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Postdischarge Suicides

Postdischarge Suicides Opinion EDITORIAL Nightmare and Disgrace Merete Nordentoft, DMSc; Annette Erlangsen, PhD; Trine Madsen, PhD It is devastating when a person who has recently been dis- verely ill group of patients who also have a higher risk for sui- charged from a psychiatric hospital dies by suicide. The act cide after discharge. Furthermore, the US sample did not cover demonstrates the patient’s suffering, lack of hope, disap- persons who were privately insured or uninsured (ie, not eli- pointment, and despair. gible for Medicaid services). Access to mental health care in Family members and next of the United States largely depends on insurance coverage, and Related article page 1119 kin are hit by sorrow and cri- findings indicate that persons with no insurance but a mental sis. Often they will blame themselves or feel that the psychi- disorder are less likely than all types of insurance holders to atric services were inadequate. For the psychiatrist who see a health care professional. treated the patient, a postdischarge suicide can be associated Apart from mental disorders, a history of deliberate self- with self-blame and the risk for being accused of misconduct. harm (DSH) has been linked to an elevated risk for suicide af- http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Psychiatry American Medical Association

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Publisher
American Medical Association
Copyright
Copyright 2016 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-622X
eISSN
2168-6238
DOI
10.1001/jamapsychiatry.2016.2010
pmid
27653829
Publisher site
See Article on Publisher Site

Abstract

Opinion EDITORIAL Nightmare and Disgrace Merete Nordentoft, DMSc; Annette Erlangsen, PhD; Trine Madsen, PhD It is devastating when a person who has recently been dis- verely ill group of patients who also have a higher risk for sui- charged from a psychiatric hospital dies by suicide. The act cide after discharge. Furthermore, the US sample did not cover demonstrates the patient’s suffering, lack of hope, disap- persons who were privately insured or uninsured (ie, not eli- pointment, and despair. gible for Medicaid services). Access to mental health care in Family members and next of the United States largely depends on insurance coverage, and Related article page 1119 kin are hit by sorrow and cri- findings indicate that persons with no insurance but a mental sis. Often they will blame themselves or feel that the psychi- disorder are less likely than all types of insurance holders to atric services were inadequate. For the psychiatrist who see a health care professional. treated the patient, a postdischarge suicide can be associated Apart from mental disorders, a history of deliberate self- with self-blame and the risk for being accused of misconduct. harm (DSH) has been linked to an elevated risk for suicide af-

Journal

JAMA PsychiatryAmerican Medical Association

Published: Nov 21, 2016

References