Completed suicide in medical/surgical patients: Who is at risk?

J. Michael Bostwick, Sandra J. Rackley

Research output: Contribution to journalReview article

33 Citations (Scopus)

Abstract

Factors-contributing to patients killing themselves while admitted Jo general hospital medical/surgical (med/surg) units have not been well described. These rare yet devastating suicides appear to have characteristics distinguishing them from suicides in psychiatric inpatients. This article emphasizes the importance of both agitation and readily available lethal means in suicides that are almost invariably impulsive. It also emphasizes how traditional risk factors such as past history of psychiatric illness, substance abuse, or suicidality typically are absent imthis population, as are present depression and known suicidality. Caregivers seeking to prevent suicide in the med/surg environment therefore must appreciate the potential lethality of acute psychic and motoric agitation. Close surveillance of agitated patients, with interventions to calm them and secure their surroundings, will assure safety and save lives.

Original languageEnglish (US)
Pages (from-to)242-246
Number of pages5
JournalCurrent Psychiatry Reports
Volume9
Issue number3
DOIs
StatePublished - Jun 1 2007

Fingerprint

Suicide
Psychiatry
General Hospitals
Caregivers
Substance-Related Disorders
Inpatients
Depression
Safety
Population

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Completed suicide in medical/surgical patients : Who is at risk? / Bostwick, J. Michael; Rackley, Sandra J.

In: Current Psychiatry Reports, Vol. 9, No. 3, 01.06.2007, p. 242-246.

Research output: Contribution to journalReview article

@article{601c86b584c94d75b3edcf036c009f36,
title = "Completed suicide in medical/surgical patients: Who is at risk?",
abstract = "Factors-contributing to patients killing themselves while admitted Jo general hospital medical/surgical (med/surg) units have not been well described. These rare yet devastating suicides appear to have characteristics distinguishing them from suicides in psychiatric inpatients. This article emphasizes the importance of both agitation and readily available lethal means in suicides that are almost invariably impulsive. It also emphasizes how traditional risk factors such as past history of psychiatric illness, substance abuse, or suicidality typically are absent imthis population, as are present depression and known suicidality. Caregivers seeking to prevent suicide in the med/surg environment therefore must appreciate the potential lethality of acute psychic and motoric agitation. Close surveillance of agitated patients, with interventions to calm them and secure their surroundings, will assure safety and save lives.",
author = "Bostwick, {J. Michael} and Rackley, {Sandra J.}",
year = "2007",
month = "6",
day = "1",
doi = "10.1007/s11920-007-0026-6",
language = "English (US)",
volume = "9",
pages = "242--246",
journal = "Current Psychiatry Reports",
issn = "1523-3812",
publisher = "Current Science, Inc.",
number = "3",

}

TY - JOUR

T1 - Completed suicide in medical/surgical patients

T2 - Who is at risk?

AU - Bostwick, J. Michael

AU - Rackley, Sandra J.

PY - 2007/6/1

Y1 - 2007/6/1

N2 - Factors-contributing to patients killing themselves while admitted Jo general hospital medical/surgical (med/surg) units have not been well described. These rare yet devastating suicides appear to have characteristics distinguishing them from suicides in psychiatric inpatients. This article emphasizes the importance of both agitation and readily available lethal means in suicides that are almost invariably impulsive. It also emphasizes how traditional risk factors such as past history of psychiatric illness, substance abuse, or suicidality typically are absent imthis population, as are present depression and known suicidality. Caregivers seeking to prevent suicide in the med/surg environment therefore must appreciate the potential lethality of acute psychic and motoric agitation. Close surveillance of agitated patients, with interventions to calm them and secure their surroundings, will assure safety and save lives.

AB - Factors-contributing to patients killing themselves while admitted Jo general hospital medical/surgical (med/surg) units have not been well described. These rare yet devastating suicides appear to have characteristics distinguishing them from suicides in psychiatric inpatients. This article emphasizes the importance of both agitation and readily available lethal means in suicides that are almost invariably impulsive. It also emphasizes how traditional risk factors such as past history of psychiatric illness, substance abuse, or suicidality typically are absent imthis population, as are present depression and known suicidality. Caregivers seeking to prevent suicide in the med/surg environment therefore must appreciate the potential lethality of acute psychic and motoric agitation. Close surveillance of agitated patients, with interventions to calm them and secure their surroundings, will assure safety and save lives.

UR - http://www.scopus.com/inward/record.url?scp=34250193664&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34250193664&partnerID=8YFLogxK

U2 - 10.1007/s11920-007-0026-6

DO - 10.1007/s11920-007-0026-6

M3 - Review article

C2 - 17521522

AN - SCOPUS:34250193664

VL - 9

SP - 242

EP - 246

JO - Current Psychiatry Reports

JF - Current Psychiatry Reports

SN - 1523-3812

IS - 3

ER -