Are there associations between caregiver information and suicidal behavior in psychiatric inpatients?

Bauer, Rita and Spiessl, Hermann and Schmidt, Tanja (2012) Are there associations between caregiver information and suicidal behavior in psychiatric inpatients? INTERNATIONAL JOURNAL OF PSYCHIATRY IN CLINICAL PRACTICE, 16 (3). 238-U85. ISSN 1365-1501,

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Abstract

Objective: The study aimed at exploring associations between inpatient suicides/attempted suicides in a psychiatric hospital and involvement of family caregivers in treatment. Methods: Based on the German psychiatric basic documentation systems (DGPPN-BADO), we analyzed a total sample of 49,257 cases of inpatient care (1998-2007) from a large psychiatric tertiary care university hospital and as a subsample all cases of schizophrenia, depression, acute stress/adjustment disorders and personality disorders (n = 22,880). Involvement of family caregivers was evaluated according to the following variables: admission to hospital due to recommendation of caregiver, conversation between therapist and caregiver, psychoeducation of caregiver as well as psychopharmacological and/or psychotherapeutic non-compliance of patient. Descriptive and bivariate analyses were performed. Results: Of the 22,880 cases in the subsample, 31 inpatient suicides and 198 attempted inpatient suicides were recorded. We could not find any significant associations of caregiver involvement variables with inpatient suicide. In contrast, for the total sample (n = 49,257), attempted suicide was associated with more conversation between therapists and caregivers (chi(2) = 3.863, df = 1, p = 0.049) and with psychopharmacological (chi(2) = 4.822, df = 1, p = 0.028) and psychotherapeutic (chi(2) = 13.041, df = 1, p = 0.000) non-compliance of the patients. Conclusion: Further research is needed regarding the influence of caregivers on suicidal behavior of mentally ill inpatients.

Item Type: Article
Uncontrolled Keywords: RISK-FACTORS; SCHIZOPHRENIA; PSYCHOEDUCATION; INTEGRATION; BURDEN; RATES; Suicide; suicide attempt; caregiver; mental disorder; psychiatry
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Psychiatrie und Psychotherapie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 07 May 2020 05:09
Last Modified: 07 May 2020 05:09
URI: https://pred.uni-regensburg.de/id/eprint/18248

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