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Sammanfattning
The time period after discharge from psychiatric hospitalization is
associated with an increased suicide risk. The national guideline for
suicide prevention in psychiatric care settings recommends suicide
risk assessment and appointment to follow-up care at discharge.
The aim of this study was to evaluate adherence to these guideline
recommendations.
A medical record study was conducted at the Division of Psychiatry,
Haukeland University Hospital to systematically review guideline
adherence in discharge summaries in electronic medical records.
Variables collected were: suicide risk assessment; appointment
to follow-up care, and the predictors’ sex, age, previous suicide
attempts; other suicide risk factors and possible protective factors;
main diagnosis; and coercion and voluntarily admission. Descriptive
statistics and Generalized Estimating Equation were used.
Guideline adherence regarding suicide risk assessment was very
good, but descriptions concerning the risk assessments were mostly
found lacking. Lower probabilities for follow-up appointments were
related to diagnoses of drug abuse, schizophrenia in women, and
coercion admissions with voluntary hospitalization for women.
Quality improvement directed towards suicide risk descriptions in
informational discharge summaries and towards documentation of
appointment to follow-up care may give improved continuity of care.