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. 2019 Mar 23;9(3):e023883. doi: 10.1136/bmjopen-2018-023883

Table 2.

Suicide rates in the first month postdischarge from psychiatric settings

N studies Suicides Patient years Pooled estimate Lower limit Upper limit
One month 29 3551 222 546 2060 1300 3280
Subgroup of studies reporting follow-up at 1 week and 2–4 weeks
 One week 15 1928 60 854 3170 1710 5890
 Two to four weeks 15 1229 115 858 1060 660 1070
Subgroup of studies reporting suicides by men and women
 Men 10 917 83 913 1400 780 2500
 Women 10 497 82 989 720 390 1320
Subgroup of studies according to data source
 Extracted directly 22 2672 107 439 2880 1770 4670
 Personally communicated 7 879 115 107 920 430 1930
Subgroups of studies according to selection for suicidal thoughts or behaviours
 Admitted with suicidal thoughts or behaviours 5 5 56 6210 1550 24 860
 Unselected by suicidally 24 3546 222 490 1850 1170 2920
Subgroups of studies according to selection by diagnosis
 Patients with a mood disorder 6 312 18 201 3370 1240 9180
 Patients with a schizophrenia spectrum disorder 3 41 6270 1720 330 9110
 Unselected by diagnosis 20 3198 198 075 1830 1080 3110
Subgroups of studies according to study quality
 Higher quality* 8 820 73 318 1360 1350 1370
 Lower quality 20 2731 149 227 2720 2690 2740
Subgroup of studies according to geographic region
 Asia 8 235 13 000 3230 1470 7100
 Europe 10 2554 75 634 2340 1170 4680
 USA 6 346 87 376 1030 450 2380
 UK, Australia and Canada 5 416 46 535 2020 630 6490

*One study failed to converge.