Letter to the Editor July 15, 2012

Reply to "Risk Factors for Inpatient Suicide Do Not Translate Into Meaningful Risk Categories"

Trine Madsen, PhD; Merete Nordentoft, MD, DMSc

J Clin Psychiatry 2012;73(7):1034-1035

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Surely, we agree with Drs Large and Nielssen that all psychiatric inpatients must be considered to be at high risk of suicide, especially in comparison to the risk of suicide in the general population. Consequently, ensuring ward safety and high-quality treatment to prevent inpatient suicide is crucial. As requested, we have estimated a positive predictive value derived from our multivariate analyses; that is, we have measured the positive predictive value for "high-risk" patients who had at least 3 of the found adjusted risk factors for inpatient suicide in our Danish study.

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