Mortier, P., Conde, S., et al. (2024).
JAMA Network Open, 7(6), e2417131.
Key Points
Question What is the risk for premature death, suicide, and nonlethal intentional self-harm following discharge from psychiatric hospitalization?
Findings In this cohort study including 49 108 patients, risk for postdischarge premature death (age <70 years) and suicide was significantly higher compared with the general population. Premature death was associated with cognitive disorders and alcohol-related disorders in both sexes; suicide was associated with postdischarge nonlethal intentional self-harm in both sexes, with depressive and adjustment disorders in males, and with bipolar disorder in females.
Meaning The findings suggest individuals discharged from psychiatric inpatient care constitute a vulnerable population for premature death and suicidal behavior.
Here are some thoughts:
This study has shed light on a concerning reality: individuals discharged from psychiatric hospitalization face a significantly higher risk of premature death, suicide, and self-harm compared to the general population. This highlights the need for increased support and prevention strategies.
The study revealed specific mental health diagnoses, like cognitive and alcohol-related disorders, linked to a greater risk of premature death. Additionally, prior self-harm episodes and certain diagnoses, such as adjustment disorders and depression (males) or bipolar disorder (females), were identified as risk factors for suicide after discharge. The study also offers valuable insights into the prevalence of non-lethal self-harm, emphasizing the ongoing need for intervention.
These findings have significant implications. Early interventions for mental health conditions, particularly those linked to a higher risk of premature death, are crucial. Additionally, tailored support programs are essential for individuals with specific diagnoses and histories of self-harm. The study underscores the importance of robust aftercare plans that address suicide risk and self-harm tendencies as patients transition from inpatient care. Furthermore, the higher suicide rates among females discharged from care suggest potential disparities in access to treatment, highlighting the need for gender-sensitive approaches.
This research compels us to take action. We must advocate for increased resources for mental health services, raise awareness about suicide prevention and self-harm support systems, and work to reduce the stigma surrounding mental health conditions. By discussing these critical findings, we can contribute to a broader conversation about improving mental health outcomes and ensuring the well-being of individuals after discharge from psychiatric care.
