Next Unit: Agitated Delirium
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Management of Suicide Risk
In the field, your biggest challenge* with behavioral abnormalities in psychosis will be in preventing suicide.
*aside from addressing the medical complications arising from suicide attempt.
The psychiatric disorders most commonly associated with suicide include:
The major cause of suicide is untreated or inadequately treated depression, which is in 90% of those attempting suicide.
- bipolar disorder
- alcoholism or other substance abuse
Of those completing suicide, 95% have a psychiatric diagnosis.
The symptoms most commonly associated with suicide include:
Previous suicide attempt
The strongest single factor predictive of suicide is prior history of attempted suicide.
- ideation or defined lethal plan of action which has been verbalized and/or written
- alcohol and substance abuse
- chronic pain
- unable to sleep or sleeping all the time
- feeling trapped, no way out, or hopelessness
- withdrawal from friends, family and society
- anger and/or aggressive tendencies
- recklessness or engaging in risky activities
- dramatic mood changes
- history of trauma or abuse
- some major physical illness (cancer, CHF, etc.)
- job or financial loss
- relationship or social loss
- easy access to lethal means
- lack of social support and sense of isolation
- certain cultural and religious beliefs
- male gender
- Age between 35 and 50