Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports.
Approach to Improving Safety
Setting of Care
This review of root cause analysis reports about suicide within 7 days of discharge from inpatient mental health facilities determined that most cases of suicide occurred prior to scheduled outpatient postdischarge follow-up. Many patients who went on to die by suicide left against medical advice but did not meet criteria to be held against their wishes, highlighting the conflict between safety and patient autonomy.