Suicide Assessment and Management



Suicide Assessment and Management





Suicide Risk Factors













Demographic


Findings on History


Examination Findings


Protective


Male gender


White


Single/not married


Age


Homosexual/bisexual orientation


Unemployed


History of present illness


Presence of suicidal behavior, suicidality, and/or efforts made to avoid intervention


Presence of ambivalence/regret for surviving suicide attempt


Termination gestures (e.g., updated will, suicide note)


Identified precipitating events


Reluctant to accept help


Difficulty coping


Access to weapons


Past psychiatric history


Presence of mental illness


History of personality disorders


Previous suicide attempts


Poor treatment compliance


Substance history


Comorbid substance abuse


Past medical history


Comorbid medical illness/pain


Terminal illness


Family history


Family history of suicide


Social history


History of abuse


Positive beliefs about death (as per religion)


Poor social support


Severe anxiety


Agitation/restlessness


Altered mental status


Impulsivity


Pervasive insomnia


Intense affective state or apathy


Impaired concentration


Rumination


Hopelessness/lack of future orientation


Psychotic symptoms


Responsibilities including to family, children, pets, and/or work


Life satisfaction


Religion


Past evidence of demonstrating strong coping skills and problem solving


Presence of therapeutic alliance with providers


Compliance with treatment plan

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Jul 26, 2016 | Posted by in PSYCHIATRY | Comments Off on Suicide Assessment and Management

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