Mental Health Book

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  • Suicide

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SuicideAka: Suicide Risk, Suicidality, Suicidal Ideation

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  1. See Also
    1. Major Depression
  2. Risk factors for Suicide
    1. Major Depression
    2. Divorced or widowed patient
    3. Elderly white male
    4. Solitary lifestyle
    5. Associated chronic medical condition
    6. Psychotic symptoms
    7. Previous suicide attempt within last 2 years
    8. Family History of completed suicide
    9. Associated Substance Abuse
    10. Seizure disorder (3 fold higher risk)
    11. Medications associated with increased suicidal ideation
      1. Varenicline (Chantix)
      2. Anticonvulsants
      3. Antidepressants in teens
  3. Screening
    1. Be alert for depressed mood in all patients
    2. Inquire about suicidal thoughts in depression
      1. Asking about suicide does not increase its risk
  4. Evaluation
    1. Avoid confrontational approach
      1. Obtain patient comfort and trust first
      2. Maintain culturally sensitive approach
      3. Maintain good eye contact
    2. Sample questioning method:
      1. Do you ever lose HOPE with your current situation?
      2. What do you THINK ABOUT when feeling down?
      3. Do you ever consider Running AWAY from your problems?
      4. Have you ever thought of HURTING yourself?
      5. Have you ever thought of KILLING yourself?
      6. How have you PLANNED to kill yourself?
      7. Have you PREPARED to do this?
      8. Do you have WEAPONS at home?
      9. What would happen to your FAMILY without you?
      10. What has PREVENTED you from committing suicide?
    3. References
      1. Stovall (2003) Am Fam Physician 68(9):1814
  5. Management
    1. Evaluate patient safety
      1. Hospitalize imminently suicidal patients
      2. Remove all weapons in the home
      3. Family and friend involvement is critical
    2. Treat underlying psychiatric illness
      1. See Depression Management
      2. Treat Substance Abuse
      3. Initiate psychological counseling
  6. References
    1. Hamilton (2000) Postgrad Med 108(6):81
    2. Maris (2002) Lancet 360(9329):319
    3. Stovall (2003) Am Fam Physician 68(9):1814

Suicide (C0038661)

Definition (MSH)The act of killing oneself.
Definition (CSP)act or an instance of intentionally killing oneself.
Definition (NCI)The act of ending one's own life.
ConceptsInjury or Poisoning (T037)
EnglishSuicide, Suicides
Spanishsuicidio
CreditsDerived from the NIH UMLS (Unified Medical Language System)



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