期刊
BRITISH JOURNAL OF PSYCHIATRY
卷 201, 期 3, 页码 233-238出版社
CAMBRIDGE UNIV PRESS
DOI: 10.1192/bjp.bp.111.104422
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资金
- National Institute for Health Research [RP-PG-0606-1247]
- National Patient Safety Agency
- Health Quality Improvement Partnership
- National Institutes of Health Research (NIHR) [RP-PG-0606-1247] Funding Source: National Institutes of Health Research (NIHR)
Background Risk of self-harm and suicide is greatly increased in the period after discharge from psychiatric in-patient care. Aims To investigate the impact on suicide of a series of policy initiatives to enhance care in the immediate post-discharge period. Method A time series analysis was based on 1997-2007 data from the National Confidential Inquiry into Suicide and from Hospital Episode Statistics for England. Results There was no evidence of a reduced risk of suicide in the first 12 weeks following discharge in 2003-2007 compared with 1997-2002. In contrast, the relative risk of non-fatal self-harm in the 12 weeks after discharge declined. The risk ratio for self-harm (2003-2007 V. 1997-2002) at 0-1 week post-discharge was 0.86 (95% CI 0.80-0.92) and at 2-4 weeks it was 0.89 (95% CI 0.85-0.94). Conclusions These findings provide some support for the impact of recent policy changes on the risk of non-fatal self-harm in the immediate period after discharge from psychiatric in-patient care.
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