TY  - JOUR
PY  - 2019//
TI  - Suicide rates among people discharged from non-psychiatric settings after presentation with suicidal thoughts or behaviours
JO  - Acta psychiatrica Scandinavica
A1  - Wang, Maggie
A1  - Swaraj, Sascha
A1  - Chung, Daniel
A1  - Stanton, Clive
A1  - Kapur, Navneet
A1  - Large, Matthew
SP  - 472
EP  - 483
VL  - 139
IS  - 5
N2  - OBJECTIVE: To quantify the suicide rate among people discharged from non-psychiatric facilities after presentations with suicidal thoughts or behaviours. <br><br>METHOD: Meta-analysis of studies reporting suicide deaths among people with suicidal thoughts or behaviours after discharge from non-psychiatric settings. <br><br>RESULTS: 115 studies reported 167 cohorts including a total of 3 747 suicide deaths among 248 005 patients during 1 263 727 person-years. The pooled suicide rate post-discharge was 483 suicide deaths per 100,000 person-years (95% confidence interval (CI) 445 - 520, prediction interval (PI) 200 to 770) with high between sample heterogeneity (I<sup>2</sup> =92). The suicide rate was highest in the first year post-discharge (851 per 100 000 person-years) but remained elevated in the long term. Suicide rates were elevated among samples of men (716 per 100 000 person-years) and older people (799 per 100 000 person-years) but were lower in samples of younger people (107 per 100 000 person-years) and among studies published between 2010 and 2018 (329 per 100 000 person-years). <br><br>CONCLUSIONS: People with suicidal thoughts or behaviours who are discharged from non-psychiatric facilities have highly elevated rates of suicide despite a clinically meaningful decline in reported suicide rates post-discharge from non-psychiatric settings in recent decades. This article is protected by copyright. All rights reserved.<br><br>This article is protected by copyright. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0001-690X
UR  - http://dx.doi.org/10.1111/acps.13023
ID  - ref1
ER  -