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Suicide after hospital contact for psychiatric assessment in Hong Kong: A long-term cohort study
Leung, Chi-Ming1; Lee, Sing2; Lee, Dominic T. S.3; Yan, Connie T. Y.4; So, John5; Ungvari, Gabor S.6; Ng, Chee H.7; Xiang, Yu-Tao8
2018-06
Source PublicationPSYCHIATRY RESEARCH
ISSN0165-1781
Volume264Pages:266-269
Abstract

There are few long-term studies on suicide in psychiatric settings in China. The objective of this study was to evaluate the long term suicide risk and its associated factors after the initial psychiatric assessment. Demographic and clinical data of adult subjects receiving psychiatric assessment between 1996 and 2000 in a district hospital in Hong Kong were retrieved from the hospital computer system. Data were matched with completed suicides before June 30 2015 as recorded by the Coroner's Office. From a total of 4078 subjects identified, there were 152 (3.7%) recorded suicides; one-fifth of suicides occurred within one year, and half within 5 years. Cox regression analysis revealed that the risk of suicide after the initial psychiatric assessment was positively associated with deliberate self-harm (Hazard ratio = 2.1; 95%CI = 1.5-3.0; p < 0.001), and negatively associated with 'no psychiatric disorder' (Hazard ratio = 0.4; 95%CI = 0.2-0.6; p = 0.001). The overall suicide risk for those diagnosed to have a psychiatric disorder was 4.4%; 4.5% for men and 4.3% for women. Deliberate self-harm and having a psychiatric disorder at the time of assessment are significant risk factors of suicide. Appropriate treatment of psychiatric disorders and comprehensive management of deliberate self-harm are important for suicide prevention.

KeywordSuicide Cohort Study Psychiatric Disorders Deliberate Self-harm Chinese
DOIhttp://doi.org/10.1016/j.psychres.2018.03.090
URLView the original
Indexed BySCI ; SSCI ; SSCI
Language英语
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:000437361300038
PublisherELSEVIER IRELAND LTD
The Source to ArticleWOS
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Cited Times [WOS]:1   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionFaculty of Health Sciences
Corresponding AuthorLeung, Chi-Ming; Xiang, Yu-Tao
Affiliation1.Department of Psychiatry, Shatin Hospital, Hong Kong SAR, China
2.Department of Psychiatry, Chinese University of Hong Kong SAR, China
3.Centre of Suicide Research and Prevention at the University of Hong Kong, Hong Kong SAR, China.
4.Department of Psychiatry, Shatin Hospital, Hong Kong SAR, China.
5.Private Practice Psychiatrist, Hong Kong SAR, China
6.University of Notre Dame Australia/Marian Centre, Perth, Australia; Graylands Hospital, Perth, Australia.
7.Department of Psychiatry, University of Melbourne, Melbourne, Victoria, Australia.
8.Faculty of Health Sciences, University of Macau, Macao SAR, China
Corresponding Author AffilicationFaculty of Health Sciences
Recommended Citation
GB/T 7714
Leung, Chi-Ming,Lee, Sing,Lee, Dominic T. S.,et al. Suicide after hospital contact for psychiatric assessment in Hong Kong: A long-term cohort study[J]. PSYCHIATRY RESEARCH,2018,264:266-269.
APA Leung, Chi-Ming.,Lee, Sing.,Lee, Dominic T. S..,Yan, Connie T. Y..,So, John.,...&Xiang, Yu-Tao.(2018).Suicide after hospital contact for psychiatric assessment in Hong Kong: A long-term cohort study.PSYCHIATRY RESEARCH,264,266-269.
MLA Leung, Chi-Ming,et al."Suicide after hospital contact for psychiatric assessment in Hong Kong: A long-term cohort study".PSYCHIATRY RESEARCH 264(2018):266-269.
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