ORIGINAL RESEARCH article
Front. Psychiatry
Sec. Public Mental Health
Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1545173
This article is part of the Research TopicMultidimensional Approaches to Suicide Prevention: Innovations, Challenges, and Future DirectionsView all 15 articles
Influencing Factor s of Suicide in Hospitalized Patients with Mental Disor der s：A Retr ospective Study Using Medical Malpr actice Cases in China
Provisionally accepted
- 1Nanjing University, Nanjing, China
- 2East China University of Political Science and Law, Shanghai, Shanghai Municipality, China
- 3Wannan Medical College, Wuhu, Anhui Province, China
- 4Inner Mongolia University, Hohhot, Inner Mongolia Autonomous Region, China
- 5Nanjing Medical University, Nanjing, Jiangsu Province, China
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Abstr act ： Objective: This study aims to reveal the suicide risk factors in specific situations of medical malpractice. Methods: We conducted a systematic analysis using the medical malpractice case data from the judgment search system on China Judgments Online, covering the years 2012 to 2022. The χ 2 test was applied to compare group differences, while a binary logistics regression analysis was used to assess factors influencing suicide among hospitalized patients with mental disorders. Results: A total of 268 finalized medical malpractice judgments were analyzed. From 2012 to 2022, medical malpractice cases involving psychiatric inpatients in China show a significant upward trend. Suicide cases of hospitalized patients with mental disorders accounted for 32.5% of all medical malpractice cases. These incidents were more frequent in comprehensive hospitals, tertiary hospitals, and economically developed regions such as East China and Central China. Chi-square testing and multivariate binary logistic regression analysis revealed that hospital type, history of suicidal behavior, clinical psychiatric diagnosis of others, medical fault in violating specific regulations, and medical fault in breach of duty of care were identified as independent risk factors (OR=2.
Keywords: Suicide, Mental Disorders, hopitalized patients, Medical malpratice, Influencing factors, Forensic Psychiatry
Received: 14 Dec 2024; Accepted: 09 Jul 2025.
Copyright: © 2025 Wang, Sun, Li, Li, Li and Xu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Qiang Wang, Nanjing University, Nanjing, China
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