Medical Chart Review to Explore Suicidal and Self-Harm Thoughts and Behavior Among Psychiatric Inpatients

Author:

Stoliker Bryce E.1ORCID,Balogun Temilola1,Wangler Haile1,Mela Mansfield1,Jewell Lisa M.1,Nixon Brent2,Nwachukwu Kingsley2

Affiliation:

1. Centre for Forensic Behavioural Science and Justice Studies, University of Saskatchewan, Saskatoon, SK, Canada

2. Saskatchewan Health Authority, Saskatchewan Hospital, North Battleford, SK Canada

Abstract

Suicide and self-harm events are elevated in psychiatric inpatient populations. In this study, health data were retrospectively collected from the medical records of 183 patients (97 civil and 86 forensic) who had resided in, or been admitted to, a public psychiatric hospital in Saskatchewan, Canada from April 1 to December 31, 2021. Descriptive and inferential analyses were conducted to estimate prevalence and correlates of (non-fatal) suicide and self-harm events, including recent and lifetime occurrences, according to patients’ health information. Nearly two-thirds (62%) of patients had any record of non-fatal suicide or self-harm events, including a lifetime history of self-harm (42%) and suicidal behavior (37%) as well as recent self-harm (24%) and suicidal (31%) thoughts or behaviors. Forensic patients were significantly more likely to have a record of suicide and self-harm events. This study emphasizes the need for further research into the course of suicidality and self-harm in psychiatric inpatients.

Publisher

SAGE Publications

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