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Characteristics of Patients Who Complete Suicide and Suicide Attempts While Undergoing Treatment in Norway: Findings from Compensation Claims Records

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  • Sanja Krvavac

    (Department of Psychiatry, Helgeland Hospital Trust, 8802 Sandnessjøen, Norway
    Department of Health and Care Sciences, UiT The Arctic University of Tromsø, 9037 Tromsø, Norway)

  • Martin Bystad

    (Division of Substance Use and Mental Health, University Hospital of North Norway, 9019 Tromsø, Norway)

  • Rolf Wynn

    (Department of Clinical Medicine, UiT The Arctic University of Tromsø, 9038 Tromsø, Norway
    Department of Education, ICT and Learning, Østfold University College, 1757 Halden, Norway)

  • Ida Rashida Khan Bukholm

    (The Norwegian System of Patient Injury Compensation, 0130 Oslo, Norway
    Faculty of Landscape and Society, The Norwegian University of Life Sciences, 1430 Ås, Norway)

  • Billy Jansson

    (Department of Psychology and Social Work, Mid Sweden University, 831 25 Ostersund, Sweden)

Abstract

The aim of this study was to identify characteristics that differentiate patients who complete suicide (SC) from patients with suicide attempts (SA) while undergoing treatment in Norway. We examined data from the Norwegian System of Patient Injury Compensation (Norsk Pasientskade Erstatning—NPE). Data were extracted from NPE case records from a 10-year period (2009–2019) for 356 individuals who attempted ( n = 78) or died by ( n = 278) suicide. The two groups differed significantly in the types of medical errors identified by experts. Inadequate suicide risk assessment tended to be proportionally and significantly more prevalent among SC compared to SA. There was a weak but significant trend that SA had received medication only, whereas SC had received both medication and psychotherapy. There were no significant differences with respect to age group, gender, diagnostic category, number of previous suicide attempts, inpatient/outpatient status, or category of responsible clinic. We conclude that suicide attempters and suicide completers differed in terms of identified medical errors. Focusing on the prevention of these and other types of errors could help to reduce the number of suicides of patients in treatment.

Suggested Citation

  • Sanja Krvavac & Martin Bystad & Rolf Wynn & Ida Rashida Khan Bukholm & Billy Jansson, 2023. "Characteristics of Patients Who Complete Suicide and Suicide Attempts While Undergoing Treatment in Norway: Findings from Compensation Claims Records," IJERPH, MDPI, vol. 20(5), pages 1-10, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:4083-:d:1079502
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    References listed on IDEAS

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    1. Sanja Krvavac & Billy Jansson & Ida Rashida Khan Bukholm & Rolf Wynn & Martin Bystad, 2022. "Patients Who Die by Suicide: A Study of Treatment Patterns and Patient Safety Incidents in Norway," IJERPH, MDPI, vol. 19(17), pages 1-11, August.
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