Risk factors for suicide in the immediate post-discharge period

摘要: Suicide risk is highest in the first few months following psychiatric in-patient care. Most data on post-discharge suicides have come from Western countries. Many studies collected cases of suicide over a long period and did not focus this high-risk period. This study aims to describe characteristics examine factors occurring immediate Hong Kong. A case-control based discharged patients all hospitals/units Kong 1997–1999. Suicides within 60 days discharge hospitals (N = 97) were ascertained by record linkage with Coroner’s court data. Controls matched for age, gender, diagnoses, hospitals, dates discharge. Possible extracted in- out-patient records, identified conditional logistic regression. The commonest diagnosis method schizophrenia falling height, respectively. There no significant differences drug treatment received. Risk were: previous deliberate self-harm (OR = 2.3, 95% CI = 1.07–5.05), admission (OR = 3.2, CI = 1.3–7.8), compulsory (OR = 3.1, CI = 1.1–8.7), living alone (OR = 5.8, CI = 1.4–23), work stresses (OR = 5.4, CI = 1.5–18) being out contact (OR = 7.9, CI = 1.87–33). overall number had greater screening efficacy than any single factor. Vulnerable (previous suicidality) uncooperative (compulsory contact) who live are exposed prone suicide. Thorough circumstances leading index admissions, management stresses, improved engagement follow-up care systematic assessment indicated.