Risk factors and precautions of inpatient suicide from the perspective of nurses: A qualitative study

De-ying Hu , Di Huang , Yu Xiong , Cai-hong Lu , Yan-hong Han , Xiao-ping Ding , Shu-jie Wang , Yi-lan Liu

Current Medical Science ›› 2015, Vol. 35 ›› Issue (2) : 295 -301.

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Current Medical Science ›› 2015, Vol. 35 ›› Issue (2) : 295 -301. DOI: 10.1007/s11596-015-1427-0
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Risk factors and precautions of inpatient suicide from the perspective of nurses: A qualitative study

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Abstract

The risk factors and precautions of inpatient suicide were explored. Thirty suicide victims were drawn from the adverse event reports of suicidal act during hospitalization in a general hospital from 2008 to 2014. Data were gathered from the focus group interviews of twelve nurses who had experienced inpatient suicide. The data were analyzed by using analytical technique based on grounded theory, and software QSR NVIVO8 was used to aid the collation of data. Three main themes of risk factors about inpatient suicide emerged from the analysis: individual value, social factors and environmental factors. The individual value was categorized into different groups such as sense of guilt, hopelessness and low self-esteem. Social factors included two aspects of negative life events and social support. Three themes of precautions about inpatient suicide appeared in this study: evaluation, nursing and information exchange. Evaluation was elaborated from both physical and psychological assessments. This finding extends existing work of risk factors and precautions about inpatient suicide and brings new knowledge about the reasons why inpatients commit suicide.

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inpatient / suicide / risk factors / precautions / qualitative study

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De-ying Hu, Di Huang, Yu Xiong, Cai-hong Lu, Yan-hong Han, Xiao-ping Ding, Shu-jie Wang, Yi-lan Liu. Risk factors and precautions of inpatient suicide from the perspective of nurses: A qualitative study. Current Medical Science, 2015, 35(2): 295-301 DOI:10.1007/s11596-015-1427-0

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References

[1]

MarisRW. Suicide. Lancet, 2002, 360(9329): 319-326 PMID: 12147388

[2]

NeunerT, SchmidR, WolfersdorfM, et al. . Predicting inpatient suicides and suicide attempts by using clinical routine data. Gen Hosp Psychiatry, 2008, 30(4): 324-330 PMID: 18585535

[3]

HøyerEH, LichtRW, MortensenPB. Risk factors of suicide in inpatients and recently discharged patients with affective disorders: A case-control study. Eur Psychiatry, 2009, 24(5): 317-321 PMID: 19410433

[4]

KingEA, BaldwinDS, SinclairJM, et al. . The Wessex Recent In-Patient Suicide Study, 1. Case-control study of 234 recently discharged psychiatric patient suicides. Br J Psychiatry, 2001, 178: 531-536 PMID: 11388969

[5]

KingEA, BaldwinDS, SinclairJM, et al. . The Wessex Recent In-Patient Suicide Study, 2. Case-control study of 59 inpatient suicides. Br J Psychiatry, 2001, 178: 537-542 PMID: 11388970

[6]

ChengIC, HuFC, TsengMC. Inpatient suicide in a general hospital. Gen Hosp Psychiatry, 2009, 31(2): 110-115 PMID: 19269530

[7]

SunFK, LongA, BooreJ, et al. . Nursing people who are suicidal on psychiatric wards in Taiwan: action/interaction strategies. J Psychiatr Ment Health Nurs, 2005, 12(3): 275-282 PMID: 15876233

[8]

DoodyO, SlevinE, TaggartL. Preparing for and conducting focus groups in nursing research: part 2. Br J Nurs, 2013, 22(3): 170-173 PMID: 23411826

[9]

DoodyO, SlevinE, TaggartL. Focus group interviews in nursing research: part 1. Br J Nurs, 2013, 22(1): 16-19 PMID: 23299206

[10]

StraussAL, CorbinJM. Basic of Qualitative Research: Grounded Theory Procedures and Techniques, 1990, London, Sage

