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Perceived Coercion During Admission Into Psychiatric Hospitalization Increases Risk of Suicide Attempts After Discharge
Author(s) -
Jordan Joshua T.,
McNiel Dale E.
Publication year - 2020
Publication title -
suicide and life‐threatening behavior
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.544
H-Index - 90
eISSN - 1943-278X
pISSN - 0363-0234
DOI - 10.1111/sltb.12560
Subject(s) - coercion (linguistics) , psychiatry , medicine , suicide prevention , context (archaeology) , poison control , injury prevention , suicide attempt , occupational safety and health , suicidal ideation , clinical psychology , medical emergency , paleontology , philosophy , linguistics , pathology , biology
Abstract Objective There is an elevated risk for suicide in the year following psychiatric hospitalization. The present study examined whether perceived coercion during admission into psychiatric hospitalization increases risk for postdischarge suicide attempts. Methods Participants were 905 psychiatric inpatients from the MacArthur Violence Risk Assessment Study that were assessed every 10 weeks during the year following discharge. Perceived coercion during admission was assessed while hospitalized, and suicide attempts were assessed following discharge. Analyses adjusted for nonrandom assignment of groups via propensity score weighting and for established correlates of postdischarge suicidal behavior. Results Of 905 participants, 67% endorsed perception of coercion into psychiatric hospitalization, and 168 (19%) made a postdischarge suicide attempt. Patients who perceived coercion during hospitalization admission were more likely to make a suicide attempt after discharge than those who did not, even after adjusting for established covariates (OR = 1.29, | z | = 2.87, p = .004, 95% CI = 1.08, 1.54). There was no interaction between recent self‐harm or suicidal ideation at time of admission and perceived coercion on postdischarge suicide attempts. Conclusions Patients’ perception of the context in which they were hospitalized is associated with a small but significant increase in their likelihood of postdischarge suicide attempts.