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Published in: Psychiatric Quarterly 1/2022

01-03-2022 | Suicide | Review Article

Hospital-Based Suicides: Challenging Existing Myths

Authors: Alan L. Berman, Morton M. Silverman

Published in: Psychiatric Quarterly | Issue 1/2022

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Abstract

Myths are widely held and often based on false beliefs. To improve patient safety and speed the translation of research to clinical practice, we highlight and then debunk 10 common myths regarding the assessment, treatment, and management of hospitalized patients at risk for suicide. Myths regarding hospital-based suicides are examined and empirical evidence that counters each myth is offered. Ten common myths regarding hospital-based suicides are found to be untrue or unsupported based on existing empirical evidence. Rethinking common beliefs and practices that lack empirical support and seeking alternatives based on research evidence is consistent with an emphasis on evidence-based practices leading to improved patient care and protection.
Literature
1.
go back to reference American Psychiatric Association (APA). Practice guideline for the assessment and treatment of patients with suicidal behaviors. Washington, D.C.: American Psychiatric Association; 2003. American Psychiatric Association (APA). Practice guideline for the assessment and treatment of patients with suicidal behaviors. Washington, D.C.: American Psychiatric Association; 2003.
4.
go back to reference Robins E. The final months. NY: Oxford University Press; 1981. Robins E. The final months. NY: Oxford University Press; 1981.
5.
go back to reference The national confidential inquiry into suicide and safety in mental health. annual report: England, Northern Ireland, Scotland and Wales. University of Manchester; 2019. The national confidential inquiry into suicide and safety in mental health. annual report: England, Northern Ireland, Scotland and Wales. University of Manchester; 2019.
9.
go back to reference Stefan S. Rational suicide, irrational laws: examining current approaches to suicide in policy and law. NY: Oxford University Press; 2016.CrossRef Stefan S. Rational suicide, irrational laws: examining current approaches to suicide in policy and law. NY: Oxford University Press; 2016.CrossRef
16.
go back to reference Knesper DJ. American Association of Suicidology, & suicide prevention resource center. Continuity of care for suicide prevention and research: suicide attempts and suicide deaths subsequent to discharge from the emergency department or psychiatry inpatient unit. Newton, MA: Education Development Center, Inc.; 2010. Knesper DJ. American Association of Suicidology, & suicide prevention resource center. Continuity of care for suicide prevention and research: suicide attempts and suicide deaths subsequent to discharge from the emergency department or psychiatry inpatient unit. Newton, MA: Education Development Center, Inc.; 2010.
24.
go back to reference Berman AL. Assessing acute risk for suicide: he last 30 days. Grand rounds lecture. Baltimore, MD: Department of Psychiatry and Behavioral Sciences, The Johns Hopkins School of Medicine; 2016. Berman AL. Assessing acute risk for suicide: he last 30 days. Grand rounds lecture. Baltimore, MD: Department of Psychiatry and Behavioral Sciences, The Johns Hopkins School of Medicine; 2016.
25.
go back to reference Knoll JL. Inpatient suicide: identifying vulnerability in the hospital setting. Psychiat Times. 2013;30(6):36 2013. Knoll JL. Inpatient suicide: identifying vulnerability in the hospital setting. Psychiat Times. 2013;30(6):36 2013.
26.
go back to reference Jayaram G, Sporney H, Perticone P. The utility and effectiveness of 15-minute checks in inpatient settings. Psychiatry (Edgmont). 2010;7(8):46–9. Jayaram G, Sporney H, Perticone P. The utility and effectiveness of 15-minute checks in inpatient settings. Psychiatry (Edgmont). 2010;7(8):46–9.
27.
go back to reference Janofsky JS. Reducing inpatient suicide risk: using human factors analysis to improve observation practices. J Am Acad Psychiatry Law. 2009;37(1):15–24.PubMed Janofsky JS. Reducing inpatient suicide risk: using human factors analysis to improve observation practices. J Am Acad Psychiatry Law. 2009;37(1):15–24.PubMed
32.
go back to reference Hall RCW, Platt DE, Hall RC. Suicide risk assessment: a review of risk factors in 100 patients who made severe suicide attempts: evaluation of suicide risk in a time of managed care. Psychosomatics. 1999;40:18–27.CrossRef Hall RCW, Platt DE, Hall RC. Suicide risk assessment: a review of risk factors in 100 patients who made severe suicide attempts: evaluation of suicide risk in a time of managed care. Psychosomatics. 1999;40:18–27.CrossRef
63.
go back to reference Butkus R, Doherty R. Bornstein SS; health and public policy Committee of the American College of physicians. Reducing firearm injuries and deaths in the United States: a position paper from the American college of physicians. Ann Intern Med. 2018;169(10):704–7. https://doi.org/10.7326/M18-1530.CrossRefPubMed Butkus R, Doherty R. Bornstein SS; health and public policy Committee of the American College of physicians. Reducing firearm injuries and deaths in the United States: a position paper from the American college of physicians. Ann Intern Med. 2018;169(10):704–7. https://​doi.​org/​10.​7326/​M18-1530.CrossRefPubMed
Metadata
Title
Hospital-Based Suicides: Challenging Existing Myths
Authors
Alan L. Berman
Morton M. Silverman
Publication date
01-03-2022
Publisher
Springer US
Keywords
Suicide
Suicide
Published in
Psychiatric Quarterly / Issue 1/2022
Print ISSN: 0033-2720
Electronic ISSN: 1573-6709
DOI
https://doi.org/10.1007/s11126-020-09856-w

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