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Suicide during Transition of Care: a Review of Targeted Interventions.

Authors
  • Chaudhary, Amna Mohyud Din1
  • Memon, Raheel Imtiaz2
  • Dar, Sabrina Kamil3
  • Bhullar, Darmant Kaur4
  • Dar, Kamil Rehmani5
  • Naveed, Sadiq6
  • 1 Nishtar Medical College and Hospital, Multan, Pakistan. [email protected] , (Pakistan)
  • 2 Henry Ford Allegiance Health, Jackson, MI, USA.
  • 3 St. Elizabeth's Medical Center, Boston, MA, USA.
  • 4 Bronx Care Health System, Bronx, NY, USA.
  • 5 Zucker Hillside Hospital, Glen Oaks, NY, USA.
  • 6 University of Kansas Medical Center, Kansas City, KS, USA.
Type
Published Article
Journal
Psychiatric Quarterly
Publisher
Springer-Verlag
Publication Date
Jun 01, 2020
Volume
91
Issue
2
Pages
417–450
Identifiers
DOI: 10.1007/s11126-020-09712-x
PMID: 31960191
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The risk of suicide is significant during the transition of care; the highest in the first few weeks after discharge from a healthcare facility. This systematic review summarizes the evidence for interventions providing care during this high-risk period. In January 2019, PubMed and Scopus were systematically searched using the search terms: Suicide AND (Hospital OR Emergency department) AND Discharge. Articles relevant to interventions targeting suicidal behaviors during the transition of care were selected after the title and abstract screening followed by full-text screening. This review article included 40 articles; with a total patient population of 24,568. The interventions included telephone contacts, letters, green cards, postcards, structured visits, and community outreach programs. An improvement in the engagement of patients in outpatient services was observed but the evidence for suicidal behaviors was conflicting. The reviewed interventions were efficacious in linking patients to outpatient services, reducing feelings of social isolation and helping patients in navigating the available community resources. For patients with repetitive suicidal behaviors, psychosocial interventions such as dialectical behavioral therapy can be helpful. Patients should be followed by targeted interventions based on risk categorization of the patients by using evidence-based tools.

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