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Suicidal Ideation Across Three Timepoints in Patients Discharged from Psychiatric Hospitalization

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Abstract

This article describes the rate of suicidal ideation (SI) across three timepoints among treatment-seeking patients recently discharged from psychiatric hospitalization—a group that is at ultrahigh-risk for suicide. Retrospective chart review was used to quantify the rate of SI in 252 consecutive patients discharged to a post-hospital mental health clinic. Data include patients’ lifetime history of SI, SI at the time of hospital intake, and SI at post-hospital outpatient clinic intake, as well as demographics and diagnosis. Overall, 67% of the sample reported a lifetime history of SI, 49% reported SI during hospital intake, and 6% reported SI at post-hospital clinic intake. Age was the only variable associated with history of SI (p = .04), with younger patients more likely (OR = 1.85) to report a history of SI. These results may help inform the development of interventions for the population of ultrahigh-risk patients being discharged from hospital after psychiatric care.

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Funding

Partial financial support for this study was provided by Merit Review Award I01BX003195 from the U.S. Department of Veterans Affairs Biomedical Laboratory Research and Development Service (to JOC) and the National Center for Advancing Translational Studies (Translational Sciences Training Award TL1 TR002647 to GAP). The content is the sole the responsibility of the authors and does not necessarily represent the views of the U.S. Department of Veterans Affairs, United States Government, and National Center for Advancing Translational Studies.

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All authors certify their responsibility for this manuscript. GP was lead author and data coder; CS conducted primary statistical analyses and was lead author of the methods; JO collaborated in study design, interpretation of data, and draft editing, KK was secondary coder and contributed to draft editing, DR conceptualized the study, oversaw data collection, and co-wrote all drafts.

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Correspondence to David L. Roberts.

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The authors report no conflicts of interest

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This study was approved by the UTHSCSA Institutional Review Board.

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Porter, G.A., Straud, C., O’Connor, J.C. et al. Suicidal Ideation Across Three Timepoints in Patients Discharged from Psychiatric Hospitalization. Community Ment Health J 58, 806–811 (2022). https://doi.org/10.1007/s10597-021-00889-4

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