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SuicideAka: Suicide Risk, Suicidality, Suicidal Ideation
- See Also
- Risk factors: Suicide
- Major Depression
- Divorced or widowed patient
- Elderly white male
- Solitary lifestyle
- Associated chronic medical condition
- Psychotic symptoms
- Previous suicide attempt within last 2 years
- Family History of completed suicide
- Associated Substance Abuse
- Seizure disorder (3 fold higher risk)
- Medications associated with increased suicidal ideation
- Screening
- Be alert for depressed mood in all patients
- Inquire about suicidal thoughts in depression
- Asking about suicide does not increase its risk
- Evaluation
- Avoid confrontational approach
- Obtain patient comfort and trust first
- Maintain culturally sensitive approach
- Maintain good eye contact
- Sample questioning method:
- Do you ever lose HOPE with your current situation?
- What do you THINK ABOUT when feeling down?
- Do you ever consider Running AWAY from your problems?
- Have you ever thought of HURTING yourself?
- Have you ever thought of KILLING yourself?
- How have you PLANNED to kill yourself?
- Have you PREPARED to do this?
- Do you have WEAPONS at home?
- What would happen to your FAMILY without you?
- What has PREVENTED you from committing suicide?
- References
- Avoid confrontational approach
- Management
- Evaluate patient safety
- Hospitalize imminently suicidal patients
- Remove all weapons in the home
- Family and friend involvement is critical
- Treat underlying psychiatric illness
- See Depression Management
- Treat Substance Abuse
- Initiate psychological counseling
- Evaluate patient safety
- References
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. |
| Concepts | Injury or Poisoning (T037) |
| MSH | D013405 |
| English | Suicide, Suicides |
| Spanish | suicidio |
| Parent Concepts | Suicidal behavior (C1760428), Self-Destructive Behavior (C1527357), Social Problems (C0037431), Self-Injurious Behavior (C0085271), Personal Behavior (C1519022), Cessation of life (C0011065), Suicide (C0038661), Intentionally harming self (C1689991), Duplicate concept (C1274013) |
| Sources | AOD, CSP, CST, LCH, MEDLINEPLUS, MSH, MTH, NCI, SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System) |
