Taipei Medical University

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Lin HC
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------>journal_name=Journal of Affective Disorders
------>paper_name=Hospital Characteristics Associated with Post-discharge Suicide of Severely Depressed Patients
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------>fullAbstract=PURPOSE: To explore risk factors, such as characteristics of psychiatrist, patient and hospital at index hospitalization, associated with depressed patients who committed suicide within 3 months of discharge using a case-control design. METHODS: By linking the Taiwanese nationwide mortality database and the National Health Insurance dataset, all hospitalized patients with major depression who committed suicide within a 90-day period post-discharge during the years 2002-2004 were selected as a study cohort (n=85). We randomly selected 425 cases (five for every case in the study cohort) that were matched with the study cohort in terms of age, gender and date of discharge as a control cohort. Cox proportional hazard regression was carried out to compute the adjusted 90-day survival rate after adjusting for other factors. RESULTS: The majority of suicide occurred 30 days after discharge from hospitals, with a mean of 29.9 days. The adjusted hazard for committing suicide after hospital discharge for patients who left on their own initiative was 2.85 times (95% CI=1.387-5.856, p=0.004) greater than for those who were discharged with doctors~ approval. Furthermore, the adjusted hazard for patients who were discharged from medical centers was higher than for patients discharged from regional hospitals, by a multiple of 3.38 (95% CI=1.421-8.055, p=0.006). LIMITATIONS: Some patient-specific predictors of post-discharge suicide, such as suicidal ideation prior to admission, recent life events and social relationships with close relatives were not available. CONCLUSION: We conclude that, in addition to patient characteristics, hospital characteristics also constitute important risk factors for suicide within 90 days of discharge for depressed patients.
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------>authors2=Lee HC
------>authors3=Chu CH
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------>authors=Lin HC
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------>updateTitle=Hospital characteristics associated with post-discharge suicide of severely depressed patients.
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------>publish_year=2008
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A B C D E F G H I J K L M N O P Q R S T U V W X Y Z