Appleby et al identified risk factors for suicide of a patient following discharge from psychiatric inpatient care. These can help to identify a patient who may benefit from more aggressive management. The authors are from University Hospital of South Manchester, Manchester University, and the University of Wales.

Patient selection: status post discharge from psychiatric inpatient care


Outcome: suicide


Risk factors for suicide:

(1) decrease in care at last appointment (reduced appointment frequency, reduced drug dose, less supervised location)

(2) history of self-harm

(3) suicidal thoughts during aftercare

(4) recent admission for inpatient care as the first episode for mental illness


Factors reducing the risk for suicide:

(1) increase in care


Just because a patient appears to be well does not mean that the patient is low-risk.

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