Does deinstitutionalization increase suicide?

Health Serv Res. 2009 Aug;44(4):1385-405. doi: 10.1111/j.1475-6773.2009.00986.x. Epub 2009 Jun 3.


Objectives: (1) To test whether public psychiatric bed reduction may increase suicide rates; (2) to investigate whether the supply of private hospital psychiatric beds-separately for not-for-profit and for-profit-can substitute for public bed reduction without increasing suicides; and (3) to examine whether the level of community mental health resources moderates the relationship between public bed reduction and suicide rates.

Methods: We examined state-level variation in suicide rates in relation to psychiatric beds and community mental health spending in the United States for the years 1982-1998. We categorize psychiatric beds separately for public, not-for-profit, and for-profit hospitals.

Principal findings: Reduced public psychiatric bed supply was found to increase suicide rates. We found no evidence that not-for-profit or for-profit bed supply compensates for public bed reductions. However, greater community mental health spending buffers the adverse effect of public bed reductions on suicide. We estimate that in 2008, an additional decline in public psychiatric hospital beds would raise suicide rates for almost all states.

Conclusions: Downsizing of public inpatient mental health services may increase suicide rates. Nevertheless, an increase in community mental health funding may be promising.

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Age Distribution
  • Causality
  • Deinstitutionalization / economics
  • Deinstitutionalization / statistics & numerical data*
  • Female
  • Health Services Accessibility / economics
  • Health Services Accessibility / statistics & numerical data
  • Hospital Bed Capacity / economics
  • Hospital Bed Capacity / statistics & numerical data
  • Hospitals, Private / statistics & numerical data
  • Hospitals, Psychiatric / statistics & numerical data
  • Hospitals, Public / economics
  • Hospitals, Public / statistics & numerical data
  • Humans
  • Male
  • Mental Health Services / economics
  • Mental Health Services / statistics & numerical data*
  • Middle Aged
  • Outcome Assessment, Health Care
  • Sex Distribution
  • Socioeconomic Factors
  • Suicide / statistics & numerical data*
  • United States
  • Young Adult