@article{ref1,
title="Suicide-related behavior after psychiatric hospital discharge: Implications for risk assessment and management",
journal="Behavioral sciences and the law",
year="2006",
author="Skeem, Jennifer L. and Silver, Eric and Aippelbaum, Paul S. and Tiemann, Jenny",
volume="24",
number="6",
pages="731-746",
abstract="Suicide-related behavior (SRB), including suicide attempts and instrumental SRB, occurs far more often than completed suicide and exacts a toll on patients, their loved ones, and society. Nevertheless, few prospective studies of SRB have been conducted. In this study, 954 patients were interviewed in a psychiatric hospital and then followed for one year after discharge. During this one-year period, nearly one-quarter of patients (23%) engaged in SRB, with the rate of suicide attempts (18%) three times greater than the rate of instrumental SRB (5%). Risk factors for SRB were demographic (White ethnicity, female gender), clinical (past SRB, depression, impaired functioning), and contextual (unemployment, large social networks). In contrast with other studies, there was no &quot;peak&quot; in the risk of SRB shortly after hospital discharge. Instead, patients' rate of SRB was relatively constant over the one-year follow-up. Implications for risk assessment and management in acute inpatient settings are discussed.   <p></p>  <p>Language: en</p>",
language="en",
issn="0735-3936",
doi="10.1002/bsl.726",
url="http://dx.doi.org/10.1002/bsl.726"
}