@article{ref1,
title="Postdischarge suicide and death in South Korean children and adolescents hospitalized for a psychiatric illness",
journal="Journal of the American Academy of Child and Adolescent Psychiatry",
year="2018",
author="Paik, Jong-Woo and Kim, Kyoung Hoon and Lee, Sang Min and Na, Kyoung-Sae and Hong, Minha",
volume="57",
number="7",
pages="508-514",
abstract="OBJECTIVE: The postdischarge suicide rate in children and adolescents ever hospitalized for a psychiatric illness is much higher than that of children and adolescents in the general population. We aimed to investigate the postdischarge death and suicide among children and adolescents hospitalized for a psychiatric illness using the Korean National Health Insurance database and causes of death statistics from the National Statistics Office. <br><br>METHOD: We identified children and adolescents less than 18 years of age who experienced at least one psychiatric hospitalization from 2008 to 2013 with a principal diagnosis of a psychiatric disorder based on the International Classification of Diseases, 10th Revision, Code Fxx.x). Postdischarge deaths (all-cause death or suicide) after the first psychiatric hospitalization were investigated. <br><br>RESULTS: The total number of patients hospitalized for a psychiatric illness was 14,097, and the numbers of all-cause deaths and suicide deaths after discharge were 93 and 64, respectively. The rates of suicide according by diagnostic group were 440.1 (per 100,000 person-years) for psychosis, 248.8 for depression, 155.4 for conduct disorder, 153.6 for bipolar disorder, 103.4 for posttraumatic stress disorder, 93.0 for anxiety disorder, and 38.4 for attention-deficit/hyperactivity disorder. <br><br>CONCLUSION: As suicide is the main cause of postdischarge death, there is an urgent need to develop and implement effective prevention strategies after psychiatric hospitalization.<br><br>Copyright © 2018 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0890-8567",
doi="10.1016/j.jaac.2018.04.011",
url="http://dx.doi.org/10.1016/j.jaac.2018.04.011"
}