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Thursday 12:20 CST, July 2, 2015

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Sentinel Event Alert, Issue 7: Inpatient Suicides: Recommendations for Prevention

November 6, 1998

Sentinel Event Alert Issue 7Since the Joint Commission enacted its Sentinel Event Policy two years ago, the Accreditation Committee of the Joint Commission's Board of Commissioners has reviewed 65 cases related to inpatient suicides. A root cause analysis was completed for each of the events reviewed. Most of the suicides occurred in psychiatric hospitals (34), followed by general hospitals (27) and residential care facilities (4).  Of those cases in general hospitals, 14 occurred in psychiatric units, 12 in medical/surgical units and one in the emergency room.