
Psychosomatics 49:461-469, November-December 2008
doi: 10.1176/appi.psy.49.6.461
© 2008 Academy of Psychosomatic Medicine
Aftermath of Suicide in the Hospital: Institutional Response
Elizabeth D. Ballard, B.A.,
Maryland Pao, M.D.,
Lisa Horowitz, Ph.D., M.P.H.,
Laura M. Lee, B.S.N.,
David K. Henderson, M.D., and
Donald L. Rosenstein, M.D.
Received February 15, 2008; revised March 26, 2008; accepted March 28, 2008. From the National Institute of Mental Health, Bethesda, MD. Send correspondence to Donald L. Rosenstein, M.D., National Institute of Mental Health, Clinical Research Center, Building 10, Room 6-5340, Bethesda, MD 20892. e-mail: rosenstd{at}mail.nih.gov
© 2008 The Academy of Psychosomatic Medicine
BACKGROUND: A suicide can be a devastating event in the hospital, and few guidelines exist to aid an institutions response. METHOD: The authors describe a framework of immediate, short-term and long-term responses in the event of an in-hospital suicide. CONCLUSION: Implications for administration, communication, assessment, physical environment, and standards of care throughout the hospital are discussed that are relevant to both general-medical and psychiatric settings. Suggestions for the successful management of the aftermath of a suicide, such as the formation of a multidisciplinary leadership team, are included.
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