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Patients Who Die by Suicide: A Study of Treatment Patterns and Patient Safety Incidents in Norway

Underlying patterns and factors behind suicides of patients in treatment are still unclear and there is a pressing need for more studies to address this knowledge gap. We analysed 278 cases of suicide reported to The Norwegian System of Patient Injury Compensation, drawing on anonymised data, i.e.,...

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Autores principales: Krvavac, Sanja, Jansson, Billy, Bukholm, Ida Rashida Khan, Wynn, Rolf, Bystad, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9517916/
https://www.ncbi.nlm.nih.gov/pubmed/36078401
http://dx.doi.org/10.3390/ijerph191710686
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author Krvavac, Sanja
Jansson, Billy
Bukholm, Ida Rashida Khan
Wynn, Rolf
Bystad, Martin
author_facet Krvavac, Sanja
Jansson, Billy
Bukholm, Ida Rashida Khan
Wynn, Rolf
Bystad, Martin
author_sort Krvavac, Sanja
collection PubMed
description Underlying patterns and factors behind suicides of patients in treatment are still unclear and there is a pressing need for more studies to address this knowledge gap. We analysed 278 cases of suicide reported to The Norwegian System of Patient Injury Compensation, drawing on anonymised data, i.e., age group, gender, diagnostic category, type of treatment provided, inpatient vs. outpatient status, type of treatment facility, and expert assessments of medical errors. The data originated from compensation claim forms, expert assessments, and medical records. Chi-square tests for independence, multinominal logistic regression, and Bayes factors for independence were used to analyse whether the age group, gender, diagnostic category, inpatient/outpatient status, type of institution, and type of treatment received by patients that had died by suicide were associated with different types of medical errors. Patients who received medication tended to be proportionally more exposed to an insufficient level of observation. Those who received medication and psychotherapy tended to be proportionally more exposed to inadequate treatment, including inadequate medication. Inpatients were more likely to be exposed to inappropriate diagnostics and inadequate treatment and follow up while outpatients to insufficient level of observation and inadequate suicide risk assessment. We conclude that the patients who had received medication as their main treatment tended to have been insufficiently observed, while patients who had received psychotherapy and medication tended to have been provided insufficient treatment, including inadequate medication. These observations may be used as learning points for the suicide prevention of patients in treatment in Norwegian psychiatric services.
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spelling pubmed-95179162022-09-29 Patients Who Die by Suicide: A Study of Treatment Patterns and Patient Safety Incidents in Norway Krvavac, Sanja Jansson, Billy Bukholm, Ida Rashida Khan Wynn, Rolf Bystad, Martin Int J Environ Res Public Health Article Underlying patterns and factors behind suicides of patients in treatment are still unclear and there is a pressing need for more studies to address this knowledge gap. We analysed 278 cases of suicide reported to The Norwegian System of Patient Injury Compensation, drawing on anonymised data, i.e., age group, gender, diagnostic category, type of treatment provided, inpatient vs. outpatient status, type of treatment facility, and expert assessments of medical errors. The data originated from compensation claim forms, expert assessments, and medical records. Chi-square tests for independence, multinominal logistic regression, and Bayes factors for independence were used to analyse whether the age group, gender, diagnostic category, inpatient/outpatient status, type of institution, and type of treatment received by patients that had died by suicide were associated with different types of medical errors. Patients who received medication tended to be proportionally more exposed to an insufficient level of observation. Those who received medication and psychotherapy tended to be proportionally more exposed to inadequate treatment, including inadequate medication. Inpatients were more likely to be exposed to inappropriate diagnostics and inadequate treatment and follow up while outpatients to insufficient level of observation and inadequate suicide risk assessment. We conclude that the patients who had received medication as their main treatment tended to have been insufficiently observed, while patients who had received psychotherapy and medication tended to have been provided insufficient treatment, including inadequate medication. These observations may be used as learning points for the suicide prevention of patients in treatment in Norwegian psychiatric services. MDPI 2022-08-27 /pmc/articles/PMC9517916/ /pubmed/36078401 http://dx.doi.org/10.3390/ijerph191710686 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Krvavac, Sanja
Jansson, Billy
Bukholm, Ida Rashida Khan
Wynn, Rolf
Bystad, Martin
Patients Who Die by Suicide: A Study of Treatment Patterns and Patient Safety Incidents in Norway
title Patients Who Die by Suicide: A Study of Treatment Patterns and Patient Safety Incidents in Norway
title_full Patients Who Die by Suicide: A Study of Treatment Patterns and Patient Safety Incidents in Norway
title_fullStr Patients Who Die by Suicide: A Study of Treatment Patterns and Patient Safety Incidents in Norway
title_full_unstemmed Patients Who Die by Suicide: A Study of Treatment Patterns and Patient Safety Incidents in Norway
title_short Patients Who Die by Suicide: A Study of Treatment Patterns and Patient Safety Incidents in Norway
title_sort patients who die by suicide: a study of treatment patterns and patient safety incidents in norway
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9517916/
https://www.ncbi.nlm.nih.gov/pubmed/36078401
http://dx.doi.org/10.3390/ijerph191710686
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