[11]

StraussAL, CorbinJM. Basic of Qualitative Research: Grounded Theory Procedures and Techniques, 19982nd edsLondon, Sage

[12]

EavesYD. A synthesis technique for grounded theory data analysis. J Adv Nurs, 2001, 35(5): 654-663 PMID: 11529967

[13]

WilligC. Introducing Qualitative Research in Psychology, 20132nd edsGK, Post & Telecom Press

[14]

CarlénP, BengtssonA. Suicidal patients as experienced by psychiatric nurses in inpatient care. Int J Ment Health Nurs, 2007, 16(4): 257-265 PMID: 17635625

[15]

LiXY, MichaelP, ZhangYP. The study on the validity of a suicide-specific life event scale and suicidal behavior. Chin J Nerv Ment Di (Chinese), 2008, 34(3): 156-160

[16]

WuJL, LinDX, JiangQJ, et al. . Medical psychology, 2001, Beijing, Higher Education Press, 77-78

[17]

HuDY, LiuYL, DengXF, et al. . The thought: inpatient suicide in general tertiary hospitals. J Nursing Sci (Chinese), 2014, 29(7): 61-63

[18]

SharmaV, PersadE, KuenemanK. A closer look at inpatient suicide. J Affect Disord, 1998, 47(1–3): 123-129 PMID: 9476752

[19]

Muir-CochraneE, OsterC, GrottoJ, et al. . The inpatient psychiatric unit as both a safe and unsafe place: Implications for absconding. Int J Ment Health Nurs, 2013, 22(4): 304-312 PMID: 23009358

[20]

BowersL, BandaT, NijmanH. Suicide inside: a systematic review of inpatient suicides. J Nerv Ment Dis, 2010, 198(5): 318-328

[21]

SinclairJM, HarrissL, BaldwinDS, et al. . Suicide in depressive disorders: a retrospective case-control study of 127 suicides. J Affect Disord, 2005, 87(1): 107-113 PMID: 15913784

[22]

TishlerCL, ReissNS. Inpatient suicide: preventing a common sentinel event. Gen Hosp Psychiatry, 2009, 31(2): 103-109 PMID: 19269529

[23]

LiuY, ZhaoG, LiF, et al. . Nursing-related patient safety events in hospitals. J Huazhong Univ Sci Technolog Med Sci, 2009, 29(2): 265-268 PMID: 19399419

[24]

WiklanderM, SamuelssonM, JokinenJ, et al. . Shame-proneness in attempted suicide patients. BMC Psychiatry, 2012, 12: 50 PMCID: 3492007 PMID: 22632273

[25]

DavidsenAS. ’And then one day he’d shot himself. Then I was really shocked’: general practitioners’ reaction to patient suicide. Patient Educ Couns, 2011, 85(1): 113-118 PMID: 20880655

[26]

KimB, GillhamDM. The experience of young adult cancer patients described through online narratives. Cancer Nurs, 2013, 36(5): 377-384 PMID: 23842521

[27]

PompiliM, InnamoratiM, GondaX, et al. . Affective temperaments and hopelessness as predictors of health and social functioning in mood disorder patients: A prospective follow-up study. J Affect Disord, 2013, 150(2): 216-222 PMID: 23684516

[28]

Díaz-MartínA, González-Carpio Paredes. Follow-up of primary care patients with a NANDA I nursing diagnosis of low self-esteem. Enferm Clin, 2013, 23(5): 196-202 PMID: 24169361

[29]

SakinofskyI. Preventing suicide among inpatients. Can J Psychiatry, 2014, 59(3): 131-140 PMCID: 4079240 PMID: 24881161

[30]

FairmanN, ThomasLP, WhitmoreS, et al. . What did I miss? A qualitative assessment of the impact of patient suicide on hospice clinical staff. J Palliat Med, 2014, 17(7): 832-836 PMID: 24717077

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