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Cited by 234Suicide and Self-Harm StudiesPsychiatric care and mental health servicesHomicide, Infanticide, and Child Abuse

The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.

Risk Factors for Suicide Within a Year of Discharge from Psychiatric Hospital: A Systematic Meta-Analysis

Large, Matthew, Sharma, Swapnil, Cannon, Elisabeth, Ryan, Christopher, Nielssen, Olav·2011·Australian & New Zealand Journal of Psychiatry
DOI 10.3109/00048674.2011.590465
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Abstract

BACKGROUND: The increased risk of suicide in the period after discharge from a psychiatric hospital is a well-recognized and serious problem. OBJECTIVE: The aim of this study was to establish the risk factors for suicide in the year after discharge from psychiatric hospitals and their usefulness in categorizing patients as high or low risk for suicide in the year following discharge. METHOD: A systematic meta-analysis of controlled studies of suicide within a year of discharge from psychiatric hospitals. RESULTS: There was a moderately strong association between both a history of self-harm (OR = 3.15) and depressive symptoms (OR = 2.70) and post-discharge suicide. Factors weakly associated with post-discharge suicide were reports of suicidal ideas (OR = 2.47), an unplanned discharge (OR = 2.44), recent social difficulty (OR = 2.23), a diagnosis of major depression (OR = 1.91) and male sex (OR = 1.58). Patients who had less contact with services after discharge were significantly less likely to commit suicide (OR = 0.69). High risk patients were more likely to commit suicide than other discharged patients, but the strength of this association was not much greater than the association with some individual risk factors (OR = 3.94, sensitivity = 0.40, specificity = 0.87). CONCLUSIONS: No factor, or combination of factors, was strongly associated with suicide in the year after discharge. About 3% of patients categorized as being at high risk can be expected to commit suicide in the year after discharge. However, about 60% of the patients who commit suicide are likely to be categorized as low risk. Risk categorization is of no value in attempts to decrease the numbers of patients who will commit suicide after discharge.

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  1. Borenstein M, 2005, Copmrehensive Meta-Analysis

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Metadata

Authors
Large, M., Sharma, S., Cannon, E., Ryan, C., & Nielssen, O.
Affiliations
  • UNSW Sydney (AU)
  • Prince of Wales Hospital (AU)
  • The University of Sydney (AU)
Corresponding author
Large, Matthew
ORCID
Venue
Australian & New Zealand Journal of Psychiatry
Publisher
SAGE Publications
Published
2011-08
Volume
45
Issue
8
Pages
619-628
ISSN
  • 0004-8674 (ISSN-L)
  • 1440-1614
DOI
10.3109/00048674.2011.590465
OpenAlex
W1971677694
Cited by
234
References
36
Citations by year
2026: 11 · 2025: 8 · 2024: 16 · 2023: 15 · 2022: 13 · 2021: 10 · 2020: 23 · 2019: 12 · 2018: 20 · 2017: 14 · 2016: 22 · 2015: 13 · 2014: 24 · 2013: 12 · 2012: 16
FWCI
2.74
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Australian & New Zealand 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
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords
suicide, psychiatric hospital discharge, suicide risk factors, self-harm history, depressive symptoms, suicidal ideation, major depressive disorder, male sex, risk classification, suicide prevention
MeSH terms
Depression, Female, Hospitals, Psychiatric, Humans, Male, Patient Discharge, Risk Factors, Sex Factors, Suicide, Self-Injurious Behavior, Risk Assessment

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