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Cited by 183Suicide and Self-Harm StudiesPsychiatric care and mental health servicesHealthcare Quality and Management

The DOI matches its Crossref record; 29 of the 29 references it cites were found in a registry or an index.

Mental Health Service Delivery and Suicide Risk: The Role of Individual Patient and Facility Factors

Desai, Rani A., Dausey, David J., Rosenheck, Robert A.·2005·American Journal of Psychiatry
DOI 10.1176/appi.ajp.162.2.311
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Abstract

Objective This study explores suicide rates as a quality measure and identifies risk factors for suicide among psychiatric inpatients. Method Data from a prospective mortality study of psychiatric inpatients from 128 U.S. Department of Veterans Affairs hospitals throughout the United States were utilized to examine the relationship of death by suicide to patient-level sociodemographic, clinical, and mental health service delivery characteristics, as well as to facility-level measures of service delivery. Data were collected on all patients discharged with a diagnosis of schizophrenia, major depression, posttraumatic stress disorder, or bipolar disorder (N=121,933) between 1994 and 1998. Results There were 481 suicides in the study sample. Several variables were associated with higher risk for suicide risk, including length of stay less than 14 days, poorer continuity of care, and lack of readmission within 6 months. These variables were significant even after adjustment for state suicide rates, the proportion of members of racial minority groups in the state population, and state-level social capital. Conclusions Suicide rates are not likely to be a useful indicator of the quality of mental health care because of the instability of suicide rates, difficulty collecting data, and the lack of association between suicide and facility quality of care. The lack of association with facility-level variables suggests that systemic changes in these performance measures would be unlikel…

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Crossref · 10.1176/appi.ajp.162.2.311

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Metadata

Authors
Desai, R. A., Dausey, D. J., & Rosenheck, R. A.
Affiliations
United States Department of Veterans Affairs (US)
ORCID
Rosenheck, Robert A.
Venue
American Journal of Psychiatry
Publisher
American Psychiatric Association Publishing
Published
2005-02
Volume
162
Issue
2
Pages
311-318
ISSN
  • 0002-953X (ISSN-L)
  • 1535-7228
DOI
10.1176/appi.ajp.162.2.311
OpenAlex
W2149008499
Cited by
183
References
29
Citations by year
2026: 1 · 2025: 5 · 2024: 10 · 2023: 6 · 2022: 2 · 2021: 5 · 2020: 9 · 2019: 8 · 2018: 10 · 2017: 9 · 2016: 14 · 2015: 11 · 2014: 17 · 2013: 14 · 2012: 16
FWCI
8.90
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Quality and Management
Keywords
suicide risk, psychiatric inpatients, mental health service delivery, mental health care quality, continuity of care, length of hospital stay, hospital readmission, veterans, schizophrenia, major depressive disorder, post-traumatic stress disorder, bipolar disorder, mortality
MeSH terms
Ambulatory Care, Mental Disorders, Cause of Death, Community Mental Health Centers, Continuity of Patient Care, Delivery of Health Care, Hospitals, Veterans, Humans, Length of Stay, Middle Aged, Patient Readmission, Quality Assurance, Health Care, Risk Factors, Social Environment, Suicide, United States, Quality Indicators, Health Care, Risk Adjustment

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