{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T16:55:58Z","timestamp":1771865758326,"version":"3.50.1"},"reference-count":35,"publisher":"Hogrefe Publishing Group","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Crisis"],"published-print":{"date-parts":[[2012,9,1]]},"abstract":"<jats:p>Background: Evidence indicates that people whose mental health problems lead them to require psychiatric hospitalization are at a significantly increased risk of suicide, and the period of time immediately following discharge after such hospitalizations appears to be a particularly high-risk time. Aims: This paper reports on phenomenological findings from a federally funded, mixed-methods study that sought to better understand the observed increased risk for suicide following discharge from an inpatient psychiatric service. Methods: A purposive sample of 20 recently discharged former suicidal inpatients was obtained. Data were collected from the participants in hermeneutic interviews lasting between 1 h and 2 h and analyzed according to van Manen\u2019s (1997) interpretation of hermeneutic phenomenology. Results: Two key themes were induced: \u201cExistential Angst at the Prospect of Discharge\u201d and \u201cTrying to Survive While Living Under the Proverbial \u2018Sword of Damocles\u2019.\u201d Each of these was comprised of five themes with the second key theme \u2013 the focus of this paper \u2013 encompassing the following: \u201cNeeding Postdischarge Support,\u201d \u201cFeeling Lost, Uncertain and Disorientated,\u201d \u201cFeeling Alone and Isolated,\u201d \u201cSuicide Remains an Option,\u201d and \u201cEngaging in Soothing, Comforting Behaviors.\u201d Conclusions: The authors conclude that early exploration of and reconciling patients\u2019 expectations regarding inpatient care for their suicidality would appear to be an empirically based intervention that could diminish the postdischarge risk for further suicide attempts.<\/jats:p>","DOI":"10.1027\/0227-5910\/a000132","type":"journal-article","created":{"date-parts":[[2012,3,27]],"date-time":"2012-03-27T02:28:12Z","timestamp":1332815292000},"page":"265-272","source":"Crossref","is-referenced-by-count":9,"title":["Understanding the Risks of Recent Discharge: The Phenomenological Experiences"],"prefix":"10.1027","volume":"33","author":[{"given":"John","family":"Cutcliffe","sequence":"first","affiliation":[{"name":"University of Maine, USA; University of Ulster, UK; University of Coimbra, Portugal, and University of Malta, Malta"}]},{"given":"Paul","family":"Links","sequence":"additional","affiliation":[{"name":"University of Toronto and St. Michaels Hospital, Toronto, Canada"}]},{"given":"Henry","family":"Harder","sequence":"additional","affiliation":[{"name":"University of Northern British Columbia, Canada"}]},{"given":"Yvonne","family":"Bergmans","sequence":"additional","affiliation":[{"name":"University of Toronto and St. Michaels Hospital, Toronto, Canada"}]},{"given":"Ken","family":"Balderson","sequence":"additional","affiliation":[{"name":"University of Toronto and St. Michaels Hospital, Toronto, Canada"}]},{"given":"Rahel","family":"Eynan","sequence":"additional","affiliation":[{"name":"St. Michaels Hospital, Toronto, Canada"}]},{"given":"Munazah","family":"Ambreen","sequence":"additional","affiliation":[{"name":"St. Michaels Hospital, Toronto, Canada"}]},{"given":"Rosanne","family":"Neibaum","sequence":"additional","affiliation":[{"name":"University of Toronto and Keenan Research Centre, Li Ka Shing Knowledge Institute of St. Michael\u2019s Hospital, Toronto, Canada"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.318.7193.1235"},{"key":"c2","volume-title":"The New Zealand Suicide Prevention Strategy 2006\u20132016","author":"Associate Minister of Health","year":"2006"},{"key":"c3","unstructured":"Australian Government Department of Health and Ageing: Mental Health and Suicide Prevention Branch . (2000).Living is for Everyone (LIFE): A framework for prevention of suicide and self-harm in Australia. National Suicide Prevention Strategy. Retrieved from www.livingisforeveryone.com.au\/about_nsps.html"},{"key":"c4","unstructured":"Beautrais, A. (2007).Suicide researchers receives top international award. Retrieved from www.chmeds.ac.nz\/newsevents\/articles\/suicidetopaward.htm"},{"key":"c5","first-page":"805","volume":"331","author":"Carter G. L.","year":"2005","journal-title":"domized controlled trial of an intervention using postcards to reduce repetition of hospital treated deliberate self poisoning. 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(2003).Report on the workshop on suicide-related research in Canada. Ottawa: Health Canada\/CIHR."},{"key":"c34","unstructured":"World Health Organization . (2002).Depression\/suicide. Retrieved from www.int\/health_topics\/suicide\/en\/"},{"issue":"1","key":"c35","first-page":"65","volume":"38","author":"Yim P. H. 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