, MINI, TEMPS, GMDS, CGI.

Results

A statistically significant difference on the risk of suicide with substance abuse was found among patients who were followed up and who refused to participate, respectively at T1 (χ24 = 2.61; P < 0.05) and T2 (χ24 = 1.57; P = 0.05). At T1, 4 patients attempted suicide and 18 showed suicidal ideation. In the second follow-up, 1 patient successful committed suicide, 1 subject attempted suicide and 10 patients showed suicidal ideation. Patients with suicidal ideation at T1 showed higher levels of hopelessness and a diagnosis of bipolar disorder type I (χ24 = 10.28; P = 0.05). Sixty-seven percent of subjects with suicidal ideation showed higher scores in the BHS at T1. Significant differences were found on the anxious temperament at T2 between two groups.

Conclusions

The follow-up could represent a significant strategy to prevent suicide in psychiatric patients.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EW638
Information
European Psychiatry , Volume 33 , Issue S1: Abstracts of the 24th European Congress of Psychiatry , March 2016 , pp. s282
Copyright
Copyright © European Psychiatric Association 2014
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