What is a primary reason for suicides occurring in hospitals or shortly after discharge?

The primary reason for suicides occurring in hospitals or shortly after discharge is shortcomings in assessment, particularly psychiatric assessment. This is crucial because comprehensive and accurate psychiatric assessments are vital in identifying individuals at risk for suicide. Such assessments involve evaluating a patient's mental health history, current psychological state, and environmental factors that may contribute to suicidal ideation or behavior.

When psychiatric assessments are lacking or insufficiently detailed, there is a significant risk that warning signs or risk factors may be overlooked. This failure can lead to inadequate care planning and insufficient support for patients transitioning out of an acute care setting. As a result, individuals may leave the hospital without the necessary follow-up or support, increasing the likelihood of suicidal actions shortly after discharge.

A well-conducted assessment can inform treatment plans, ensure continuity of care, and help to bridge the gap between hospital-based and community care, thereby reducing overall suicide risk.