Journal List > J Korean Neuropsychiatr Assoc > v.58(3) > 1131980

J Korean Neuropsychiatr Assoc. 2019 Aug;58(3):202-208. Korean.
Published online Aug 31, 2019.  https://doi.org/10.4306/jknpa.2019.58.3.202
Copyright © 2019 Korean Neuropsychiatric Association
Factors Associated with Suicidal Behavior of Psychiatric Inpatients
Honey Kim, MD, MSc,1 Ju-Wan Kim, MD, MSc,1 Hee-Ju Kang, MD, PhD,1 Seon-Young Kim, MD, PhD,1 Ju-Yeon Lee, MD, MSc,1,2,3 Jae-Min Kim, MD, PhD,1 Il-Seon Shin, MD, PhD,1 Jin-Sang Yoon, MD, PhD,1 and Sung-Wan Kim, MD, PhD1,2,3
1Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea.
2Gwangju Mental Health and Welfare Commision, Gwangju, Korea.
3Gwangju Bukgu Community Mental Health and Welfare Center, Gwangju, Korea.

Address for correspondence: Sung-Wan Kim, MD, PhD. Department of Psychiatry, Chonnam National University Medical School, 160 Baekseo-ro, Dong-gu, Gwangju 61469, Korea. Tel +82-62-220-6148, Fax +82-62-225-2351, Email: swkim@chonnam.ac.kr
Received Feb 15, 2019; Revised Apr 17, 2019; Accepted May 20, 2019.

Abstract

Objectives

This study examined the factors associated with suicidal behavior in psychiatric inpatients.

Methods

The medical records of 208 psychiatric inpatients were reviewed retrospectively. The factors related to suicide attempts and ideation at the time of admission, and during outpatient follow-up, were investigated.

Results

In total, 120 patients (57.7%) with a history of at least one suicide attempt, and 163 patients (78.4%) who reported active suicide ideation (e.g., a suicide plan or intention to commit suicide) at the time of admission were reviewed. Being unmarried or divorced, substance abuse, impulsivity, and a poor social support system were associated with a history of suicide attempts. The suicidal ideation group had significantly higher rates of coexisting depression, severe depressive symptoms, hopelessness, and impulsivity, as well as a lower incidence of moral objection to suicide and high religiosity. In total, 15 out of 193 patients (7.8%) who were followed-up at outpatient clinics attempted suicide after discharge. Patients who attempted suicide or reported suicidal ideation at the outpatient clinic after discharge were significantly more likely to have a history of previous suicide attempts, or have had active suicide ideation at the time of admission. Good social support and high responsibility to family were inversely associated with suicidal ideation as an outpatient.

Conclusion

A history of suicide attempts and ideation at the time of hospital admission were the risk factors for future outpatient suicidal behavior. Further study is warranted to develop a checklist and assessment measures of the various risk and protective factors associated with suicidal behavior.

Keywords: Suicide; Suicidal ideation; Risk factor; Protective factor; Inpatients

Tables


Table 1
Characteristics of patients with a history of previous suicide attempt and current active suicide ideation
Click for larger image


Table 2
Characteristics of patients with suicide ideation or attempting suicide during follow up
Click for larger image

Notes

Conflicts of Interest:The authors have no financial conflicts of interest.

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