title: [Risk factors for inpatient suicide].
abstract: OBJECTIVE
  The study aimed to examine suicidal behaviour during in-patient care in a psychiatric university hospital.
  
  
  METHODS
  Based upon a psychiatric basic documentation system prevalence and risk factors of in-patient suicides and suicide attempts were investigated (1995 - 2010).
  
  
  RESULTS
  A total of 42 in-patient suicides and 166 attempts were found among 16 251 patients. According to the multivariate logistic regression analysis the risk of suicide during hospitalization increases significantly for male patients, with more previous psychiatric hospitalizations and suicidality according to clinical impression at admission or suicide attempt before admission. Patients with affective or schizophrenic disorders were at highest risk. The following risk factors are associated with suicide attempt during stay: female gender, borderline personality disorder (F60.3), more previous psychiatric hospitalizations, shorter duration of disorder, earlier age of onset, suicidality according to clinical impression at admission or suicide attempt before admission.
  
  
  CONCLUSIONS
  As depressive and schizophrenic patients represent the high-risk group of in-patient suicide, suicide prevention should be a major goal in their treatment. More frequent suicide risk assessment is recommended particularly before granting a leave or an outing.
authors.affiliation: Psychiatrische Klinik und Poliklinik, Bezirksklinikum Regensburg.
authors.forename: Martin
authors.initials: M
authors.lastname: Lieb
authors.affiliation: Psychiatrische Klinik und Poliklinik, Ludwig-Maximilians-Universität, München.
authors.forename: Ulrich
authors.initials: U
authors.lastname: Palm
authors.affiliation: Psychiatrische Klinik und Poliklinik, Ludwig-Maximilians-Universität, München.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Meyer
authors.affiliation: Psychiatrische Klinik und Poliklinik, Bezirksklinikum Regensburg.
authors.forename: Nina
authors.initials: N
authors.lastname: Sarubin
authors.affiliation: Psychiatrische Klinik und Poliklinik, Ludwig-Maximilians-Universität, München.
authors.forename: Rabee
authors.initials: R
authors.lastname: Mokhtari-Nejad
authors.affiliation: Psychiatrische Klinik und Poliklinik, Ludwig-Maximilians-Universität, München.
authors.forename: Michael
authors.initials: M
authors.lastname: Riedel
authors.affiliation: Psychiatrische Klinik und Poliklinik, Ludwig-Maximilians-Universität, München.
authors.forename: Hans-Jürgen
authors.initials: HJ
authors.lastname: Möller
authors.affiliation: Psychiatrische Klinik und Poliklinik, Ludwig-Maximilians-Universität, München.
authors.forename: Florian
authors.initials: F
authors.lastname: Seemüller
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D005858:Germany; D006760:Hospitalization / Q000706:statistics & numerical data*; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D007297:Inpatients / Q000523:psychology* / Q000706:statistics & numerical data*; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000523:psychology*; D008875:Middle Aged; D012008:Recurrence; D018570:Risk Assessment / Q000706:statistics & numerical data; D012307:Risk Factors; D012737:Sex Factors; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology* / Q000706:statistics & numerical data*; D013406:Suicide, Attempted / Q000517:prevention & control / Q000523:psychology* / Q000706:statistics & numerical data*; D000092864:Suicide Prevention