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Cited by 66Suicide and Self-Harm StudiesHealthcare Decision-Making and RestraintsPsychiatric care and mental health services

Perceived Coercion During Admission Into Psychiatric Hospitalization Increases Risk of Suicide Attempts After Discharge

Jordan, Joshua T., McNiel, Dale E.·2020·Suicide and Life-Threatening Behavior
DOI 10.1111/sltb.12560
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Abstract

Objective: There is an elevated risk for suicide in the year following psychiatric hospitalization. The present study examined whether perceived coercion during admission into psychiatric hospitalization increases risk for postdischarge suicide attempts. Methods: Participants were 905 psychiatric inpatients from the MacArthur Violence Risk Assessment Study that were assessed every 10 weeks during the year following discharge. Perceived coercion during admission was assessed while hospitalized, and suicide attempts were assessed following discharge. Analyses adjusted for nonrandom assignment of groups via propensity score weighting and for established correlates of postdischarge suicidal behavior. Results: Of 905 participants, 67% endorsed perception of coercion into psychiatric hospitalization, and 168 (19%) made a postdischarge suicide attempt. Patients who perceived coercion during hospitalization admission were more likely to make a suicide attempt after discharge than those who did not, even after adjusting for established covariates (OR = 1.29, | z | = 2.87, p = .004, 95% CI = 1.08, 1.54). There was no interaction between recent self‐harm or suicidal ideation at time of admission and perceived coercion on postdischarge suicide attempts. Conclusions: Patients’ perception of the context in which they were hospitalized is associated with a small but significant increase in their likelihood of postdischarge suicide attempts.

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Crossref · 10.1111/sltb.12560

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  • One study found that involuntary admission was associated with a greater risk of all-cause mortality, with no deaths attributable to suicide in either group.

    “However, five studies found an increased risk of suicide for people admitted involuntarily (98–102), and one study found that involuntary admission was associated with a greater risk of all-cause mortality (with no deaths attributable to suicide in either group) (103).”

    From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [103]

  • Perceived coercion is associated with an increased risk of suicide after discharge.

    “Perceived coercion has many consequences, such as an increased risk of suicide after discharge [11], avoidance of mental health services [12], and feelings of dehumanization and isolation [5].”

    From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [11]

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Authors
Jordan, J. T., & McNiel, D. E.
Affiliations
University of California, San Francisco (US)
Corresponding author
Jordan, Joshua T.
ORCID
Jordan, Joshua T.
Venue
Suicide and Life-Threatening Behavior
Publisher
Wiley
Published
2019-06-04
Volume
50
Issue
1
Pages
180-188
ISSN
  • 0363-0234 (ISSN-L)
  • 1943-278X
DOI
10.1111/sltb.12560
OpenAlex
W2948942445
Cited by
66
References
30
Citations by year
2026: 6 · 2025: 13 · 2024: 10 · 2023: 12 · 2022: 12 · 2021: 6 · 2020: 5 · 2019: 2
FWCI
7.30
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Suicide and Life-Threatening Behavior (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords
perceived coercion, psychiatric hospitalization, suicide attempts, involuntary admission, psychiatric inpatients, self-harm, suicidal ideation, violence risk assessment
MeSH terms
Adolescent, Adult, Coercion, Female, Hospitalization, Humans, Male, Patient Discharge, Suicide, Attempted, Self-Injurious Behavior, Risk Assessment, Young Adult, Suicidal Ideation

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