Scipediacontent: Scipediacontent moved page Draft Content 932237938 to Lukaschek et al 2014a

2021-02-16T09:22:03Z

Scipediacontent moved page Draft Content 932237938 to Lukaschek et al 2014a

Scipediacontent: Created page with " == Abstract == BackgroundSuicide prediction during psychiatric in-patient treatment remains an unresolved challenge...."

2021-02-16T09:22:00Z

Created page with " == Abstract == Background</jats:title><jats:p>Suicide prediction during psychiatric in-patient treatment remains an unresolved challenge.</jats:p>..."

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== Abstract ==

BackgroundSuicide prediction during psychiatric in-patient treatment remains an unresolved challenge.AimsTo identify determinants of railway suicides in individuals receiving in-patient psychiatric treatment.MethodThe study population was drawn from patients admitted to six psychiatric hospitals in Germany during a 10-year period (1997–2006). Data from 101 railway suicide cases were compared with a control group of 101 discharged patients matched for age, gender and diagnosis.ResultsPredictors of suicide were change of therapist (OR = 22.86, P = 0.004), suicidal ideation (OR = 7.92, P<0.001), negative or unchanged therapeutic course (OR = 7.73, P<0.001), need of polypharmaceutical treatment (OR = 2.81, P = 0.04) and unemployment (OR = 2.72, P = 0.04). Neither restlessness nor impulsivity predicted in-patient suicide.ConclusionsSuicidal ideation, unfavourable clinical course and the use of multiple psychotropic substances (reflecting the severity of illness) were strong determinants of railway suicides. The most salient finding was the vital impact of a change of therapist. These findings deserve integration into the clinical management of patients with serious mental disease.</jats:sec

== Original document ==

The different versions of the original document can be found in:

* [http://dx.doi.org/10.1192/bjp.bp.113.139352 http://dx.doi.org/10.1192/bjp.bp.113.139352]

* [https://www.cambridge.org/core/services/aop-cambridge-core/content/view/44DFD2E690AD25264899D650AA052C61/S0007125000278148a.pdf/div-class-title-determinants-of-completed-railway-suicides-by-psychiatric-in-patients-case-control-study-div.pdf https://www.cambridge.org/core/services/aop-cambridge-core/content/view/44DFD2E690AD25264899D650AA052C61/S0007125000278148a.pdf/div-class-title-determinants-of-completed-railway-suicides-by-psychiatric-in-patients-case-control-study-div.pdf]

* [http://www.ncbi.nlm.nih.gov/pubmed/25257065 http://www.ncbi.nlm.nih.gov/pubmed/25257065],
: [https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/determinants-of-completed-railway-suicides-by-psychiatric-inpatients-casecontrol-study/44DFD2E690AD25264899D650AA052C61 https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/determinants-of-completed-railway-suicides-by-psychiatric-inpatients-casecontrol-study/44DFD2E690AD25264899D650AA052C61],
: [http://bjp.rcpsych.org/content/bjprcpsych/205/5/398.full.pdf http://bjp.rcpsych.org/content/bjprcpsych/205/5/398.full.pdf],
: [https://www.safetylit.org/citations/index.php?fuseaction=citations.viewdetails&citationIds[]=citjournalarticle_459570_19 https://www.safetylit.org/citations/index.php?fuseaction=citations.viewdetails&citationIds[]=citjournalarticle_459570_19],
: [https://academic.microsoft.com/#/detail/2125715186 https://academic.microsoft.com/#/detail/2125715186]

* [https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S0007125000278148 https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S0007125000278148],
: [http://dx.doi.org/10.1192/bjp.bp.113.139352 http://dx.doi.org/10.1192/bjp.bp.113.139352] under the license https://www.cambridge.org/core/terms

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Lukaschek et al 2014a - Revision history

Scipediacontent: Scipediacontent moved page Draft Content 932237938 to Lukaschek et al 2014a

Scipediacontent: Created page with " == Abstract == BackgroundSuicide prediction during psychiatric in-patient treatment remains an unresolved challenge...."